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Coverage and Reimbursement of Telehealth FAQs - Revised
Effective date
Sep 1, 2023
Identified
Jun 21, 2026
Summary
Already effective September 1, 2023: Alaska Medicaid's revised telehealth regulations cover services provided by telehealth on or after that date. Telehealth services are reimbursed at the same fee schedule rate as the in-person service for the provider type, and claims must carry the telehealth place of service and modifiers listed in the FAQ. Audio-only claims without modifier FQ or modifier 93 will be denied.
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What to do
Action · 13 steps
01Already effective September 1, 2023: Billing team: For telehealth claims, report place of service 02 when the member is not at home during the encounter, or 10 when the member is at home, and use the service location that matches the rendering provider's enrollment file.
02Add GT or 95 for two-way audio-video, GQ for store-and-forward, and FQ with 93 for two-way audio-only, since failing to include FQ or 93 for audio-only codes will result in denial of payment.
03For acute stroke telehealth, add modifier G0 with the appropriate telehealth modifier, and take care not to confuse G0 with GO.
04For Medicare crossover claims, use POS 02 regardless of where the member is.
05For the professional component of imaging delivered electronically, use modifier 26 and do not report it as telehealth.
06For patient-initiated online digital services (CPT 98970-98972 and 99421-99423), do not use telehealth modifiers, and report one unit per 7-day period per member using the last day of that period as the date of service.
07For patient-initiated telephone services (CPT 98966-98968 and 99441-99443), report up to one per day per member.
08For PT, OT and SLP delivered by two-way audio-video, use the same codes as in person with GT or 95.
09Direct-entry midwife and optometrist telehealth services are covered from 9/1/2023 when listed on the Telehealth Services Temporary Fee Schedule.
10For therapy claims from outpatient rehabilitation hospitals on UB-04 or 837I, effective for dates of service on and after 7/1/2023, claims with therapy revenue codes 042X, 043X and 044X require an appropriate CPT/HCPCS code in form locator 44.
11For ventilator management by telehealth, only the provider managing the ventilator may be reimbursed, and bedside adjustments are not separately reimbursable.
12Obtain and document the member's consent for telehealth before the service, and document the modality, the member and provider locations, and the consent in the record.
13Businesses providing telehealth to patients in Alaska must register with the Telemedicine Business Registry, but employed providers do not need to register.
Codes mentioned
98970989729942199423989669896899441994439920299205992119921599221992239930499306
Original notice
Coverage and Reimbursement of Telehealth FAQs - Revised
extranet-sp.dhss.alaska.gov · Always check the source before changing claims.
Related changes
See all Alaska Medicaid changes →Policy Clarification: Medicaid Telehealth CoverageMediumEffective Mar 1, 2022 · TelehealthTemporary Expansion of Medicaid Telehealth CoverageHighEffective Mar 1, 2022 · TelehealthVision Exam Limit ClarificationMediumNo effective date · Program UpdateBilling Guidance for Paxlovid (TM) prescribed by enrolled Pharmacist Renderers Under EUAMediumEffective Jul 7, 2022 · Billing & CodingBrowse every Alaska Medicaid change in the policy list