Aetna | -NATIONAL | 97151, 97153, 97155, 97156, 97157 | 95 or GT | 9/30/2020 | https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/healthcare-professionals/bh-televideo-service-codes-covid-19.pdf | | |
Aetna Better Health | -NATIONAL | 97151, 97152, 97153, 97155, 97156, 97157. 91758, 0362T, 03737 | | Through Duration of COVID | https://www.aetnabetterhealth.com/newjersey/providers/bh/aba-services; https://www.aetnabetterhealth.com/newjersey/assets/pdf/providers/Cq_ABA_2020_OnePager-Draft.pdf | See portal for details. Confirm with each state plan | |
Anthem | -NATIONAL | | 95 or GT | Until Further Notice | Anthem Blue Cross Blue Shield: no modifier needed. Submit request for additional hours.https://providernews.anthem.com/georgia/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-9; https://providernews.anthem.com/california/article/information-from-anthem-for-care-providers-about-covid-19-5 | See state specific guidelines: https://providernews.anthem.com/california/article/information-from-anthem-for-care-providers-about-covid-19-5 | |
Beacon Health Options | -NATIONAL | 97151, 97153, 97155, 97156, 97157 | 95 or GT | Until Further Notice | https://s21151.pcdn.co/wp-content/uploads/ABA-COVID-19-FAQs.pdf | See state specific guidelines: https://www.beaconhealthoptions.com/coronavirus/state-specific-guidelines/ | |
BCBS | -NATIONAL | plan specific | 95 | | Providers will need to submit documentation for a request for an increase in hours than currently authorized. Continue to submit requests for initial and concurrent reviews on appropriate timelines. | | |
BCBS | -FEDERAL | case specific | | | Prior approval is required for ABA and all related services, including assessments, evaluations, and treatments. https://www.opm.gov/healthcare-insurance/healthcare/plan-information/plan-codes/2019/brochures/71-017.pdf?fbclid=IwAR0eo-e-E_4FkBkUUxZttjGHGXqpD5PduIvtyk3yiO0tYQ7tekEJ9hXFGCc. Page 20 | | |
Cigna | -NATIONAL | 97151, 97153, 97155, 97156, 97157 | | 12/321/20 | https://static.cigna.com/assets/chcp/resourceLibrary/behavioralResources/doingBusinessWithCigna/cbhDbwcCOVID-19.html?fbclid=IwAR1T4HbhpD02raDVLtmF8UDjFB3LKfBHEb1wh1qVDmH9EHUYv3mJhPAZPaEhttps://www.cigna.com/hcpemails/telehealth/telehealth-flyer.pdf, https://medicareproviders.cigna.com/static/medicareproviders-cigna-com/docs/coronavirus-billing-guidelines-faq.pdf | All ABA services can be provided via TeleHealth under current authorizations; use code 02 for location (must be via live / real time video; parents can assist with the physical aspect of 1:1 sessions billed under 97153) Audio can be used if video unavailable | |
Humana | -NATIONAL | 90889, H2012, H2019, H0031, H0032, 97151-97158, 0362T, 0373T | 95 | | https://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3923140 | | |
Magellan | -NATIONAL | 97151-HO, 97152-HN, 97153-HN, 0362T-HO, 97154-HN, 97155-HO, 97156-HO, 97157-HO, 97158-HO, 0373T-HN, 90889 | | 7/1/2020 | Preauthorization and Attestation Required. https://www.magellanprovider.com/news-publications/spotlight/crisis.aspx, https://www.magellanproviderfocus.com/media/1252769/network_telehealth_provider_attestation.pdf, https://www.magellancompletecareoffl.com/for-providers/provider-materials-and-tools/view-bulletins/telehealth-services-reminder/; https://magellanprovider.com/news-publications/spotlight/crisis.aspx; http://magellanprovider.com/education/telehealth.aspx | | |
Optum/UBH | -NATIONAL | current codes | | 10/22/2020 | https://www.providerexpress.com/content/ope-provexpr/us/en/COVID-19_Provider_Updates/COVID-19_ABA_Telehealth_Policies.html?fbclid=IwAR1IWqTzXIDCM4yJcqg9lbaUsrce1t5kopPYjFpg7DfUsMMkPTML8oqSVCc | | |
TennCare/(All Plans-see notes) | -NATIONAL | 97155, 97156 | | | Includes Amerigroup, BlueCare Tennessee, UnitedHealthcare Community Plan-https://www.tn.gov/content/dam/tn/tenncare/documents/TennCareMCOBehavioralHlthCOVID19TelehealthUpdate3182020.pdf | | |
Tricare-East | -NATIONAL | 97151, 97156 | GT | Expiration of national emergency for Covid outbreak | https://www.humanamilitary.com/provider/education-and-resources/quick-access/policy-updates-and-alerts/covid-19-telemedicine-031320 | | |
Tricare-West | -NATIONAL | 97156 | GT | Expiration of national emergency for Covid outbreak | http://links.mkt2747.com/servlet/MailView?ms=NjUzMDg2NDYS1&r=NDczNDE5NDYzOTIzS0&j=MTg4MzAzODc2NQS2&mt=1&rt=0 | | |
United Health Care | National | | | 9/30/2020 | https://view.provideremail.uhc.com/?qs=70098f8ef0309c18f9e7c9e650c366fc93ea2d2e474ff94ac1b39878165228e1d702fed96088bd98fa5f65983fa824d3f73f7f82fd1f7fee523b4cb150567fe58020f1f8a4e106fb9073ed2669e060e5e73849d93ca854a4 | | |
United Behavioral Health/Optum (Medicaid) | National | | | 10/22/2020 | https://www.providerexpress.com/content/ope-provexpr/us/en/COVID-19_Provider_Updates/COVID-19_Reimbursement_Guidelines.html | | |
United/Optum | National | | | 10/22/2020 | https://www.providerexpress.com/content/ope-provexpr/us/en/COVID-19_Provider_Updates/COVID-19_ABA_Telehealth_Policies.html | | |
BCBSAL - New Directions | Alabama | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T | 95 (synchronous) or GT (interactive audio/video) | 12/31/2020 | https://www.ndbh.com/docs/ContentManaged/Providers/Resources/COVID-19/BCBSAL/Telemedicine%20Letter%202.0.pdf | UnitedHealthcare Medicaid plans, any originating site requirements that may apply under UnitedHealthcare reimbursement policies are waived so that telehealth services provided via a real-time audio and video communication system can be billed for members at home or another location. Expansion will allow in-network providers to use telemed for all CPT codes on their fee schedule. This expansion is in place until April 16; BCBSAL will reevaluate the need at that time and may extend it. It is retroactive to March 1, so any in-network providers who have already begun providing telemed may submit those claims. | |
Beacon Health | Alabama | | | | https://www.behavioralhealthsystems.com/wp-content/uploads/BHS-Notice-to-Prov-Mbrs-COVID-19_2020_03.pdf | | |
Medicaid | Alabama | N/A | | | https://medicaid.alabama.gov/alert_detail.aspx?ID=13746; https://medicaid.alabama.gov/alert_detail.aspx?ID=13746; https://providers.bcbsal.org/portal/documents/10226/3494887/Telehealth+Billing+Guide/b92b12c5-585f-471c-5921-72465c49b16f | | |
BCBS | Alaska | | | 12/31/2020 | https://www.premera.com/ak/provider/coronavirus-19-faq/ | | |
Medicaid | Alaska | per fee schedule | | | https://www.cchpca.org/sites/default/files/2020-03/CORONAVIRUS%20TELEHEALTH%20POLICY%20FACT%20SHEET%20MAR%2017%202020%203%20PM.pdf; http://dhss.alaska.gov/dph/Epi/id/SiteAssets/Pages/HumanCoV/COVID-19_DHSSResponse.pdf | | |
BCBS | Arizona | all authorized codes | | | https://newscenter.azblue.com/blue-cross-blue-shield-of-arizona-expands-support-for-coronavirus-services-and-care-waives-telehealth-cost-share-for-members/ | | |
UnitedHealthcare Community Plan | Arizona | all authorized codes | | | https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services.html | | |
Medicaid | Arizona | all authorized codes | | | https://azahcccs.gov/AHCCCS/AboutUs/covid19.html | | |
Medicaid | Arizona | all authorized codes | | | https://medicaid.mmis.arkansas.gov/Download/provider/provdocs/Memos/MemoDMS-02_OBHSTelemed.pdf | | |
BCBS | Arizona | | GT or 95 | No End Date | https://m.azblue.com/~/media/azblue/files/healthcare/resources/tele-everything-bcbsaz-quick-reference.pdf?la=en | | |
Medicaid | Arizona | 97151, 97152, 97153, 97154, 97155, 97156, 97158 | 95, GT, GQ | | https://azahcccs.gov/AHCCCS/AboutUs/covid19FAQ.html | | |
BCBS | Arkansas | 97153, 97155, 97156 | 95 or GT | 10/31/20 | https://www.arkansasbluecross.com/docs/librariesprovider9/default-document-library/covid-19-special-issue.pdf | | |
Aetna Better Health | California | | | | | | |
BCBS-Anthem | California | 97151, 97152, 0362T, 97153, 97154, 97155, 97156, 97157, 97158, 0373T | 95 or GT | | https://providernews.anthem.com/california/article/covid-19-update-guidance-for-telehealthtelephonic-care-for-behavioral-health-serviceshttps://providernews.anthem.com/california/article/information-from-anthem-for-care-providers-about-covid-19-5; https://providernews.anthem.com/california/article/covid-19-update-guidance-for-telehealthtelephonic-care-for-behavioral-health-services | | |
BHPN | California | all authorized codes | | | http://www.dmhc.ca.gov/Portals/0/Docs/OPL/APL%2020-009%20(OPL)%20-%20Reimbursement%20for%20Telehealth%20Services%20(3_18_20).pdf?ver=2020-03-18-105612-547 | | |
BCBS Promise Health Plan | California | all authorized codes | | | | | |
Blue Shield of CA | California | all authorized codes | | | https://www.blueshieldca.com/coronavirus/your-coverage | | |
CalOptima | California | H0032, S5018, S5110 BCBA or QAS | | | https://www.caloptima.org/~/media/Files/CalOptimaOrg/508/Providers/ProviderCommunications/COVID-19/2020-03-18_CalOptima%20COVID-19%20FAQs_Final_508.ashx, https://www.caloptima.org/en/Features/COVID-19/ProviderCommunication.aspx; https://www.caloptima.org/~/media/Files/CalOptimaOrg/508/COVID19/2020-03-18_CalOptimaCOVID-19FAQs_508.ashx | | |
Commercial | California | all authorized codes | | | http://www.dmhc.ca.gov/Portals/0/Docs/OPL/APL%2020-013%20-%20Telehealth%20Services%20(4_7_2020).pdf?fbclid=IwAR0jC8N9bhhNLh_jzwIMO53bKHvn3pbFvYJcC53PuTEPFt40wE8xabKEzs0 | | |
Magellan | California | 97151-HO, 97153-HM, 97153-HN, 0362T-HO, 97154-HN, 97155-HN, 97155-HO, 97156-HN, 97156-HO, 97157-HN, 97157-HO, 97158-HO, 0373T-HM, 0373T-HN, 90889-HO | GT | | http://www.magellanprovider.com/media/166877/ca_covid_aba.pdf | | |
Medi-Cal | California | N/A | | | https://www.dhcs.ca.gov/Documents/COVID-19/Telehealth-Other-Virtual-Telephonic-Communications031820.pdf | | |
MHN | California | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T, H0031, H0032N H2014, H2019, S5111 | | | During the COVID-19 pandemic the decision has been made to temporarily allow all ABA services to be delivered via telehealth (subject to attestation of compliant delivery). See PDF attachments for additional informationProviders interested in expanding their offerings to include telehealth should contact MHN at 844-966-0298. | | |
California DHCS | California | see notes | | | https://www.dhcs.ca.gov/services/Documents/COVID-19MessagetoDHCSStakeholders.pdf | | |
Anthem | Colorado | 97151, 97153, 971055, 97156, 97157 | 95 or GT | 9/30/2020 | Anthem CO - Information from Anthem for Care Providers that perform ABA Services during COVID-19 | | |
Medicaid | Colorado | 97151, 97155, 97157 | None | | https://www.colorado.gov/pacific/hcpf/provider-telemedicine; https://drive.google.com/file/d/1_9Z6CVhzAxNNxUWBKeAfVHgfr3mXQB_T/view?inf_contact_key=28252f60b0e45481d432c387e674dd83%C2%A0 | | |
ComPsych | Colorado | 97155, 97156 | | | | Documentation on BHCOE wesbite under resources Telehealth is allowed as long as the patient has a valid authorization allowing the services | |
Anthem | | 97151, 97153, 971055, 97156, 97157 | 95 or GT | 9/30/2020 | https://providernews.anthem.com/connecticut/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-5, https://provideAnthem-Connecticut-Anthem-Blue-Cross-And-Blue-Shield-Telehealth-Contract-And-Compliance-Certification-Form.pdfIn accordance with Executive Order No. 7G. Once Executive Order is lifted, you must complete process to become a fully credentialed telehealth provider. https://portal.ct.gov/-/media/Office-of-the-Governor/Executive-Orders/Lamont-Executive-Orders/Executive-Order-No-7G.pdf?la=en | | |
Medicaid | Connecticut | See FAQ | | | https://www.ctdssmap.com/CTPortal/Information/Get%20Download%20File/tabid/44/Default.aspx?Filename=COVID_19_IM.pdf&URI=Important_Message%2FCOVID_19_IM.pdf | | |
Connecticut Medical Assistance Program | Connecticut | see notes | | | https://www.ctdssmap.com/CTPortal/default.aspx https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html | | |
Medicaid | Connecticut | see notes | | | https://www.ctdssmap.com/CTPortal/Information/Get%20Download%20File/tabid/44/Default.aspx?Filename=pb20_09.pdf&URI=Bulletins/pb20_09.pdf | | |
Highmark BCBS | Delaware | 97151, 97152, 97153, 971055, 97156 | 95 or GT | 9/30/2020 | https://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-046.pdf; https://www.highmarkhealthoptions.com/Portals/5/provider/med-payment-policies/Telemedicine_Policy_COVID19_Appendix.pdf | | |
Medicaid | Delaware | | | | https://dhss.delaware.gov/dhss/dmma/files/dmma_covid19_guidance.pdf | | |
Carefirst | District of Columbia | | 95 | | | | |
Medicaid--HSCSN | District of Columbia | see notes | | | All telehealth services provided to HSCSN enrollees must be provided on a HIPAA compliant telehealth platform. https://dhcf.dc.gov/page/telemedicine, https://hscsnhealthplan.org/coronavirus | HSCSN permits the use of telehealth in lieu of in-person services during any COVID-19 containment activities for services that: Do not require prior authorization; and Can be clinically administered via telehealth. Permitted services include face-to-face Evaluation and Management (E&M) visits, consultations, and counseling services such as behavioral health therapy. | |
Medicaid | Florida | H2019, H2012 | GT | | https://ahca.myflorida.com/medicaid/review/General/59G_1057_TELEMEDICINE.pdf, https://ahca.myflorida.com/Medicaid/pdffiles/provider_alerts/2020_03/Telemedicine_Guidance_Behavior_Analysis_Services_20200318.pdf | | |
Wellcare | Florida | see notes | | | https://www.wellcare.com/Florida/Providers/Medicaid | | |
Community Care Plan | Florida | see notes | | | https://ccpcares.org/providers/providers-for-mma/provider-resources/links-to-resources | | |
Florida Community Care Health Plan | Florida | see notes | | | https://fcchealthplan.com/wp-content/uploads/2019/11/FCC-Expanded-Benefit-MMAFINAL.pdf | | |
Hospital discharge planning resource guide | Florida | see notes | | | https://fcchealthplan.com/wp-content/uploads/2019/11/SMMC-Hospital-Discharge-Planning-Resource-GuideFINAL.pdf | | |
Humana Medical Plan | Florida | see notes | | | https://www.humana.com/provider/medical-resources/medicare-medicaid/florida-medicaid | | |
Florida Medicaid | Florida | see notes | | | https://www.rollcall.com/2020/03/17/health-agency-gives-florida-medicaid-flexibility-responding-to-coronavirus/ | | |
Florida Blue | Florida | as indicated in fee schedule | 95 or GT | | https://www.floridablue.com/sites/floridablue.com/files/docs/COVID-19_Billing_Guidelines_07.20.20_Approved_1.pdf | Florida Blue -New Directions Provider Letter -see portal | |
New Directions (Fl Blue) | Florida | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373Ts | 95 or GT | | https://www.floridablue.com/sites/floridablue.com/files/docs/COVID-19_Billing_Guidelines_07.20.20_Approved_1.pdf | Any codes previously authorized. Contact your Care Coordinator for specific information. New codes will not be authorized at this time. Update, working with Fl Blue to enable virtual visits for behavioral health providers. Modifiers included in attachement. See resource list for additional information | |
Oxford | Florida | see notes | | | https://www.providerexpress.com/content/dam/ope-provexpr/us/pdfs/clinResourcesMain/autismABA/abaCOVID-19-Telehealth.pdf | | |
Lighthouse Health Plan | Florida | see notes | | | https://lighthousehealthplan.com/en/providers/training-and-resources/ | | |
Magellan Complete Care | Florida | see notes | | | Covered services: https://www.magellancompletecareoffl.com/for-providers/plan-overview/ Hospital discharge planning resource guide: https://www.magellancompletecareoffl.com/for-providers/provider-materials-and-tools/training-and-education/ | | |
Miami Children's Health Plan | Florida | see notes | | | https://www.miamichildrenshealthplan.com/en-US/Providers/Training-and-Resources.aspx | | |
Molina Healthcare | Florida | see notes | | | https://www.molinahealthcare.com/providers/fl/medicaid/resource/Pages/utilized_mgt.aspx | | |
Simply Healthcare Plan | Florida | see notes | | | https://provider.simplyhealthcareplans.com/florida-provider/provider-education | | |
Staywell | Florida | see notes | | | https://www.wellcare.com/Florida/Providers/Medicaid | | |
Sunshine Health | Florida | see notes | | | https://www.sunshinehealth.com/providers.html | | |
United Healthcare | Florida | see notes | | | https://www.uhcprovider.com/en/health-plans-by-state/florida-health-plans/fl-comm-plan-home.html | | |
Vivida Health | Florida | see notes | | | https://www.vividahealth.com/members/using-your-benefits/ | | |
Anthem | Georgia | 97151, 97153, 97155, 97156, 97157 | | 9/30/2020 | https://anthempc-attachments-prod.s3.us-west-2.amazonaws.com/pdf/articles/Information%20from%20Anthem%20for%20Ca...%20-%20ga4418.pdf; https://providernews.anthem.com/georgia/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-9 | | |
Medicaid | Georgia | 97151, 97153, 97155 | | | https://medicaid.georgia.gov/covid-19 | | |
AlohaCare | Hawaii | 97156, 97157 | 95 or GT | | Following updated Medicaid Guidelines | | |
Hawaii BCBS/HMSA | Hawaii | 97155 RBT onsite by LBA only, 97156 and 97157 by LBA only | | 12/31/2020 | https://hmsa.com/help-center/telehealth-resources-hotlines. https://hmsa.com/help-center/telehealth-resources-hotlines/ | | |
Kaiser | Hawaii | 97155 | | | | RBT onsite | |
OhanaCare | Hawaii | case specific | | | | must be verified via provider rep | |
HMSA-Quest Integration | Hawaii | 97155, 97156,97157 | | | | 97155 w/ RBT onsite by licensed behavior analyst, 97156 and 97157 by licensed behavior analyst | |
Medicaid | Hawaii | 97155 w/ RBT onsite only | | | https://www.medicaid.gov/sites/default/files/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/HI/HI-16-0004.pdf | | |
BCBS-Regence Health Plan | Idaho | 97155,97156, 97157 | | 12/31/2020 | https://www.regence.com/provider/library/whats-new/covid-19/covid-19-telehealth | | |
Blue Cross of Idaho | Idaho | 97152, 97153, 97155, 97156 | | | https://providers.bcidaho.com/coronavirus-updates.page. all codes; https://bcidaho.com/coronavirus/ | Is Applied Behavioral Analysis (ABA) therapy covered via telehealth? A. Yes, services will be covered at no member cost share if services are billed with place of service “02”. | https://bcidaho.com/coronavirus/ |
BCBS Wellmark | Iowa | 97152, 97153, 97155, 97156 | | 8/31/2020 | https://www.wellmark.com/about/newsroom/coronavirus-covid-19 | | |
Medicaid | Iowa | 97151, 97153, 97154, G9012, 97152,97156 | 95 | | https://dhs.iowa.gov/sites/default/files/2103-MC-FFS_Update_Originating_and_Distant_Sites_for_Telehealth_1.pdf?031320202140 | | |
BCBS | Illinois | 97151, 97153, 97155, 97156, 97157 | 95 or GT | 12/31/2020 | All authorized hours within the current authorization period may be conducted via telehealth as appropriate. This is for all BCBSIL plans, both fully-funded and self-funded. This means that all authorized codes can be provided via telehealth | | |
Aetna | Illinois | 97151, 97155, 97156, 97157 | 95 | | The ABA work represented by the following codes will be considered for delivery via Televideo during this temporary exception period https://www.bcbsil.com/provider/education/2020/2020_05_20.html?fbclid=IwAR1RqOFr75jadXa5NWmxB9lOmvt0Djw4UUJAAz2a5q_U9vWJxfW6mnxsMJ0 | | |
UBH | Illinois | all current auths | | | https://ilasd.files.wordpress.com/2020/03/optum-obh_covid-19_telehealth-aba-update_03192020_final.pdf | Optum Behavioral Health-Optum is allowing telehealth for all ABA codes. | |
Anthem-BCBS | Indiana | 97151, 97153, 971555, 97156, 97157 | 95 or GT | 9/30/2020 | https://providernews.anthem.com/indiana/article/information-from-anthem-for-care-providers-about-covid-19-6 | https://www.bcbsil.com/pdf/education/covid19_provider_faq.pdf | |
IHCP | Indiana | subject to plan guidelines | | | http://provider.indianamedicaid.com/ihcp/Bulletins/BT202022.pdf | | |
Medicaid | Indiana | as indicated in fee schedules | GT | | https://www.in.gov/medicaid/files/IHCP_email_notification.pdf-Effective 3/1/2020 through duration of the Governor's. Declaration of Public Health Emergency | | |
Medicaid | Iowa | all codes | | | https://dhs.iowa.gov/ime/providers/claims-and-billing/covid19; https://dhs.iowa.gov/sites/default/files/2126-MC-FFS-D- | | |
BCBS Wellmark | Iowa | 97152, 97153, 97155, 97156 | None | 8/31/2020 | https://www.wellmark.com/about/newsroom/coronavirus-covid-19 | https://www.wellmark.com/about/newsroom/coronavirus-covid-19 | |
BCBS Highmark | Iowa | | | 2/1/2021 | | | |
BCBS Wellmark | Idaho | 97152, 97153, 97155, 97156 | None | 9/30/2020 | https://www.wellmark.com/about/newsroom/coronavirus-covid-19 | | |
Medicaid | Kansas | subject to plan guidelines | | | | | |
BCBSKansas | Kansas | | GT | | https://www.bcbsks.com/CustomerService/Providers/news/2020/2020-03-20_telehealth-services-temporarily-expanded.shtml | | |
Medicaid | Kansas | 97155, 97156, T1027 | | | https://www.kmap-state-ks.us/Documents/Content/Bulletins/20051%20-%20HCBS%20-%20Expanding_Telemedicine_for_HCBS_Services.pdf | All are services are new for Telehealth. Must be current waiver provider | |
Medicaid | Kentucky | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158 | | | https://chfs.ky.gov/agencies/dms/Documents/ProviderFAQs.pdf | | |
BCBS | Kentucky | 97151, 97153, 97155, 97156, 97157 | 96 or GT | | https://www.bcbsks.com/CustomerService/Providers/news/2020/2020-03-20_telehealth-services-temporarily-expanded.shtml | | |
Aetna Better Health | Louisiana | | | | | | |
BCBS | Louisiana | 97151, 97152, 97153, 97154, 97155, 97156, 97157 and 97158 | 95 or GT | | https://files.constantcontact.com/de2417c8101/cf36fcf2-7a48-47b4-877e-7162e1e55806.pdf; ABA providers must continue to follow the guidelines outlined in Section 5.6 Autism and Section 5.7 Behavioral Health of BCBSLA’s Professional Provider Office Manual, available online at http://www.BCBSLA.com/providers >Resources >Manuals.
| Blue Cross will not reimburse telehealth services for HCPCS codes 0362T or 0373T due to their complexity requiring a face-to-face encounter. The expansion will last until further notice. | |
Medicaid | Louisiana | 97151, 97151 TF, 97152, 97153 HN, 97153, 0373T, 97154, 97155 TF, 97156 | 95 | until end of public health emergency | https://www.cchpca.org/sites/default/files/2020-03/Louisiana%20Medicaid%20Update%202020.03.17.pdf | Telehealth services are only to be rendered for the care of established patients or to support the caregivers of established patients. Telehealth family guidance based on ABA methodology must be rendered by a Board-Certified Behavior Analyst (BCBA). The family/patient and BCBA must be linked through an interactive audio/visual telecommunications system. If an audio/visual telecommunications system is not available, then the BCBA may use an audio system, without the requirement of video, as long as the same standard of care can be met. The need and rationale for an audio-only service should be documented in the medical record. Telehealth Direction of an ABA Technician Delivering In-Home Therapy: Therapy rendered by an in-home behavior technician (BT) is discouraged while social distancing is necessary for COVID-19 containment. However, if other service delivery options are not available to meet members’ needs, then this modality may be employed. Telehealth supervision of in-home therapy rendered by a BT must utilize a BCBA to provide remote supervision. Each BT must obtain ongoing supervision for a minimum of 10% of the BCBA being physically present. | |
Anthem-BCBS | Maine | 97151, 97153, 97155, 97156, 97157 | 95 or GT | 9/30/2020 | | https://providernews.anthem.com/maine/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-19-2020-1 | |
Medicaid | Maine | | GT | | | https://www.maine.gov/dhhs/samhs/coronavirus.shtml | |
Carefirst | Maryland | 97151, 97155, 97156-97153 | 95 | | | | |
Kaiser | Maryland | | | | http://www.providers.kaiserpermanente.org/info_assets/cpp_mas/mas_Maryland_Department_of_Health_COVID_19_NO1_Temporary_Expansion_ofMedicaid_Regulations_to_Permit_Delivery_of_Telehealth_Services_to_the_Home_to_Mitigate_Possible_Spread_of_Novel_Coronavirus.pdf | | |
Medicaid | Maryland | see link | | | https://maryland.optum.com/content/dam/ops-maryland/documents/autism/alerts/Telehealth%20ABA%20Provider%20Alert.pdf | | |
Beacon (Medicaid) | Massachusetts | all codes | | | https://files.constantcontact.com/2c1fe85b401/ff0f7262-1485-4862-b78d-ab9050cba722.pdf | | |
Beacon Health Options | Massachusetts | 97155, 97156 | | | https://s21151.pcdn.co/wp-content/uploads/ABA-COVID-19-FAQs.pdf | | |
BCBS | Massachusetts | 97153, 97155, 97156 | | | From BCBS: Effective for dates of service retroactive to March 16, 2020, all local providers may deliver all medically necessary covered services (COVID‐19 AND non‐COVID‐19 related) via any modality. This includes telehealth, telephonic (audio) or in‐person to all Blue Cross Blue Shield of Massachusetts members. We will reimburse at the same rate as an in‐person visit, for all provider specialties, including ancillary. This is in place for the duration of the state of emergency.
| | |
MassHealth | Massachusetts | all codes | | | https://www.mass.gov/doc/ltss-provider-updates-for-covid-19/download | | |
BCBS | Michigan | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158 | 95 | | https://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/autism-assessments-protocol-modification.pdf | 8/31/2020 (Please validate with Funder) | |
BCBSMI/NDBH | Michigan | | | | https://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/alerts/covid-19-temp-changes-due-to-pandemic.pdf | | |
BCBS/New Directions | Michigan | See link | | | https://www.ndbh.com/docs/ContentManaged/Providers/PoliciesManuals/ProviderAndFacilityManual_2018_v2.pdf. "New Directions Behavioral Health advocates for the use of telemedicine in ABA, both during the pandemic and in “normal” times, but the ultimate decision of whether to include this in members’ benefit packages is made by each of our health plan partners. As an example, BCBS Michigan has decided to allow telemedicine for 97155, 97156 and 97157 during the pandemic. CVD_Billing_Services_for_Telehealth_related_to_COVID-19.pdf?041620200603 https://www.mihealthfund.org/wp-content/uploads/2020/04/HealthFund_MITelehealthWebinarSlides_20200406.pdf https://www.ndbh.com/docs/ContentManaged/Providers/Resources/COVID-19/COVID%2019%20PROVIDER%20FAQ_FINAL%206.pdf
| | |
BCBS | Michigan | | | 8/31/2020 | https://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/autism-assessments-protocol-modification.pdf | | |
CMH- Norco | Michigan | | GT | | | | |
HAP | Michigan | | | | https://www.msms.org/Portals/0/Documents/MSMS/Resources/For_Practices/COVID-19/Expanded%20Coverage%20and%20Reimbursement%20for%20Virtual%20Visits%20and%20Telehealth.pdf?ver=2020-03-19-171517-143&_cldee=a21jZmF0cmlkZ2VAbXNtcy5vcmc%3d&recipientid=contact-11ecc3e4bb7be91180f7000d3a044486-11ac1fd06c164270b5ab77eb6fd96c69&esid=170c1905-e069-ea11-8103-000d3a03faaf | | |
Priority Health | Michigan | 97155/97156 | | | https://www.michigan.gov/whitmer/0,9309,7-387-90499_90640-521549--,00.html. https://www.wnem.com/news/whitmer-administration-expands-telemedicine-during-coronavirus-outbreak/article_af21940c-64bb-11ea-a9b1-1383abb1f674.html | | |
Medicaid | Michigan | | | | | | |
BCBS | Minnesota | | | 9/30/2020 | https://www.bluecrossmn.com/healthy/public/portalcomponents/PublicContentServlet?contentId=P11GA_26858512 | | |
Medicaid | Mississippi | | | | https://medicaid.ms.gov/wp-content/uploads/2020/03/MS-SPA-20-0010-Telehealth-Emergency-Waiver-Public-Notice.pdf | | |
Anthem | Missouri | current authorizations | | | https://dss.mo.gov/mhd/providers/pages/provtips.htm#200320telehealth; https://anthempc-attachments-prod.s3.us-west-2.amazonaws.com/pdf/articles/COVID-19%20Update%3A%20Guidance%20for...%20-%20mo4411.pdf | | |
Anthem | Missouri | | | | https://providernews.anthem.com/missouri/article/information-from-anthem-for-care-providers-about-covid-19-8 | | |
Healthnet | Missouri | | | | https://dss.mo.gov/mhd/providers/pages/provtips.htm#200317telehealth. Additional Information needed should be directed to: ask.MHD@dss.mo.gov https://dss.mo.gov/mhd/ | | |
BCBS | Montana | | | | When the member has telehealth benefits, BCBS will authorize services to be conducted via telehealth. Limit is lifted regarding Rural Health Professional Shortage Area (HPSA) and allowing all members to receive telehealth services based on plan allowances. https://www.bcbsil.com/pdf/standards/aba_autism_sectrum_disorders.pdf, https://www.bcbsil.com/pdf/education/forms/aba_telehealth_request_attestation.pdf (must be completed) | | |
BCBS | Nebraska | 97151, 97155, 97156 | | | https://providernews.anthem.com/nevada/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-19-2020; https://www.nebraskablue.com/Providers/COVID-19?fbclid=IwAR1-DYUWvALgHTrqEmYQKO4LQ6SZ-1CoDF8spdfZ33Ej3tHb4oyx0xqdPS0 | | |
Anthem | Nevada | | | | https://providernews.anthem.com/nevada/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-19-2020 | | |
Medicaid | Nevada | 97151, 97155, 97156 | | | Nevada Medicaid will cover supervision, assessments and parent training via telehealth. Direct one-on-one services by a Registered Behavior Technician (RBT), Board Certified Assistant Behavior Analyst (BCaBA), or Board Certified Behavior Analyst (BCBA) will NOT be covered at this time | | |
Medicaid | New Hampshire | | | | https://www.dhhs.nh.gov/ombp/medicaid/documents/telehealth-covid19.pdf | | |
BCBS | New Hampshire | 97151, 97155, 97156 | | | https://providernews.anthem.com/new-hampshire/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-19-2020-2 | | |
Anthem | New Hampshire | | | | https://providernews.anthem.com/new-hampshire/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-19-2020-2 | | |
Anthem | New Hampshire | | | | https://anthempc-attachments-prod.s3.us-west-2.amazonaws.com/pdf/articles/COVID-19%20Update%3A%20Guidance%20for...%20-%20nh4416.pdf | | |
Beacon Horizon Behavioral Health | New Hampshire | N/A | | | email from: Erin McNeill (Oakes), LPC, NCC Clinical Care Manager – ABA/Outpatient | | |
Horizon BCBS | New Hampshire | | | | https://providernews.anthem.com/new-hampshire/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-7 | | |
BCBS | New Jersey | | | | https://www.horizonhealthnews.com/horizon-announces-initial-steps-to-support-members-through-covid-19-outbreak/ | | |
Medicaid | New Jersey | | | | https://www.state.nj.us/humanservices/news/press/2020/approved/20200323.html | | |
Horizon | New Jersey | all covered codes | | | Use GT or 95 Modifier. PDF located in BHCOE Portal/Insurance Communication | | |
BCBS | New Mexico | all current auths | | | All authorized hours within the current authorization period may be conducted via telehealth as appropriate. This is for all BCBSIL plans, both fully-funded and self-funded. While this means that all authorized codes can be provided via telehealth (location code 2, modifier 95) | | |
Medicaid | New Mexico | | | | includes telephonic visits https://www.hsd.state.nm.us/uploads/FileLinks/63e11e4bdee34c68b133c1607f22bc54/LOD_COVID19_%2330_replace_and_repeal.pdf | | |
Molina | New Mexico | 97151, 97155, 97156 | | | | | |
Anthem | New York | | | | https://providernews.empireblue.com/article/information-from-empire-for-care-providers-about-covid-19-updated-april-22-2020 | | |
Beacon Health Options | New York | 97155 | | | Telehealth for Supervision only. https://s21151.pcdn.co/wp-content/uploads/ABA-Provider-FAQ.pdf https://www.beaconhealthoptions.com/pdf/network/telehealth/New-York-State-Telehealth-Regulation-FAQ.pdf | | |
Emblem Health | New York | | | | https://view.connections.emblemhealth.com/?qs=6b04f42a16b668d8c5d7144e4df5ebb33f8a0b4544bc674dc4f0c11b6913de713d0ea08964d5acbb22f907d155a73db1db9d985a8b80033d28c2c1e97f9ebe654a1deb523d93d3c6d70d0f4870c791cd | | |
Empire Blue | New York | current authorization | | | https://providernews.empireblue.com/article/information-from-empire-for-care-providers-about-covid-19-updated-april-15-2020 | | |
Medicaid | North Carolina | see link for changes | | | https://medicaid.ncdhhs.gov/blog/2020/04/21/special-bulletin-covid-19-55-nc-medicaid-receives-approval-expanded-flexibilities | | |
BCBS | North Carolina | | | | https://www.bluecrossnc.com/provider-news/covid-19-telehealth-update-and-details-how-stay-date | | |
Trillium | North Carolina | | | | https://www.trilliumhealthresources.org/sites/default/files/docs/Network-Communication-Bulletin/061-Network-Communication-Bulletin.pdf | | |
BCBS | North Dakota | | | | https://www.bcbsnd.com/providers/news-resources/healthcare-news/covid-19-telehealth-expansion-update; https://www.bcbsnd.com/coronavirus/expanded-benefits | | |
BCBS -Anthem | Ohio | | | 9/13/2020 | https://providernews.anthem.com/ohio/article/information-from-anthem-for-care-providers-about-covid-19-9?fbclid=IwAR1DFli5SrwA0S_IVSWYe4_FaA5LeEO04RvvMtq7qfv2whESgBLlXUu2SRA | | |
Medicaid-BCBS | Ohio | 97151, 97153, 97155, 97156, 97157 | None | | https://medicaid.ohio.gov/Portals/0/For%20Ohioans/Telehealth/ODM-Telehealth-FAQs.pdf | | |
BCBS | Oklahoma | all current auths | | | okhca.org/providers.aspx?id=112-Per Monica Berner, MD Clinical Officer, Health Care Services Corporation Next week, each state will post updated information on their telemedicine policy on their provider website. | | |
Medicare Advantage | Oklahoma | all current auths | | | https://www.okhca.org/about.aspx?id=24603#webinars | | |
Regence of Oregon | Oregon | See link for details | | | https://dfr.oregon.gov/insure/health/understand/Documents/DFR-OHA%20Telehealth%20Guidance.pdf?fbclid=IwAR1cpww_RCDCzU_KpXUoSPFNJA4UFgT6IIKbanDwUzGuLP2Z4EFHlSh8BBk | | |
HealthShare | Oregon | 97151, 97155, 97156 | | | https://dfr.oregon.gov/insure/health/understand/Documents/DFR-OHA%20Telehealth%20Guidance.pdf?fbclid=IwAR1cpww_RCDCzU_KpXUoSPFNJA4UFgT6IIKbanDwUzGuLP2Z4EFHlSh8BBk | | |
CareOregon | Oregon | 97153-97157
| | | https://careoregon.org/docs/default-source/providers/behavioral-health/behavioral-health-telehealth-services-covid-19_0313.pdf | | |
Yamhill Community Care – OR Medicaid | Oregon | 97153-97157
| | | | | |
Independence BCBS | Pennsylvania | Plan specific | | | | Updates provided in member portal. encourages use of telehealth | |
Highmark BCBS | Pennsylvania | 97155/97156 | | | Some restrictions. See link: https://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter2-unit5.pdf, https://content.highmarkprc.com/Files/Region/hbcbs/EducationManuals/ClinicalServProgMembers/clinical-services-programs-members-hbcbs.pdf- Page 10 | | |
Magellan | Pennsylvania | | | | https://www.magellanofpa.com/media/5714/covid-19-telehealth-memo-may-22-2020.pdf | | |
Medicaid | Pennsylvania | see notes | | | https://www.dhs.pa.gov/providers/Providers/Documents/Coronavirus%202020/COVID-19%20Telemedicine%20Guidance%20Quick%20Tip%20.pdf https://www.medicaid.gov/medicaid/benefits/downloads/medicaid-telehealth-services.pdf, https://www.dhs.pa.gov/providers/Providers/Documents/Coronavirus%202020/COVID-19%20Telemedicine%20Guidance%20Quick%20Tip%20.pdf | | |
Community Behavioral Health | Pennsylvania | see notes | | | Community Behavioral Health (CBH) is aware that Philadelphia schools have closed as a part of the response to COVID 19. School closure impacts the delivery of behavioral health services to youth who are authorized for Therapeutic Support Staff-School (TSS-S), Applied Behavior Analysis-Therapeutic Support Staff-Schoof (ABA-TSS-S) and Behavioral Health Workers (BHW) ln a School Therapeutic Services Program. Effective March 13, 2020, CBH will permlt TSS-S, ABA-TSS-S, and BHW services to be delivered in the home or community to members impacted by school closure. | | |
Perform Care | Pennsylvania | | | | Services are approved. Working on process to reimburse providers | | |
Waiver Åpprovals | Pennsylvania | see attached | | | https://www.dos.pa.gov/Pages/COVID-19-Waivers.aspx | | |
BCBS | Rhode Island | 97151, 97155, 97156 | | | BCBS-of-Rhode-Island-Temporary-Provider-Telemedicine-Telehealth-and-Telephone-Only-Services-Payment-Policy-March-23-2020.pdfhttps://www.bcbsri.com/providers/sites/providers/files/policies/2019/12/2019%20Autism%20Spectrum%20%20Disorders_%20Mandate%20.pdf | | |
Medicaid | Rhode Island | | | | http://www.eohhs.ri.gov/Portals/0/Uploads/Documents/1115Waiver/COVID-19%20Memo%20for%20RI%20Medicaid%20Telehealth_03182020.pdf | | |
BCBSSC | South Carolina | | | | Must email: virtualcare@bcbssc.com | | |
Medicaid | South Carolina | | | | https://www.scdhhs.gov/press-release/coronavirus-disease-2019-covid-19-temporary-telephonic-and-telehealth-services-updat-5; https://content.govdelivery.com/attachments/SCDHHS/2020/03/30/file_attachments/1414944/%282020-03-30%29%20COVID%20TH%20Bulletin%20ABA.pdf | | |
BCBS Highmark | Iowa | | | 2/1/2021 | https://www.wellmark.com/about/newsroom/coronavirus-covid-19 | | |
Amerigroup Medicaid | Tennessee | N/A | | | https://providers.amerigroup.com/Public%20Documents/TNTN_CAID_TennCareCoverRxProgramUpdatesCOVID19.pdf | | |
BCBS | Tennessee | 97153, 97155, 97156, H0032, H2019 | 95 | Permanent | https://bcbstnews.com/pressreleases/bluecross-making-in-network-telehealth-services-permanent/ | Making Telehealth Changes Permanant | |
UH CCP TN Medicaid | Tennessee | 97155, 97156 | | | No self-funded plans. To pursue approval/authorization for ABA Telehealth supervision, the member must have telehealth benefit coverage; and ABA benefit coverage, then subsequently be approved for ABA treatment as medically necessary. See Specific plan. Some approved through 4/30/20 | | |
TennCare/Plans under Tenncare | Tennessee | 97155, 97156 | | | Includes Amerigroup, BlueCare Tennessee, UnitedHealthcare Community Plan-https://www.tn.gov/content/dam/tn/tenncare/documents/TennCareMCOBehavioralHlthCOVID19TelehealthUpdate3182020.pdf | | |
BCBS | Texas | all current auths | | | All authorized hours within the current authorization period may be conducted via telehealth as appropriate. This is for all BCBSIL plans, both fully-funded and self-funded. While this means that all authorized codes can be provided via telehealth (location code 2, modifier 95). https://www.bcbstx.com/provider/pdf/tx_using_telemed_telehealth_covid19.pdf | | |
BCBS | Texas | | | | https://www.bcbstx.com/provider/pdf/tx_using_telemed_telehealth_covid19.pdf. Extended through 12/31/20 | | |
BCBS | Texas | | | 12/30/2020 | https://www.bcbstx.com/provider/pdf/tx_using_telemed_telehealth_covid19.pdf?fbclid=IwAR3EmVZllDozUxrvKWjCgW0k8eCXrNRsBEyOPBBS6Pz67ZYjIqwRsGI9sdI | | |
Community Health Plan | Texas | | | | https://provider.communityhealthchoice.org/media/1948/covid-19-therapies-telehealth-behavioral-health-052620.pdf | | |
Medicaid | Utah | | | | | | |
BCBS Regence | Utah | 97155 - Supervision 97156 – Family Training 97157 – Family training for caregivers of 2 or more clients.
| | | For supervisory codes to be billed, a technician must still provide in-person intervention. https://www.regence.com/provider/library/whats-new/covid-19#temporary-updates-to-telehealth | | |
Medicaid | Vermont | Current Authorized Codes | | | | | |
BCBS | Vermont | Current Authorized Codes | | | https://www.bcbsvt.com/health-and-wellness/coronavirus-update/telemedicine-and-telephone-office-visits-will-reduce-exposure | | |
Aetna Better Health | Virginia | Current Authorized Codes | | | | | |
Anthem Commercial | Virginia | all codes w/proper modifier | | | https://providernews.anthem.com/virginia/article/information-from-anthem-for-care-providers-about-covid-19-2https://providernews.anthem.com/virginia/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-11 | | |
Anthem Medicaid | Virginia | | | | https://www.dmas.virginia.gov/files/links/5249/3.19.2020_COVID%2019%20MEMO_4.0.pdf | | |
Carefirst | Virginia | 97151, 97155, 97156 | | | GT, 95 Modifier | | |
Optima Commercial | Virginia | Plan specific | | | Reach out to Network Administrator. They have indicated telehealth is approved, but were unable to confirm approved codes. Modified is not required. | | |
Optima Medicaid | Virginia | Current Authorized Codes | | | New authorization would be need if a service is added. Check with your network manager regarding if a modifer is required. | | |
Magellan Complete Care | Virginia | Current Authorized Codes | | | Must have Contract Addendum. GT, GQ Modifiers, Location 02 | | |
Virginia Premier | Virginia | Current Authorized Codes | | | https://www.virginiapremier.com/information-for-healthcare-professionals-coronavirus/ | | |
UHC Medicaid | Virginia | Current Authorized Codes | | | Approved until 4/30/20.https://www.uhcprovider.com/en/resource-library/news/provider-telehealth-policies.html. Originating site requirements that may apply under UnitedHealthcare reimbursement policies are waived so that telehealth services provided via a real-time audio and video communication system can be billed for members at home or another location. Modifier with HCPC G2012 telephone, G2010 Video or image. GT, GQ,95-Modifiers, Location 02
| | |
AppleCare-Medicaid | Washington | All Codes | | | https://providers.amerigroup.com/Public%20Documents/WAWA_CAID_PU_AppleHealthClinicalPolicyBillingCOVID19.pdf https://www.hca.wa.gov/assets/billers-and-providers/ABA-services-bg-20200101.pdf | | |
Molina | Washington | 97155, 97156 | | | Most ABA services no longer require pre-service authorization effective 1/1/2018. https://www.molinahealthcare.com/providers/wa/medicaid/forms/PDF/1344-2001_2020%20Medicaid%20MHW%20PA%20BH%20Provider%20Services%20Reference%20Guide_508.pdf https://www.molinahealthcare.com/providers/common/pages/wacovid19.aspx | | |
United | Washington | 97155, 97156 | | | https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan-reimbursement/UHCCP-Telehealth-and-Telemedicine-Policy-(R0046).pdf | | |
Amerigroup | Washington | 97155, 97156 | | | https://providers.amerigroup.com/Public%20Documents/WAWA_CAID_PU_TelemedicineFAQ.pdf | | |
Community Health Plan of WA | Washington | 97155, 97156 | | | https://www.chpw.org/resources/Providers/Telehealth_Services.pdf | | |
Coordinated Care of WA | Washington | 97155, 97156 | | | https://www.coordinatedcarehealth.com/content/dam/centene/Coordinated%20Care/provider/PDFs/508-Medicaid-Benefit-Grid-Provider.pdf | | |
Premera | Washington | Current Authorized Codes | | | https://www.premera.com/wa/provider/coronavirus-faq/ | | |
Medicaid | Washington | Current Authorized Codes | | | https://content.govdelivery.com/accounts/WAHCA/bulletins/27fb040 | | |
Washington State Health Care Authority | Washington | Current Authorized Codes | | | https://www.hca.wa.gov/assets/billers-and-providers/Clinical-policy-and-billing-for-COVID-19-FAQ.pdf https://www.hca.wa.gov/assets/billers-and-providers/Family-Planning-Only-COVID-19.pdf https://www.hca.wa.gov/assets/billers-and-providers/Clinical-policy-and-billing-for-COVID-19-FAQ.pdf | | |
BCBS-Higmark | West Virginia | | | | https://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-046.pdf | | |
Anthem BCBS | Wisconsin | | | | https://providernews.anthem.com/wisconsin/article/information-from-anthem-for-care-providers-about-covid-19-10 | | |
Forward Health | Wisconsin | Current Authorized Codes | | | https://www.forwardhealth.wi.gov/kw/pdf/2020-15.pdf | | |
Medicaid | Wisconsin | Current Authorized Codes | | | | | |
Tricare East/Humana Military | National | 97156 only -- see link/pdf for addl billing info | GT | Expiration of national emergency for Covid outbreak | https://www.humanamilitary.com/provider/education-and-resources/quick-access/policy-updates-and-alerts/covid-19-telemedicine-031320 | | |
Tricare West | National | | | Expiration of national emergency for Covid outbreak | http://links.mkt2747.com/servlet/MailView?ms=NjUzMDg2NDYS1&r=NDczNDE5NDYzOTIzS0&j=MTg4MzAzODc2NQS2&mt=1&rt=0 | | |
Tricare/DHA | National | 97156 (see link for limitations to using any other code on same day) | GT | Communication to ABA Providers Regarding ContinuedTemporary Authorization to Utilize Telehealth for CPT Code 97156 During the COVID-19 | https://health.mil/Military-Health-Topics/Conditions-and-Treatments/Autism-Care-Demonstration | | |
United Behavioral Health/Optum (Medicaid) | National | | | 10/22/2020 | https://www.providerexpress.com/content/ope-provexpr/us/en/COVID-19_Provider_Updates/COVID-19_Reimbursement_Guidelines.html | | |
United Health Care | National | | | 9/30/2020 | https://view.provideremail.uhc.com/?qs=70098f8ef0309c18f9e7c9e650c366fc93ea2d2e474ff94ac1b39878165228e1d702fed96088bd98fa5f65983fa824d3f73f7f82fd1f7fee523b4cb150567fe58020f1f8a4e106fb9073ed2669e060e5e73849d93ca854a4 | | |
United/Optum | National | | | 10/22/2020 | https://www.providerexpress.com/content/ope-provexpr/us/en/COVID-19_Provider_Updates/COVID-19_ABA_Telehealth_Policies.html | | |
Aetna | National | 97151, 97153, 97155, 97156, 97157 | GT or 95 | 9/30/2020 | https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/healthcare-professionals/bh-televideo-service-codes-covid-19.pdf | | |
Beacon Health Options | National | 97151, 97153, 97155, 97156, 97157 | GT | | https://s21151.pcdn.co/wp-content/uploads/ABA-COVID-19-FAQs.pdf | | |
Cigna | National | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T | 95 | | https://www.cigna.com/transformations/july-2020/covid-19-interim-guidance-for-behavioral-providers | | |
Humana | National | 90889, H2012, H2019, H0031, H0032, 97151-97158, 0362T, and 0373T | 95 | | https://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3923140 | | |
Magellan | National | 97151-HO, 97152-HN, 97153-HN, 0362T-HO, 97154-HN, 97155-HO, 97156-HO, 97157-HO, 97158-HO, 0373T-HN, 90889 | GT | | https://www.magellanprovider.com/news-publications/spotlight/crisis.aspx | with the exception of Pennsylvania and Texas | |
BCBS (New Direction Behavioral Health) | Alabama | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T | 95 (synchronous) or GT (interactive audio/video) | 12/31/2020 | https://www.ndbh.com/docs/ContentManaged/Providers/Resources/COVID-19/BCBSAL/Telemedicine%20Letter%202.0.pdf | | |
Beacon Health | Alabama | | | | https://www.behavioralhealthsystems.com/wp-content/uploads/BHS-Notice-to-Prov-Mbrs-COVID-19_2020_03.pdf | | |
BCBS | Arkansas | 97153, 97155, 97156 | GT or 95 | 10/31/2020 | https://www.arkansasbluecross.com/docs/librariesprovider9/default-document-library/covid-19-special-issue.pdf | | |
BCBS | Arkansas | All ABA codes listed in fee schedule | GT or 95 | 10/23/2020 | https://www.arkansasbluecross.com/covid-19/members-covered-by-arkansas-blue-cross-health-advantage-fully-insured | | |
BCBS | Arizona | | GT or 95 | No End Date | https://m.azblue.com/~/media/azblue/files/healthcare/resources/tele-everything-bcbsaz-quick-reference.pdf?la=en | | |
Medicaid | Arizona | 97151, 97152, 97153, 97154, 97155, 97156, 97158 | 95, GT, GQ | | https://azahcccs.gov/AHCCCS/AboutUs/covid19FAQ.html | | |
BCBS Anthem | California | 97151, 97152, 0362T, 97153, 97154, 97155, 97156, 97157, 97158, 0373T | POS 02 and 95 or GT mod for synch/GQ for asynch | | https://providernews.anthem.com/california/article/covid-19-update-guidance-for-telehealthtelephonic-care-for-behavioral-health-services | | |
Magellan | California | 97151-HO, 97153-HM, 97153-HN, 0362T-HO, 97154-HN, 97155-HN, 97155-HO, 97156-HN, 97156-HO, 97157-HN, 97157-HO, 97158-HO, 0373T-HM, 0373T-HN, 90889-HO | 02 POS and GT | | http://www.magellanprovider.com/media/166877/ca_covid_aba.pdf, https://www.magellanprovider.com/news-publications/state-plan-eap-specific-information/california/aba-covid-19.aspx | | |
Magellan | California | H0032, S5018, S5110 (QAS or BCBA only) | 95 for synchronous, GQ for asynchronous | | https://www.magellanprovider.com/news-publications/state-plan-eap-specific-information/california/aba-covid-19.aspx | | |
Medicaid (MediCal) | California | | | | https://www.dhcs.ca.gov/services/medi-cal/Documents/BHT_Plan_Information_External.pdf | | |
BCBS Anthem | Colorado | 97151, 97153, 971055, 97156, 97157 | 95 or GT | 9/30/2020 | https://providernews.anthem.com/colorado/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-8 | | |
Medicaid | Colorado | 97151, 97153, 97154, 97155, 97158 | None | | http://r20.rs6.net/tn.jsp?f=001rRxjgOBrZ90ilsxrhMRzmYYs0OXxILXolLkK6LExPsm3C3t19_mwn2R08Ep1jVnT3DCOK-XyalnKVtIECuizUyOE2zk9qZqntIWObKKSb4vgJaglALD_d9r1difeA6XE4HbvSc8SacfQiOxgDY6L0jCxmKzhcrAY9HWPt9L1ZBq4gULOMCLlQMu0j8A_tfV286aBFZaBMUY=&c=moEkkR1a8NEv48zXKq199s6-nVqxylG1xH6zLRktHLw0ZRTvHZI0UQ==&ch=phSAVTEHVWRXyoKwK9MJZyLvmBWK0iZys_vR3Uz1nF5_bwR1QkMGzA== | | |
BCBS Anthem | Connecticut | 97151, 97153, 971055, 97156, 97157 | GT | 9/30/2020 | https://providernews.anthem.com/connecticut/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-5 | | |
Medicaid | Connecticut | | | | https://www.ctdssmap.com/CTPortal/Information/Get%20Download%20File/tabid/44/Default.aspx?Filename=PB20_44.pdf&URI=Bulletins/PB20_44.pdf | | |
BCBS Highmark | Delaware | 97151, 97152, 97153, 971055, 97156 | 95 or GT | 9/30/2020 | https://hdebcbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits-DE | | |
BayCare | Florida | 97153, 97155 | None | No end date | | | |
Medicaid | Florida | H2019 BA, H2012 BA | GT | | https://ahca.myflorida.com/medicaid/review/General/59G_1057_TELEMEDICINE.pdf, https://ahca.myflorida.com/Medicaid/pdffiles/provider_alerts/2020_03/Telemedicine_Guidance_Behavior_Analysis_Services_20200318.pdf | | |
New Directions | Florida | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373Ts | 95 or GT | | | | |
BCBS | Florida | codes in fee schedule | 95 synchronous or GT interactive a/v systems | No End Date | https://www.floridablue.com/sites/floridablue.com/files/docs/COVID-19_Billing_Guidelines_07.20.20_Approved_1.pdf | | |
BCBS Anthem | Georgia | | | 9/30/2020 | https://providernews.anthem.com/georgia/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-9 | | |
Medicaid | Georgia | | | | https://files.constantcontact.com/c2257ded301/3e0220f3-4ccb-4a95-8451-dd05f672b14c.pdf | | |
BCBS Anthem | National | | | 9/30/2020 | https://mediproviders.anthem.com/Documents/NVNV_CAID_PU_COVID19GuidanceTelehealthBH.pdf | All Except Georgia | |
Medicaid (HMSA) | Hawaii | 97155 RBT onsite by LBA only, 97156 and 97157 by LBA only | | 12/31/2020 | https://hmsa.com/help-center/telehealth-resources-hotlines. https://hmsa.com/help-center/telehealth-resources-hotlines/ | | |
Medicaid | Hawaii | 97155 w/ RBT onsite only | | | https://www.medicaid.gov/sites/default/files/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/HI/HI-16-0004.pdf | | |
BCBS Wellmark | Iowa | 97152, 97153, 97155, 97156 | None | 8/31/2020 | https://www.wellmark.com/about/newsroom/coronavirus-covid-19 | | |
Medicaid | Iowa | 97151, 97153, 97154, G9012, 97152,97156 | 95 | | https://dhs.iowa.gov/sites/default/files/2103-MC-FFS_Update_Originating_and_Distant_Sites_for_Telehealth_1.pdf?031320202140 | | |
BCBS Regence | Idaho | | | State Specific 9/30/2020 12/31/2020 | https://www.regence.com/provider/library/whats-new/covid-19/covid-19-telehealth | | |
BCBS | Idaho | Codes per fee schedule | | 12/31/2020 | https://bcidaho.com/coronavirus/ | | |
BCBS | Illinois | 97151, 97153, 97155, 97156, 97157 | 95 or GT | 12/31/2020 | https://www.bcbsil.com/pdf/education/covid19_provider_faq.pdf | | |
BCBS Anthem | Indiana | 97151, 97153, 971555, 97156, 97157 | GT or 95 | 9/30/2020 | https://providernews.anthem.com/indiana/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19, https://www.mdwise.org/for-providers | | |
Medicaid | Indiana | Per fee schedule | GT | | http://provider.indianamedicaid.com/ihcp/Bulletins/BT202022.pdf | | |
BCBS | Kansas | | | | https://www.bcbsks.com/CustomerService/Providers/news/2020/2020-03-20_telehealth-services-temporarily-expanded.shtml | | |
Medicaid | Kansas | 97155, 97156, T1027 | | | https://www.kmap-state-ks.us/Documents/Content/Bulletins/20051%20-%20HCBS%20-%20Expanding_Telemedicine_for_HCBS_Services.pdf | | |
Medicaid | Kentucky | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158 | | | https://chfs.ky.gov/agencies/dms/Documents/ProviderFAQs.pdf | | |
BCBS | Kentucky | 97151, 97153, 97155, 97156, 97157 | 95, GT | | https://www.bcbsks.com/CustomerService/Providers/news/2020/2020-03-20_telehealth-services-temporarily-expanded.shtml | | |
Medicaid | Louisiana | 97151, 97151 TF, 97152, 97153 HN, 97153, 0373T, 97154, 97155 TF, 97156 | 95 | Remote supervision allowed up to 2 weeks after the expiration of the emergency COVID-19 | https://www.cchpca.org/sites/default/files/2020-03/Louisiana%20Medicaid%20Update%202020.03.17.pdf | | |
BCBS | Louisiana | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158 | GT or 95 | | https://files.constantcontact.com/de2417c8101/cf36fcf2-7a48-47b4-877e-7162e1e55806.pdf | 97155.97156-Concurrent Billing Approved | |
Medicaid (MassHealth Only) | Massachusetts | H2019-U2, H2012-U2, H0031-U2, H0032-U2 | None | Remote supervision allowed up to 2 weeks after the expiration of the emergency COVID-19 declarations | https://files.constantcontact.com/5fd452fb301/0a231687-351f-475c-bf03-78335f067215.pdf | | |
BCBS | Massachusetts | Codes per fee schedule | GT,95,G0, or GQ | For duration ofPublic Health Emergency | https://home.bluecrossma.com/coronavirus | | |
MBHP/Beacon (Medicaid MCO) | Massachusetts | H2019-U2, H2012-U2 (1 hr unit), H0032-U2 | 95 or GT | | https://www.masspartnership.com/pdf/FAQ%203%2027%202020.pdf | | |
BCBS | Maryland | 97151, 97153 97155, 97156, 97158 | GT | Through end of public health emergency | https://individual.carefirst.com/carefirst-resources/pdf/carefirst-telemedicine-code-modifier.pdf | | |
Medicaid | Maryland | 97151-97158, 0362T, 0373T | UB | | https://maryland.optum.com/content/dam/ops-maryland/documents/autism/alerts/Telehealth%20ABA%20Provider%20Alert.pdf | UB Modifer for Parent Training only | |
BCBS | Maine | 97151, 97153, 97155, 97156, 97157 | 95 or GT | 9/30/2020 | https://providernews.anthem.com/maine/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-19-2020-1 | | |
Medicaid | Maine | | GT | | https://www.maine.gov/dhhs/samhs/coronavirus.shtml | | |
BCBS | Michigan | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158 | 95 | Until further Notice | https://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/autism-assessments-protocol-modification.pdf | | |
BCBS | Mississippi | 97153, 97155, 97156, 97157 | | 12/31/2020 | https://webstatic.bcbsms.com/pdf/COVID-19_Pandemic_Telemedicine_Policy_4.27.20_w_links.pdf | | |
BCBS | Minnesota | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97159 | 95 | Duration of National Public Health Emergency | https://www.bluecrossmn.com/healthy/public/portalcomponents/PublicContentServlet?contentId=P11GA_12332836 | | |
Medicaid | Minnesota | | | | https://mn.gov/dhs/partners-and-providers/news-initiatives-reports-workgroups/behavioral-health/telemedicine/ | | |
BCBS | Missouri | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158 | 95 or GT | 9/30/2020 | https://anthempc-attachments-prod.s3.us-west-2.amazonaws.com/pdf/articles/COVID-19%20Update%3A%20Guidance%20for...%20-%20mo4411.pdf | | |
Medicaid | Missouri | 97151, 97152, 97153, 97155, 97156, 97158, H0004 | GT | | https://dss.mo.gov/mhd, http://manuals.momed.com/collections/collection_psy/print.pdf | | |
BCBS | Montana | per fee schedule | GT or GQ | 8/31/2020 | https://www.bcbsmt.com/provider/education-and-reference/news?lid=k7sxoqp8 | | |
Medicaid | Mississippi | 97151, 97155, 97156 | GT | Duration of the COVID-19 emergency | https://www.mstelehealth.org/telehealth-policy-updates-related-to-covid-19/ | | |
Medicaid | Montana | | | Throughout State of Emergency | https://visuwell.io/telemedicine-reimbursement/montana-telemedicine-telehealth-reimbursement-overview, https://www.cchpca.org/sites/default/files/2020-03/MONTANA%20-%20All%20Provider%20Memo%20-%20Telemedicine%20%203.19.20.pdf | | |
Medicaid | North Carolina | 97151, 97152, 97153, 97155, 97156, 97157 | GT and CR | Throughout State of Emergency | https://medicaid.ncdhhs.gov/blog/2020/05/01/special-bulletin-covid-19-76-telehealth-and-virtual-patient-communications-clinical, https://medicaid.ncdhhs.gov/blog/2020/05/01/special-bulletin-covid-19-76-telehealth-and-virtual-patient-communications-clinical | | |
Medicaid | North Dakota | | | Throughout State of Emergency | http://www.nd.gov/dhs/info/covid-19/docs/policy-medicaid-temporary-telehealth.pdf | | |
BCBS | North Dakota | Per fee schedule | 95 | | https://www.bcbsnd.com/coronavirus/expanded-benefits, https://www.bcbsnd.com/coronavirus/covid-19providers/billing#services-not-related | | |
BCBS | Nebraska | | 95 | 9/30/2020 | https://newsroom.nebraskablue.com/bcbsne-extends-waiver-of-member-cost-shares-for-covid-19-testing-and-treatment-including-telehealth/ | | |
Medicaid | Nebraska | | | | http://dhhs.ne.gov/pages/Medicaid-Provider-Bulletins.aspx, http://dhhs.ne.gov/Medicaid%20Provider%20Bulletins/Provider%20Bulletin%2020-10.pdf | | |
BCBS | New Jersey | Per fee schedule | 95 or GT | Throughout New Jersey State of Emergency | https://www.horizonblue.com/sites/default/files/2020-04/BH_COVID.pdf | | |
BCBS | New Hampshire | 97151, 97153, 97155, 97156, 97157 | 95 or GT | 9/30/2020 | https://providernews.anthem.com/new-hampshire/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-7 | | |
Medicaid | New Hampshire | 97151, 97153, 97155, 97156 | GT | During COVID-19 State of Emergency | https://nhmmis.nh.gov/portals/wps/wcm/connect/f49b7b804dc93b198a8caad060d2307a/NHCSR-OMBP-3-Posting-%28Telehealth+Bulletin%29-Attachment1-20200402.pdf?MOD=AJPERES | | |
Medicaid | New Mexico | | | During COVID-19 State of Emergency | https://www.hsd.state.nm.us/uploads/FileLinks/b68cf3e47e5c45938941b359b33fa462/LOD_%23011___BHSD___COVID_19_Measures_3.25.2020_FINAL.pdf | | |
Medicaid | New Mexico | T1026, 0362T, 97151, 97152, 97153, 97155, 97156, 0373T | | During COVID-19 State of Emergency | https://nmmedicaid.portal.conduent.com/static/PDFs/Telephonic Procedure Codes Rate List.pdf | | |
BCBS | New Mexico | | | 8/31/2020 | https://www.bcbsnm.com/provider/news/2020_03_30.html | | |
BCBS | North Carolina | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T | CR -Telephone | 12/31/2020 | https://www.bluecrossnc.com/sites/default/files/document/attachment/services/public/pdfs/medicalpolicy/telehealth.pdf#search=applying%20applies%20apply | | |
BCBS | North Dakota | | | During declared emergency | https://chad.memberclicks.net/assets/COVID19/Telehealth%20-%20COVID19%20News%20Blast%20Final%203-20-20%281%29.pdf | | |
BCBS Anthem | Nevada | 97151, 97153, 97155, 97156, 97157 | 95 or GT | 9/30/2020 | https://providernews.anthem.com/nevada/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-10 | | |
Medicaid | Nevada | | | During COVID-19 State of Emergency | http://dhcfp.nv.gov/uploadedFiles/dhcfpnvgov/content/Pgms/CPT/COVID-19/Telehealth%20Update%20Memo_05.26.2020_ADA.pdf | | |
BCBS Empire Blue | New York | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373TH0031, H0032, H0046, H2012, H2014, H2019, S5108, S5110 | 95 or GT | 9/30/2020 | https://providernews.empireblue.com/article/information-from-empire-for-care-providers-about-covid-19-updated-april-22-2020 | | |
Medicaid | New York | | | During duration of State of Emergency | https://coronavirus.health.ny.gov/system/files/documents/2020/03/supplemental-guidance-use-of-telemental-health-disaster-emergnecy.pdf | | |
Emblem Health | New York | | | | https://www.emblemhealth.com/content/emblemhealth/home/providers/clinical-corner/um-and-medical-management/providers-covid19/covid19-update.html | | |
Medicaid | Ohio | 97151, 97155, 97156, 97153 | GT | During duration of State of Emergency | https://medicaid.ohio.gov/Portals/0/For%20Ohioans/Telehealth/ODM-Telehealth-FAQs.pdf, https://www.caresource.com/documents/oh-med-p-94201-covid-19-temporary-health-services-update-network-notification,https://www.caresource.com/documents/oh-med-p-101750-covid-19-prior-authorization-guidance-network-notification_final/ | | |
BCBS | Ohio | 97151, 97153, 97155, 97156, 97157 | 95 or GT | 9/30/2020 | https://providernews.anthem.com/ohio/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-3 | | |
Medicaid | Oklahoma | | | 9/30/2020 | http://www.okhca.org/providers.aspx?id=112 | | |
BCBS | Oklahoma | | | | https://www.bcbsok.com/newsroom/news-releases/2020/eliminating-telemedicine-copays-covid-19 | | |
BCBS Regence | Oregon | per fee schedule | 95 | Varies, 9/30/2020, 12/31/2020 | https://www.regence.com/provider/library/whats-new/covid-19/covid-19-telehealth | | |
BCBS | Rhode Island | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T | CR | 9/2/2020 | https://www.bcbsri.com/providers/sites/providers/files/policies/2020/08/2020%20TEMPORARY%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20During%20the%20COVID-19%20Crisis%20Ext%20of%20EO%209.2.20.pdf; https://www.bcbsri.com/providers/update/extension-telemedicine-policy-1 | | |
Medicaid | Rhode Island | H2014-HO, H2014-HP, T1016, H0046, T1024, S9446 | | Until further notice | https://bhddh.ri.gov/mh/pdf/COVID-19%20Memo%20for%20RI%20Medicaid%20Telehealth_03182020%20(002).pdf? | | |
BCBS | South Carolina | | | 10/1/2020 | https://web.southcarolinablues.com/providers/providernews/providernewsarchives/2020providernews.aspx?article_id=1278 | | |
Medicaid | South Carolina | 97151, 97153, 97155, 97156 | GT or CR | During COVID State of Emergency | https://content.govdelivery.com/attachments/SCDHHS/2020/03/30/file_attachments/1414944/%282020-03-30%29%20COVID%20TH%20Bulletin%20ABA.pdf | | |
BCBS | South Dakota | 97152, 97153, 97155, 97156 | | 8/31/2020 | https://www.wellmark.com/Provider/CommunicationAndResources/COVID-19/Telehealth.aspx | | |
Medicaid-Amerigroup | Tennessee | H0032, H2019, H2019-HM | 95 or GT | 9/30/2020 | https://providers.amerigroup.com/Public%20Documents/TNTN_PU_TalkingPointsCOVID19.pdf | | |
BCBS | Texas | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T | 95, GT, GQ | 12/31/2020 | https://www.bcbstx.com/provider/pdf/txcpcp01_telemedicine_and_telehealth_servces.pdf | | |
BCBS Regence | Utah | 97155, 97156, 97157 | 95 | | https://www.regence.com/provider/library/whats-new/covid-19 | | |
Medicaid | Utah | 97151, 97155 and 97156, 97155 and 97156 | | | | 10% of services provided by the RBT must be supervised by a BCBA with 50% being direct supervision. | |
Medicaid | Virginia | 97151, 97152, 97156, 97157 | | | https://www.dmas.virginia.gov/files/links/5258/COVID%2019%20ARTS%20and%20BH%20Memo%203.27.20_FINAL.pdf | | |
BCBS | Virginia | 97151, 97153, 97155, 97156, 97157 | 95 or GT | 12/31/2020 | https://providernews.anthem.com/virginia/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-11 | | |
BCBS | Vermont | 0362T, 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158 | 95 | | http://www.bcbsvt.com/health-and-wellness/coronavirus-update/reduce-exposure-with-telemedicine/ | | |
BCBS (Regence) | Washington | | | State Specific 9/30/2020, 12/31/2020 | https://www.regence.com/provider/library/whats-new/covid-19/covid-19-telehealth | | |
Amerigroup | Washington | 97151, 97153, 97155, 97156, 97157 | 95 or GT | | https://providers.amerigroup.com/Public%20Documents/WAWA_CAID_PU_COVID19GuidanceTelehealthBH.pdf | | |
BCBS (Premera) | Washington | 97151, 97153, 97155, 97156, 0362T, H0031, H0032, H2014, H2019 | 95 (synchronous) or GT(asynchronous, or GQ (interactive audio/video) | | https://www.premera.com/wa/provider/coronavirus-faq, https://www.premera.com/medicalpolicies/3.01.510.pdf, https://www.premera.com/wa/provider/news/reminders-updates/billing-telehealth-services/ | | |
BCBS FEP (Federal) | Washington | | 95 | | https://www.regence.com/provider/library/whats-new/fep-telehealth | | |
Kaiser | Washington | 97151, 97152, 97153, 97154, 97158, 97155, 97156, 97157, 0362T, 0373T, H2017 | None | | https://wa-provider.kaiserpermanente.org/resources/covid-19-resources | | |
Medicaid | Washington | 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158 | GT | 10/23/2020 | https://content.govdelivery.com/accounts/WAHCA/bulletins/27fb040, https://www.hca.wa.gov/assets/billers-and-providers/apple-health-applied-behavior-analysis-policy-and-billing-COVID-19.pdf, https://content.govdelivery.com/accounts/WAHCA/bulletins/298c861 | | |
Medicaid-AppleCare | Washington | | | 10/23/2020 | https://www.hca.wa.gov/assets/billers-and-providers/apple-health-applied-behavior-analysis-policy-and-billing-COVID-19.pdf | | |
Medicaid-Molina | Washington | | | | https://www.molinahealthcare.com/providers/common/pages/wacovid19.aspx | | |
BCBS | Wisconsin | 97151, 97153, 97155, 97156, 97157 | 95 or GT | 9/30/2020 | https://mediproviders.anthem.com/Documents/WIWI_CAID_PU_TalkingPointsCOVID19.pdf, https://mediproviders.anthem.com/Documents/WIWI_CAID_PU_COVID19GuidanceTelehealthBH.pdf | | |
BCBS | West Virginia | 97151, 97152, 97153, 97155, 97156 | GT or 95 | 9/30/2020 | https://mediproviders.anthem.com/Documents/WIWI_CAID_PU_COVID19GuidanceTelehealthBH.pdf | | |
BCBS | Wyoming | | GT | 8/31/2020 | https://www.bcbswy.com/provider_updates/updates-to-bcbswy-covid-19-response/ | | |