Medicaid-Reimbursable School-Based Telehealth Services . Providers who submit claims for services delivered via telehealth must use place of service code 02 . Before the COVID-19 PHE, MassHealth's telemedicine coverage was limited to certain behavioral health services and substance use disorder treatment. MassHealth & CBHI. Clarify MassHealth coverage of services delivered in the home. Anesthesia Services 4. This article provides an overview of MassHealth All Provider Bulletin 281, which sets forth the standards for providers delivering behavioral health services to MassHealth beneficiaries via telehealth. Given the importance of behavioral health care and the desire of state policymakers to improve outcomes, leaders should consider the effectiveness of various behavioral . Ambulatory Surgery Services 3. ATA News. The federal government has also relaxed certain requirements If the option to bill telehealth is not available to submit EDI claims, please submit all telehealth claims utilizing the provider web portal choosing place of service option. 2. MassHealth, the state's Medicaid program covering about 1.9 million people, last week issued a bulletin that reaffirms and adds clarification to the previous MassHealth guidance that allows providers to deliver health services through telehealth - and to have that treatment covered and reimbursed on par with in-person visits. All Provider Bulletin 289: MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19) Managed Care Entity Bulletin 20: Coverage and Reimbursement for Services Related to Coronavirus Disease 2019 (COVID-19) . Durable Medical Equipment and Supplies 7. Chiropractic Services 6. Provider Resource: Telephone and Internet Connectivity for Telehealth - April 2, 2020 MassHealth Telehealth Network Provider Bulletin 1 - April 2020 Provider Participation Requirements, Covered Encounters and Other Information MassHealth FAQs for Behavioral Health MassHealth Bulletin 289 - March 2020 Massachusetts Network of Care Q: Under MassHealth All Provider Bulletin 289, MassHealth states they will cover "medically necessary telehealth (including telephone and live video) services" for members. Recommendation. Medicaid: MassHealth Telehealth Polic y. delivered via telehealth, MassHealth previously did not. Background on telehealth MassHealth Managed Care Entity Bulletin 68 requires managed care plans to maintain telehealth policy consistent with All Provider Bulletin 324. In recent years, many states have seen an increase in the prevalence of behavioral health diagnoses and challenges in treatment access. To mitigate the financial impact of the coronavirus outbreak to healthcare providers, MassHealth recently released guidance updating certain telehealth flexibilities - MCE Bulletin 39: Updated MassHealth Telehealth, Durable Medical Equipment (DME), and Home Health policies. MassHealth bulletin 289 •Parity with in-person for all telehealth tech •Suspension of originating site requirements. Eligible Services / Specialties Behavioral Health Services The following sites may deliver behavioral health services via . AUDIO-ONLY DELIVERY. MassHealth has issued a new All Provider Bulletin explaining the 2019 expansion of telehealth services. Telehealth/Telepractice Resources. on telehealth that would describe MassHealth's successor telehealth policy. 4. Federal Resources. Providers must include Place of Service Code 02 when submitting a claim for services delivered via telehealth. MassHealth is aware that Members may elect to remain in their homes and, as a result, that day programs may make a determination to temporarily close operations due to COVID-19 concerns and low census. 2022) Medicaid Telehealth Parity Law. 7. Key Terms AS - Audiology Services BH - Behavioral health DS - Distant site (service provider is located in the school) EPSDT - Early and Periodic Screening, Diagnostic, and Treatment IEP - Individualized Education Plan LEA - Local Education Agencies NS - Nursing Services OS - Originating site (student receiving services is . Providers are not required to deliver services via telehealth. Originating Site Reimbursement: We are not aware of any originating site restrictions The MassHealth coverage of telehealth-based mental health services went live January 1, 2019. All Provider Bulletin 327 issued in October 2021 supersedes All Provider Bulletin 324, and extends the telehealth policy described in All Provider Bulletin 324 through December 31, 2022. MassHealth will work with the Adult Day Health provider industry to discuss. Evaluate the change policy landscape to Effective 05/31/2017 MassHealth has entered an agreement with Optum to provide third-party-administration (TPA) for Long-Term Services and Supports (LTSS). The purpose of this bulletin, which supersedes SHC Bulletin 12, is to update MassHealth's COVID-19 related flexibilities for MassHealth therapist services, including telehealth, to help Q: Under MassHealth All Provider Bulletin 289, MassHealth states they will cover "medically necessary telehealth (including telephone and live video) services" for members. This bulletin, which is effective for DOS on or after October 16, 2021, provides that guidance, establishing MassHealth's agency-wide rules for reimbursement of services provided via telehealth, applicable to all MassHealth programs. The bulletin applies to MassHealth fee-for-service, primary care clinician, and primary care ACO arrangements. ATA News. March 14, 2019. The remainder of 2020 and 2021 will be critical in the development of Massachusetts' regulatory framework. All Provider Bulletin 303 updates telehealth guidelines (1) removes the requirement, previously codified in Appendix A to MassHealth has scheduled webinars to review these regulations and billing changes. See MassHealth All Provider Bulletin 289 for details regarding coverage of services delivered via telehealth (including telephonically). A: Yes. MassHealth Telehealth Policy for Adult Foster Care The guidance in this bulletin will remain in effect for 90 days after the final date of the Governor's Declaration of a State of Emergency due to COVID-19. this bulletin: a. describes covid-19 related flexibilities for masshealth rehabilitation center services (physical therapy, occupational therapy, and speech-language therapy) that will remain in effect beyond september 13, 2021, until the end of the fphe; b. clarifies that telehealth visits may be used for follow-up visits that do not require any … Unlike Massachusetts Medicaid Program's All Provider Bulletin (discussed here), telehealth is not limited to only interactive audio-video, but instead also allows live video, text messaging and . Telehealth in Massachusetts - Looking Ahead. CMS. You were notified in January 2021 that effective July 1, 2021, Voluntary Foster Care Agencies (VFCAs) would no longer be the payor for services of children or youth in foster care. Also in March, MassHealth issued a Bulletin regarding Coverage and Reimbursement which applies to all its plans. Is it medically necessary for the member? Certified Registered Nurse Anesthetist Services 5. established in MassHealth All-Provider Bulletin 289, as outlined under the "MassHealth" section below; • Cannot impose any specific requirements on the technologies (i.e., telephone or video modalities) used to deliver services via telehealth; The article also noted that Blue Cross Blue Shield of Massachusetts has processed 2.6 million telehealth claims since March 15. These patients were transitioned to a New York Medicaid managed care plan. 2020). Service Parity information: MassHealth All Provider Bulletin 281, p. 1, Jan. 2019. MassHealth continues to provide robust, comprehensive coverage for all medically necessary health care services that the provider has determined is clinically appropriate to deliver and that meet additional . Source: MassHealth All Provider Bulletin 281, p. 1, Jan. 2019. A: Yes. The Bulletin also explains that providers delivering services via telehealth must meet all health record standards required by the applicable licensing body as well as any applicable regulatory and program specifications required by MassHealth, including storage, access, and disposal of records. Gov. Highlights include: Last updated 03/23/2022. Separately, MassHealth issued All Provider Bulletin 327, announcing updated telehealth policies which took effect October 16th, 2021. Per the MassHealth All Provider Bulletin 289, the test for whether you can bill something to MassHealth via place of service telehealth (which includes both live video . Evaluate the change policy landscape to Additionally, MassHealth managed care organizations will be required to maintain telehealth flexibility to the same extent as MassHealth until 90 days after the end of the Massachusetts-declared public health emergency. Providers who submit claims for services delivered via telehealth must use place of service code 02. At the same time, the health care delivery system has increasingly relied on telehealth. Based on MassHealth All Provider Bulletin 289: To determine whether you can bill MassHealth via place of service telehealth (which includes both live video and telephone) is: 1. Like many of you, we are monitoring the current coronavirus (COVID-19) outbreak very closely. (Accessed Mar. STATUS: Active, expires 90 days after the Massachusetts Public Health Emergency ends. Live Video Policy Behavioral Health Services Telehealth is a modality of treatment, not a separate covered service. Important Documents Providing Billing Codes, Procedure codes, and Appendix A Provides details of criteria, Bulletin 289 p3 outlines CBHI covered services. The purpose of this bulletin is to update MassHealth's COVID-19 related flexibilities for MassHealth therapist services, including telehealth, to help ensure members retain access to appropriate therapist services, promote social distancing, and mitigate the spread of COVID-19. 7. The MassHealth bulletin underscores the challenges faced by state lawmakers and medical boards in creating avenues to increased adoption of telehealth and telemedicine. 3. Medicaid: Updated MassHealth Telehealth Polic y. Medicaid: Updated MassHealth Telehealth, DME and Home Health Policies. SOURCE: MassHealth All Provider Bulletin 281, p. 1, Jan. 2019. Under the state's policy, rates of payment for services . See MassHealth All Provider Bulletin 281. The purpose of this bulletin, which supersedes SHC Bulletin 13, is to update MassHealth's COVID-19 related flexibilities for MassHealth therapist services, including telehealth, to help ensure members retain access to appropriate therapist services, promote social distancing, and mitigate the spread of COVID-19. Of particular interest to assisted living . MassHealth information: . Adult foster care provider may use telehealth for: • Initial evaluations, provided such telehealth uses teleconferencing technology. To mitigate the financial impact of the coronavirus outbreak to healthcare providers, MassHealth recently released guidance updating certain telehealth flexibilities - MCE Bulletin 39: Updated MassHealth Telehealth, Durable Medical Equipment (DME), and Home Health policies. , not a separate covered service at the same time, the Health care delivery system has increasingly relied telehealth. 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