05/06/2016
Anyone hear about the New York States mandate on Telemedicine Coverage? This applies to all programs (ie: commercial, Medicaid managed care, Child Health Plus, Healthy NY, and the Essential Plan), except the Medicare Advantage plans.
Under the mandate, these products will be required to cover electronic information and communication technologies when a provider uses them to deliver healthcare services to a patient while the patient is located at a different site than where the provider is located.
Look into the use of modifiers GT and GQ on these types of services.
Check with your plans to see what their 2016 effective date and payment policy is for this mandate!