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Michigan Medicaid - MDHHSMedicaid · Billing Codes · Telehealth · MIMedium impact

MMP 23-10: Telemedicine Policy Post-COVID-19 Public Health Emergency

Effective date
May 12, 2023
Identified
Jun 20, 2026

Summary

Effective May 12, 2023, MDHHS sets its Medicaid telemedicine policy for after the federal COVID-19 Public Health Emergency. Audio/visual telemedicine services must be reported with the place of service that would apply in person and modifier 95, audio-only services must be reported with that place of service and modifier 93, and telemedicine claims without these indicators may be denied. Audio-only services are limited to the codes in the MDHHS audio-only databases, and the policy supersedes and discontinues MSA 20-09 (Facility Rate subsection), MSA 20-42 (Telemedicine Reimbursement Rate Change section) and HASA 22-03 (Telemedicine Coding Changes section).

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What to do

Action · 7 steps
01Already effective May 12, 2023: Billing team should report each allowable audio/visual telemedicine service on the professional invoice with the place of service that would apply if the beneficiary were in-person, along with modifier 95.
02Audio-only telemedicine services should be reported with that same place of service and modifier 93.
03On institutional invoices, billing team should use the appropriate NUBC revenue code with the telemedicine CPT/HCPCS code and modifier 95 or modifier 93.
04PT, OT and ST services delivered by telemedicine should use modifier 95 in addition to the required therapy modifiers.
05Dental telemedicine claims in ADA format should use POS 02 or POS 10 and report D9995 with the procedure code, while institutional claims use modifier 95 and report D9995.
06Billing team should confirm the code is on the MDHHS telemedicine fee schedule or audio-only database before billing it, and should ensure all aspects of the code billed are performed during the visit.
07Telemedicine claims without these indicators may be denied.

Codes mentioned

99441994439895598968908329083490839908409078596040961609616199212994019940299403994049940699407G010899408994099949599496G0406G0407G0408H0039H201190887H0001H0004H0022T1012H2023H2025H2030D0140D9995

Original notice

MMP 23-10: Telemedicine Policy Post-COVID-19 Public Health Emergency
michigan.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Michigan Medicaid - MDHHS changes →
MSA 16-14MediumEffective Jul 1, 2016 · Provider BulletinMMP 23-61: Coverage of Office Based Substance Use Treatment (OBSUT) ServicesMediumEffective Jan 1, 2024 · Medical PolicyMSA 21-19MediumEffective Aug 1, 2021 · Provider BulletinMSA 20-15MediumEffective Mar 1, 2020 · Provider BulletinBrowse every Michigan Medicaid - MDHHS change in the policy list

Related policy hubs

Michigan Medicaid - MDHHS policiesMI policy changesCode 99441Code 99443Code 98955Code 98968Code 90832Code 90834Code 90839Code 90840Code 90785Code 96040Code 96160Code 96161Code 99212Code 99401Code 99402Code 99403Code 99404Code 99406Code 99407Code G0108Code 99408Code 99409Code 99495Code 99496Code G0406Code G0407Code G0408Code H0039Code H2011Code 90887Code H0001Code H0004Code H0022Code T1012Code H2023Code H2025Code H2030Code D0140Code D9995

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