Reimbursement and Billing for Telehealth Services, Page 3-4: Telemedicine

Distant site Providers must include the modifier GT on claims for services delivered via telemedicine. Place of Service (POS), the two-digit code placed on claims used to indicate the setting, should reflect the location in which a telehealth service would have normally been provided, had interactions occurred in person:  Feedback-other Third Party Payers, Group Health Plans, and Medicare require the place of service for Telehealth to be billed as POS 02. If DMAS requires that this be billed using the POS that the service would “have normally been provided” it will be inconsistent with other payers and require a significant amount of additional system configuration and set up for Providers and Plans. This will be compounded with the multiple lines of business that the MCOs cover, including DSNP, CCC Plus, MED4 and Commercial Products. Please consider the allowance or flexibility to use the POS 02  to ensure continuity for all lines of business and plans.