Pg 9 of 22, Telemedicine Originating Site fee is payable to a provider whose presence is medically necessary for the member to participate in a synchronous telehealth visit. Please consider waiving the exclusion criterion for the member's residence if the member's residence is a licensed HCBS residential facility. The exclusion of a home setting for originating site support requires the member to leave their licensed residential service setting in order to receive a telehealth service. If that were possible, they wouldn't need a telehealth service in the first thing.