­

Coronavirus – Payer-by-Payer Resources

Beacon: New York State Telehealth Law Provider Frequently Asked Questions

CalOptima Telehealth COVID-19_Guidance March 23, 2020

MHN_Provider_Information

Beacon Provider Behavioral Health Update 3.25.2020

CalOptima mednetele_m01o03.doc

CalOptima Provider Alert 3.25.2020

Anthem Connecticut Anthem Blue Cross And Blue Shield “Telehealth Contract” And Compliance Certification Form

Services provided via facsimile (“fax”), audio-only telephone, e-mail, or videotelephony products such as FaceTime, Skype, etc…that support Voice over Internet Protocol (VOIP) service communications) shall not be considered Telehealth Services and are not eligible for compensation.

Contracted Provider’s signature below is required for Anthem to reimburse Contracted Provider for Telehealth Services in accordance with the member’s health benefit plan and applicable participating provider agreement. Such reimbursement shall be the lesser of Contracted Provider’s customary charge for such services or the Anthem “Designated Compensation” amount(s) specific to Telehealth Services in effect on the date such services are rendered. Designated Compensation shall be identified by Anthem and communicated to Contracted Providers from time to time.

Information from Anthem for California Care Providers About COVID-19, March 23, 2020

What is the reimbursement rate for telehealth and telephonic services?
As required by the State of California, telehealth and telephonic services must be paid at the same rate, whether a service is provided in-person or through telehealth or telephonically, if the service is the same regardless of the modality of delivery, as determined by the provider’s description of the service on the claim.
Can all contracted providers provide telehealth and telephonic services?
Yes. All Anthem contracted providers can provide telehealth and telephonic services if clinically appropriate.

Information from Anthem BCBS Indiana for Care Providers that perform ABA Services during COVID-19, March 23, 2020

“Is Anthem allowing the delivery of ABA therapy using telehealth methods?
Yes, we will allow authorized telehealth for supervision (97155), caregiver training (97156 & 97157) and functional behavior assessment (FBA) (97151) 97513 (adaptive behavioral treatment by protocol) with proper modifier.”

CalOptima Guidance for Behavioral Health Treatment (BHT) in response to COVID-19 pandemic, March 23, 2020

All ABA services can be delivered via telehealth, as clinically appropriate, taking into consideration the members functioning level and attending skills
Paraprofessionals and Behavioral Management Assistant (BMA) can provide ABA services via telehealth
ABA services provided via telehealth must be consistent with the current treatment plan
Providers must maintain necessary records and documentation for all ABA services
ABA providers must document in writing any barriers to service provision and steps taken for each client

Anthem Connecticut Information for Care Providers that perform ABA Services during COVID-19, March 23, 2020

“Is Anthem allowing the delivery of ABA therapy using telehealth methods?
Yes, we will allow authorized telehealth for supervision (97155), caregiver training (97156 & 97157) and functional behavior assessment (FBA) (97151) 97153 (adaptive behavioral treatment by protocol) with proper modifier.”

BCBS of Rhode Island Temporary Provider Telemedicine/Telehealth and Telephone Only Services Payment Policy, March 23, 2020

“In adherence with the State of Rhode Island “Fourth Supplemental Emergency Declaration – Expanding Access to Telemedicine Services”, Executive Order 20-06 issued on March 18, 2020 along with the State of Rhode Island Office of Health Insurance Commissioner (“OHIC”) guidance Bulletin 2020-01, entitled “Emergency Telemedicine Measures to Address and Stop the Spread of COVID-19” issued on March 20, 2020, Blue Cross & Blue Shield of Rhode Island (BCBSRI) is implementing several temporary changes to its telemedicine/telehealth policies and allowing for telephone only services while this policy is in effect in an effort to ensure our members are able to access appropriate care from providers while practicing social distancing.”

BlueCross BlueShield of South Carolina Expands Access to Telehealth Benefits, March 23, 2020

BlueCross has expanded their telehealth policy effective March 17 for the next thirty days.
* Telephone visits: Services delivered over the phone by a BlueCross network provider will be covered.
* Telehealth services: Audio and video consults by a BlueCross network provider will be covered at the same benefit level as office visits.

Utah Dept Of Health Medicaid Emergency Guidance On Temporary Adjustments To (Aba) Services Policy, March 20, 2020

“A covered health care provider that wants to use audio or video communication technology to provide telehealth to patients during the COVID-19 nationwide public health emergency can use any non-public facing remote communication product that is available to communicate with patients. Office of Civil Right (OCR) is exercising its enforcement discretion to not impose penalties for noncompliance with the HIPAA Rules in connection with the good faith provision of telehealth using such non-public facing audio or video communication products during the COVID-19 nationwide public health emergency.”

CIGNA Interim Telehealth Guidance, March 17, 2020

“Many behavioral providers have contacted us about delivering telehealth sessions. While we have been reimbursing for telehealth since 2017, we have made some temporary revisions to telehealth requirements to support continuity of care during this unique situation. The following changes are effective March 17, 2020 through May 31, 2020….”

Please help us make this Coronavirus Resource Repository as comprehensive as possible by submitting additional documents.