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  • Alex Lipovtsev

New Medicaid Telehealth FAQs Released

Today, March 31st, State DOH released a FAQ document about Medicaid billing and reimbursement for telehealth/telephone visits.  Of particular interest to health centers are the two following items:

  • The guidance does not permit FQHCs to bill the 4012 rate code for telephone visits by LCSW, LMSW, psychologists and other billable providers.   See FAQs 36, 50, and 69.

  • The guidance states that FQHCs cannot bill wrap for telehealth visits.  See FAQ 43.

As you are aware, CHCANYS has had numerous discussions with DOH on both of these issues and we were dismayed to see this information included in the FAQ.  CHCANYS disagrees with DOH’s stated positions and has reached out to Feldesman Tucker for further guidance and to discuss next steps.   We will keep you apprised of our conversations and will follow up with additional information shortly.

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