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Transmittal 20-08- Public Health Emergency Guidance on Medicaid-Reimbursable Telemedicine Services Allowance for Audio-Only Visits and HIPAA

Thursday, March 19, 2020

The purpose of this transmittal is to notify all Medicaid providers of changes to the standards governing Medicaid reimbursement of health services provided to a beneficiary in their home via telemedicine pursuant to new rules promulgated on March 12, 2020 and December 13, 2019. On March 12, 2020, DHCF adopted an emergency and proposed rule that established authority for Medicaid reimbursable services to be delivered in a beneficiary’s home to ensure the health, safety, and welfare of residents is not threatened by a lapse of in-person access to covered healthcare services due to the threat of infection with COVID-19. On December 13, 2019, DHCF issued final rules to establish the authority to provide Medicaid reimbursable services via telemedicine.

Please see the attached telemedicine provider guidance document for additional information on which providers are eligible to bill for services delivered via telemedicine, which services are eligible to be delivered via telemedicine, and how providers should bill for these services.

If you have any questions regarding this transmittal please contact Jordan Kiszla in the Health Care Reform and Innovation Administration at [email protected]