Alabama 51 People Used
Alabama Medicaid Extends Temporary Telemedicine Coverage 3/18/2020 PDF Version TO: Physicians, CRNPs, PAs, FQHCs, RHCs, Psychologists, Licensed Professional Counselors, Associate Licensed Counselors, Licensed Marriage and Family Therapists, Licensed Master Social Workers, and Licensed Independent and Clinical Social Workers
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Alabama 51 People Used
Alabama Medicaid will review and verify that requirements for the extension of telemedicine services are being met. Payments to providers that do not meet the specifications are subject to recoupment. If you have questions, please visit the Medicaid website at www.medicaid.alabama.gov, or call the Medicaid Fiscal Agent at 1.800.688.7989. Contacts:
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Alabama 16 People Used
May 5, 2022 - The Alabama Medicaid Agency is seeking public review and comments on the AL.023.08.00 Proposed Elderly and Disabled Home and Community-Based Waiver Renewal Application. Emergency Billing. Apr 27, 2022 - Effective immediately, payment will be denied for all global maternity delivery and postpartum codes filed as an emergency.
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Alabama 16 People Used
Alabama Department of Public Health (ADPH) For general COVID-19 questions, call ADPH at 1-800-270-7268 or email [email protected] Telephone calls are answered from 8 a.m. to 5 p.m. Interpreters are available. Alabama Department of Public Health’s Online Portal for the COVID-19 Vaccine Get a list of places to get the vaccine
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Alabama 16 People Used
As Medicaid continues to monitor the outbreak of the Coronavirus Disease 2019 (COVID-19) in Alabama, we are updating the procedure codes which may be billed via telemedicine to include the following: 90791 Psychiatric diagnostic evaluation 96130, 96131, 96136, 96137, 96138, 96139
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Alabama 55 People Used
Alabama Telemedicine & Telehealth Reimbursement Overview Telemedicine CPT Codes Unique CPT codes do not exist specifically for telemedicine or telehealth. Instead a modifier is applied to existing codes. For interactive audio and video sessions, place a GT modifier in front of the CPT codes you typically use for in person services.
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Medicaid 22 People Used
Telemedicine is viewed as a cost-effective alternative to the more traditional face-to-face way of providing medical care (e.g., face-to-face consultations or examinations between provider and patient) that states can choose to cover under Medicaid. This definition is modeled on Medicare's definition of telehealth services (42 CFR 410.78).
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Alabama 16 People Used
The therapy provider and recipient/caregiver must use an interactive audio/video telecommunications system. These actions will be effective for one month, expiring on dates of service April 16, 2020. Alabama Medicaid will reevaluate for continuance as needed. Medicaid will update claims processing systems by March 30, 2020.
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Medicaid 49 People Used
Telehealth services are now more accepted under the Medicare program in rural areas, but it is now more common that Medicaid programs are limited regarding originating sites. Some of these sites can include the home and even schools. The pandemic is the most common reason for flexibility in sites approved to offer telehealth services. The reader should note that …
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Alabama 56 People Used
Alabama Medicaid reimburses for live video under some circumstances. The Agency also covers an origination site fee. For all telemedicine services, an appropriately trained staff member, or employees familiar with the patient’s treatment plan must be immediately available in-person to the patient.
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Alabama 48 People Used
As we’ve already mentioned, all physicians and physician assistants who obtained a license in Alabama and who are enrolled as providers with the Alabama Medicaid Agency are eligible to provide telemedicine services. According to the Provider Manual, to be able to provide these services, physicians are obliged to:
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Licensed 58 People Used
RE: Alabama Medicaid Extends Temporary Telemedicine Coverage As the Agency continues to monitor the outbreak of the Coronavirus Disease 2019 (COVID-19) in Alabama, we are extending telemedicine to ease access to appropriate medical services for certain codes for your established patients who are recipients of Alabama Medicaid.
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Alabama Medicaid will review and verify that requirements for the extension of telemedicine services are being met. Payments to providers that do not meet the specifications are subject to recoupment. If you have questions, please visit the Medicaid website at www.medicaid.alabama.gov, or call the Medicaid Fiscal Agent at 1.800.688.7989.
This must be the physician speaking with the patient, not the office staff. Alabama Medicaid normally requires separate credentialing for providers performing telehealth; however, that restriction has been waived 3/16/2020 – 4/16/2020 (dates of service).
The Centers for Medicare & Medicaid Services (CMS) developed this Medicaid & CHIP Telehealth toolkit (PDF, 414.95 KB) to help states accelerate adoption of broader telehealth coverage policies in the Medicaid and Children’s Health Insurance Programs (CHIP) during the 2019 Novel Coronavirus (COVID-19) emergency.
Even though such technologies are not considered "telemedicine," they may nevertheless be covered and reimbursed as part of a Medicaid coverable service, such as laboratory service, x-ray service or physician services (under section 1905 (a) of the Social Security Act).