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BT202034: IHCP COVID-19 Response: IHCP responds to telemedicine FAQs as of April 1, 2020
Effective date
Not stated in the notice
Identified
Jun 19, 2026
Summary
The IHCP answered telemedicine and telehealth questions during the COVID-19 public health emergency. Most IHCP-covered services can be provided by audio-only telemedicine if they can reasonably be provided that way, except the services excluded in BT202022 and speech, occupational and physical therapy. Telemedicine pays the normal rate for the procedure code, and CoreMMIS does not allow modifier GT on HCBS claims.
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What to do
Action · 10 steps
01Billing team: For codes on the Telemedicine Services Codes list, use place of service 02 and modifier 95 on the claim details.
02For other covered codes, use the place of service most relevant to the member's location, and use place of service 12 if the member is at home.
03Use the GT modifier when billing telemedicine services; it is preferred but not required, and if four modifiers are already used, document in the patient records that the service was performed via telemedicine.
04For HCBS claims, record in the patient records that the service was performed via telemedicine.
05Document the patient's consent for telemedicine and the patient's location in the patient records; consent may be verbal or by electronic signature.
06Services provided by email or text message are not reimbursable.
07Services that cannot be provided via telemedicine include surgical procedures, radiological services, laboratory services, anesthesia services, audiological services, chiropractor services, care coordination without the member present, DME/HME provider services and provider-to-provider consultation.
08For FQHCs and RHCs acting as the distant site on fee-for-service claims, bill T1015 with the appropriate place of service; T1015 is not needed for managed care entities.
09A claim with no valid encounter procedure code will deny.
10For managed care members, contact the MCE provider representative because prior authorization and billing rules may differ from fee-for-service.
Codes mentioned
T1015
Original notice
BT202034: IHCP COVID-19 Response: IHCP responds to telemedicine FAQs as of April 1, 2020
in.gov · Always check the source before changing claims.
Related changes
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