Medicare AdvantageAdministrativeMedium impact
MAPAP217 - Telehealth Virtual Care Services - Updated to reflect requirements for contracting clinic employees.
Blue Cross of Idaho·ID · Physical Therapy, Occupational Therapy, Family Medicine +2 more·Medical Policy
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated their telehealth policy for Medicare Advantage plans, specifically requiring that telehealth providers employed by contracting clinics must be paid as employees and submit claims under the facility's tax ID and NPI. The policy also clarifies that physical therapy, occupational therapy, and speech therapy telehealth services are not covered as of 2026.
Action Required
By February 2026: Billing teams at contracting clinics must ensure all employed telehealth providers submit claims under the facility's tax identification number and NPI rather than their individual credentials. Update billing system to use place of service codes 02 or 10 for telehealth professional services and code 11 with CPT Q3014 for originating site facility fees. Stop billing telehealth services for physical therapy, occupational therapy, and speech therapy under Medicare Advantage plans as these will no longer be covered.