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MedicaidAdministrativeMedium impact

MAB2023080201

Pennsylvania Medicaid (DHS)·PA·Provider Bulletin
Effective date
Aug 2, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medical Assistance (Medicaid) updated telehealth guidelines, changing terminology from 'telemedicine' to 'telehealth' and introducing new Place of Service codes POS 02 for telehealth outside the home and POS 10 for telehealth in the patient's home. The policy clarifies documentation requirements and consent procedures for telehealth services.

Action Required

Action needed
Immediately: Update billing system to use Place of Service code 02 for telehealth services delivered outside patient's home and POS 10 for telehealth services delivered in patient's home. Train staff to document telehealth technology used in medical records, including reason for audio-only when video unavailable. Ensure consent procedures are in place for telehealth services and document beneficiary location for emergency purposes.