MedicaidCoverageMedium impact
MAB2022050601
Pennsylvania Medicaid (DHS)·PA·Provider Bulletin
Effective date
May 6, 2022
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) clarifies telemedicine billing guidelines, allowing audio-only services when patients lack video access. Telemedicine services will be reimbursed at the same rate as in-person visits, with specific documentation requirements for audio-only visits.
Action Required
Immediately: Update billing procedures to ensure telemedicine services are billed at standard in-person rates for PA Medicaid Fee-for-Service patients. Document telecommunication technology type in medical records, specifically noting when audio-only technology is used and why video wasn't available. Obtain patient consent before telemedicine visits and document beneficiary location for emergency purposes. Bill Q3014 for telehealth originating site facility fee when appropriate.