MA COVID-19 Outpatient Psychotherapist Info

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====== Insurers and Other Payers ======

Governor's Telehealth Coverage Executive Order, March 15, 2020: [[https://www.mass.gov/doc/march-15-2020-telehealth-order?fbclid=IwAR0earqd9cWYMYYZCC5hrBhLEP_Shk7p5uLqDsoOQtjiyckrMHykz8AuU8U|PDF at mass.gov]]. Crucial text from the Order:

> [Payers] are hereby **required to allow all in-network providers to deliver clinically approrpriate, medically necessary covered service to members via telehealth.**  [...]
>
> [Insurers] **shall not impose any specific requirements on the technologies used** to deliver telehealth services (including any limitations on audio-only or live video technologies.)
>
> The GIC and all Carriers shall ensure that **rates of payment** to in-network providers **for services delivered via telehealth are not lower** than the rates of payment established by the Carrier for services delivered via traditional (i.e., in-person) methods, and **shall notify providers of any instructions necessary to facilitate billing for such telehealth services.**


[[MassHealth]]

[[BCBSMA]] - Blue Cross Blue Shield of MA

[[Optum]]

[[Tufts]]

[[Aetna]]

[[Cigna]]

[[Unicare State Indemnity Plan]]

[[Medicaid/Medicare]]


====== General Billing Info ======

Use location code 02 for telehealth rather than 11 for office
\\ Use modifier GT or 95 for most insurers

MA COVID-19 Outpatient Psychotherapist Info

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