All PlansAdministrativeMedium impact
PAP518 - Telehealth Virtual Care Services - Updated to reflect requirements for contracting clinic employees.
Blue Cross of Idaho·ID·Medical Policy
Effective date
Feb 1, 2026
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated their telehealth policy to clarify that telehealth providers employed by contracting Idaho clinics must be paid as employees and submit claims under the facility's TIN and NPI, even if the provider doesn't have a physical location in Idaho. The policy also specifies required modifiers and place of service codes for telehealth billing.
Action Required
Before February 1, 2026: Billing team must ensure all telehealth claims use place of service codes 02 or 10 with appropriate modifiers (such as modifier 93 for real-time audio interactions). Verify that employed telehealth providers' claims are submitted under the facility's TIN and NPI, not individual provider credentials. Update billing system rules to enforce these requirements.