Payors Authorizing Telehealth

All recommendations or guidelines provided below are for informational purposes only and are subject to change. They should not be considered legal advice. Always consult an attorney prior to making any legal or business decisions. If you would like to submit a correction, please email info@bhcoe.org.

Payor Name
State / National
Authorized Codes
Modifier
End Date
Links
Notes
Aetna-NATIONAL97151, 97153, 97155, 97156, 9715795 or GT9/30/2020https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/healthcare-professionals/bh-televideo-service-codes-covid-19.pdf
Aetna Better Health-NATIONAL97151, 97152, 97153, 97155, 97156, 97157. 91758, 0362T, 03737Through Duration of COVIDhttps://www.aetnabetterhealth.com/newjersey/providers/bh/aba-services; https://www.aetnabetterhealth.com/newjersey/assets/pdf/providers/Cq_ABA_2020_OnePager-Draft.pdfSee portal for details. Confirm with each state plan
Anthem-NATIONAL95 or GTUntil Further NoticeAnthem 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-19-5See state specific guidelines: https://providernews.anthem.com/california/article/information-from-anthem-for-care-providers-about-covid-19-5
Beacon Health Options-NATIONAL97151, 97153, 97155, 97156, 9715795 or GTUntil Further Noticehttps://s21151.pcdn.co/wp-content/uploads/ABA-COVID-19-FAQs.pdfSee state specific guidelines: https://www.beaconhealthoptions.com/coronavirus/state-specific-guidelines/
BCBS-NATIONALplan specific95Providers 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-FEDERALcase specificPrior 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-NATIONAL97151, 97153, 97155, 97156, 9715712/321/20https://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.pdfAll 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-NATIONAL90889, H2012, H2019, H0031, H0032, 97151-97158, 0362T, 0373T95https://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3923140
Magellan-NATIONAL97151-HO, 97152-HN, 97153-HN, 0362T-HO, 97154-HN, 97155-HO, 97156-HO, 97157-HO, 97158-HO, 0373T-HN, 908897/1/2020Preauthorization 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-NATIONALcurrent codes10/22/2020https://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)-NATIONAL97155, 97156Includes Amerigroup, BlueCare Tennessee, UnitedHealthcare Community Plan-https://www.tn.gov/content/dam/tn/tenncare/documents/TennCareMCOBehavioralHlthCOVID19TelehealthUpdate3182020.pdf
Tricare-East-NATIONAL97151, 97156GTExpiration of national emergency for Covid outbreakhttps://www.humanamilitary.com/provider/education-and-resources/quick-access/policy-updates-and-alerts/covid-19-telemedicine-031320
Tricare-West-NATIONAL97156GTExpiration of national emergency for Covid outbreakhttp://links.mkt2747.com/servlet/MailView?ms=NjUzMDg2NDYS1&r=NDczNDE5NDYzOTIzS0&j=MTg4MzAzODc2NQS2&mt=1&rt=0
United Health CareNational9/30/2020https://view.provideremail.uhc.com/?qs=70098f8ef0309c18f9e7c9e650c366fc93ea2d2e474ff94ac1b39878165228e1d702fed96088bd98fa5f65983fa824d3f73f7f82fd1f7fee523b4cb150567fe58020f1f8a4e106fb9073ed2669e060e5e73849d93ca854a4
United Behavioral Health/Optum (Medicaid)National10/22/2020https://www.providerexpress.com/content/ope-provexpr/us/en/COVID-19_Provider_Updates/COVID-19_Reimbursement_Guidelines.html
United/OptumNational10/22/2020https://www.providerexpress.com/content/ope-provexpr/us/en/COVID-19_Provider_Updates/COVID-19_ABA_Telehealth_Policies.html
BCBSAL - New DirectionsAlabama97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T95 (synchronous) or GT (interactive audio/video)12/31/2020https://www.ndbh.com/docs/ContentManaged/Providers/Resources/COVID-19/BCBSAL/Telemedicine%20Letter%202.0.pdfUnitedHealthcare 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 HealthAlabamahttps://www.behavioralhealthsystems.com/wp-content/uploads/BHS-Notice-to-Prov-Mbrs-COVID-19_2020_03.pdf
MedicaidAlabamaN/Ahttps://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
BCBSAlaska12/31/2020https://www.premera.com/ak/provider/coronavirus-19-faq/
MedicaidAlaskaper fee schedulehttps://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
BCBSArizonaall authorized codeshttps://newscenter.azblue.com/blue-cross-blue-shield-of-arizona-expands-support-for-coronavirus-services-and-care-waives-telehealth-cost-share-for-members/
UnitedHealthcare Community PlanArizonaall authorized codeshttps://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services.html
MedicaidArizonaall authorized codeshttps://azahcccs.gov/AHCCCS/AboutUs/covid19.html
MedicaidArizonaall authorized codeshttps://medicaid.mmis.arkansas.gov/Download/provider/provdocs/Memos/MemoDMS-02_OBHSTelemed.pdf
BCBSArizonaGT or 95No End Datehttps://m.azblue.com/~/media/azblue/files/healthcare/resources/tele-everything-bcbsaz-quick-reference.pdf?la=en
MedicaidArizona97151, 97152, 97153, 97154, 97155, 97156, 9715895, GT, GQhttps://azahcccs.gov/AHCCCS/AboutUs/covid19FAQ.html
BCBSArkansas97153, 97155, 9715695 or GT10/31/20https://www.arkansasbluecross.com/docs/librariesprovider9/default-document-library/covid-19-special-issue.pdf
Aetna Better HealthCalifornia
BCBS-AnthemCalifornia97151, 97152, 0362T, 97153, 97154, 97155, 97156, 97157, 97158, 0373T 95 or GThttps://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
BHPNCaliforniaall authorized codeshttp://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 PlanCaliforniaall authorized codes
Blue Shield of CACaliforniaall authorized codeshttps://www.blueshieldca.com/coronavirus/your-coverage
CalOptimaCaliforniaH0032, 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
CommercialCaliforniaall authorized codeshttp://www.dmhc.ca.gov/Portals/0/Docs/OPL/APL%2020-013%20-%20Telehealth%20Services%20(4_7_2020).pdf?fbclid=IwAR0jC8N9bhhNLh_jzwIMO53bKHvn3pbFvYJcC53PuTEPFt40wE8xabKEzs0
MagellanCalifornia97151-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-HOGThttp://www.magellanprovider.com/media/166877/ca_covid_aba.pdf
Medi-CalCaliforniaN/Ahttps://www.dhcs.ca.gov/Documents/COVID-19/Telehealth-Other-Virtual-Telephonic-Communications031820.pdf
MHNCalifornia97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T, H0031, H0032N H2014, H2019, S5111During 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 DHCSCaliforniasee noteshttps://www.dhcs.ca.gov/services/Documents/COVID-19MessagetoDHCSStakeholders.pdf
AnthemColorado97151, 97153, 971055, 97156, 9715795 or GT9/30/2020Anthem CO - Information from Anthem for Care Providers that perform ABA Services during COVID-19
MedicaidColorado97151, 97155, 97157Nonehttps://www.colorado.gov/pacific/hcpf/provider-telemedicine; https://drive.google.com/file/d/1_9Z6CVhzAxNNxUWBKeAfVHgfr3mXQB_T/view?inf_contact_key=28252f60b0e45481d432c387e674dd83%C2%A0
ComPsychColorado97155, 97156Documentation on BHCOE wesbite under resources Telehealth is allowed as long as the patient has a valid authorization allowing the services
Anthem97151, 97153, 971055, 97156, 9715795 or GT9/30/2020https://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
MedicaidConnecticutSee FAQhttps://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 ProgramConnecticutsee noteshttps://www.ctdssmap.com/CTPortal/default.aspx https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html
MedicaidConnecticutsee noteshttps://www.ctdssmap.com/CTPortal/Information/Get%20Download%20File/tabid/44/Default.aspx?Filename=pb20_09.pdf&URI=Bulletins/pb20_09.pdf
Highmark BCBSDelaware97151, 97152, 97153, 971055, 9715695 or GT9/30/2020https://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-046.pdf; https://www.highmarkhealthoptions.com/Portals/5/provider/med-payment-policies/Telemedicine_Policy_COVID19_Appendix.pdf
MedicaidDelawarehttps://dhss.delaware.gov/dhss/dmma/files/dmma_covid19_guidance.pdf
CarefirstDistrict of Columbia95
Medicaid--HSCSNDistrict of Columbiasee 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/coronavirusHSCSN 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.
MedicaidFloridaH2019, H2012GThttps://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
WellcareFloridasee noteshttps://www.wellcare.com/Florida/Providers/Medicaid
Community Care PlanFloridasee noteshttps://ccpcares.org/providers/providers-for-mma/provider-resources/links-to-resources
Florida Community Care Health PlanFloridasee noteshttps://fcchealthplan.com/wp-content/uploads/2019/11/FCC-Expanded-Benefit-MMAFINAL.pdf
Hospital discharge planning resource guideFloridasee noteshttps://fcchealthplan.com/wp-content/uploads/2019/11/SMMC-Hospital-Discharge-Planning-Resource-GuideFINAL.pdf
Humana Medical PlanFloridasee noteshttps://www.humana.com/provider/medical-resources/medicare-medicaid/florida-medicaid
Florida MedicaidFloridasee noteshttps://www.rollcall.com/2020/03/17/health-agency-gives-florida-medicaid-flexibility-responding-to-coronavirus/
Florida BlueFloridaas indicated in fee schedule95 or GThttps://www.floridablue.com/sites/floridablue.com/files/docs/COVID-19_Billing_Guidelines_07.20.20_Approved_1.pdfFlorida Blue -New Directions Provider Letter -see portal
New Directions (Fl Blue)Florida97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373Ts95 or GThttps://www.floridablue.com/sites/floridablue.com/files/docs/COVID-19_Billing_Guidelines_07.20.20_Approved_1.pdfAny 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
OxfordFloridasee noteshttps://www.providerexpress.com/content/dam/ope-provexpr/us/pdfs/clinResourcesMain/autismABA/abaCOVID-19-Telehealth.pdf
Lighthouse Health PlanFloridasee noteshttps://lighthousehealthplan.com/en/providers/training-and-resources/
Magellan Complete CareFloridasee notesCovered 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 PlanFloridasee noteshttps://www.miamichildrenshealthplan.com/en-US/Providers/Training-and-Resources.aspx
Molina HealthcareFloridasee noteshttps://www.molinahealthcare.com/providers/fl/medicaid/resource/Pages/utilized_mgt.aspx
Simply Healthcare PlanFloridasee noteshttps://provider.simplyhealthcareplans.com/florida-provider/provider-education
StaywellFloridasee noteshttps://www.wellcare.com/Florida/Providers/Medicaid
Sunshine HealthFloridasee noteshttps://www.sunshinehealth.com/providers.html
United HealthcareFloridasee noteshttps://www.uhcprovider.com/en/health-plans-by-state/florida-health-plans/fl-comm-plan-home.html
Vivida HealthFloridasee noteshttps://www.vividahealth.com/members/using-your-benefits/
AnthemGeorgia97151, 97153, 97155, 97156, 971579/30/2020https://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
MedicaidGeorgia97151, 97153, 97155https://medicaid.georgia.gov/covid-19
AlohaCareHawaii97156, 9715795 or GTFollowing updated Medicaid Guidelines
Hawaii BCBS/HMSAHawaii97155 RBT onsite by LBA only, 97156 and 97157 by LBA only12/31/2020https://hmsa.com/help-center/telehealth-resources-hotlines. https://hmsa.com/help-center/telehealth-resources-hotlines/
KaiserHawaii97155RBT onsite
OhanaCareHawaiicase specificmust be verified via provider rep
HMSA-Quest IntegrationHawaii 97155, 97156,97157 97155 w/ RBT onsite by licensed behavior analyst, 97156 and 97157 by licensed behavior analyst
MedicaidHawaii97155 w/ RBT onsite onlyhttps://www.medicaid.gov/sites/default/files/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/HI/HI-16-0004.pdf
BCBS-Regence Health PlanIdaho97155,97156, 9715712/31/2020https://www.regence.com/provider/library/whats-new/covid-19/covid-19-telehealth
Blue Cross of IdahoIdaho97152, 97153, 97155, 97156https://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 WellmarkIowa97152, 97153, 97155, 971568/31/2020https://www.wellmark.com/about/newsroom/coronavirus-covid-19
MedicaidIowa97151, 97153, 97154, G9012, 97152,9715695https://dhs.iowa.gov/sites/default/files/2103-MC-FFS_Update_Originating_and_Distant_Sites_for_Telehealth_1.pdf?031320202140
BCBSIllinois97151, 97153, 97155, 97156, 9715795 or GT12/31/2020All 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
AetnaIllinois97151, 97155, 97156, 9715795The 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
UBHIllinoisall current authshttps://ilasd.files.wordpress.com/2020/03/optum-obh_covid-19_telehealth-aba-update_03192020_final.pdfOptum Behavioral Health-Optum is allowing telehealth for all ABA codes.
Anthem-BCBSIndiana97151, 97153, 971555, 97156, 9715795 or GT9/30/2020https://providernews.anthem.com/indiana/article/information-from-anthem-for-care-providers-about-covid-19-6https://www.bcbsil.com/pdf/education/covid19_provider_faq.pdf
IHCPIndianasubject to plan guidelineshttp://provider.indianamedicaid.com/ihcp/Bulletins/BT202022.pdf
MedicaidIndianaas indicated in fee schedulesGThttps://www.in.gov/medicaid/files/IHCP_email_notification.pdf-Effective 3/1/2020 through duration of the Governor's. Declaration of Public Health Emergency
MedicaidIowaall codeshttps://dhs.iowa.gov/ime/providers/claims-and-billing/covid19; https://dhs.iowa.gov/sites/default/files/2126-MC-FFS-D-
BCBS WellmarkIowa97152, 97153, 97155, 97156None8/31/2020https://www.wellmark.com/about/newsroom/coronavirus-covid-19https://www.wellmark.com/about/newsroom/coronavirus-covid-19
BCBS HighmarkIowa2/1/2021
BCBS WellmarkIdaho97152, 97153, 97155, 97156None9/30/2020https://www.wellmark.com/about/newsroom/coronavirus-covid-19
MedicaidKansassubject to plan guidelines
BCBSKansasKansasGThttps://www.bcbsks.com/CustomerService/Providers/news/2020/2020-03-20_telehealth-services-temporarily-expanded.shtml
MedicaidKansas97155, 97156, T1027https://www.kmap-state-ks.us/Documents/Content/Bulletins/20051%20-%20HCBS%20-%20Expanding_Telemedicine_for_HCBS_Services.pdfAll are services are new for Telehealth. Must be current waiver provider
MedicaidKentucky97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158https://chfs.ky.gov/agencies/dms/Documents/ProviderFAQs.pdf
BCBSKentucky97151, 97153, 97155, 97156, 9715796 or GThttps://www.bcbsks.com/CustomerService/Providers/news/2020/2020-03-20_telehealth-services-temporarily-expanded.shtml
Aetna Better HealthLouisiana
BCBSLouisiana97151, 97152, 97153, 97154, 97155, 97156, 97157 and 9715895 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.
MedicaidLouisiana 97151, 97151 TF, 97152, 97153 HN, 97153, 0373T, 97154, 97155 TF, 9715695until end of public health emergencyhttps://www.cchpca.org/sites/default/files/2020-03/Louisiana%20Medicaid%20Update%202020.03.17.pdfTelehealth 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-BCBSMaine97151, 97153, 97155, 97156, 9715795 or GT9/30/2020https://providernews.anthem.com/maine/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-19-2020-1
MedicaidMaineGThttps://www.maine.gov/dhhs/samhs/coronavirus.shtml
CarefirstMaryland97151, 97155, 97156-9715395
KaiserMarylandhttp://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
MedicaidMarylandsee linkhttps://maryland.optum.com/content/dam/ops-maryland/documents/autism/alerts/Telehealth%20ABA%20Provider%20Alert.pdf
Beacon (Medicaid)Massachusettsall codeshttps://files.constantcontact.com/2c1fe85b401/ff0f7262-1485-4862-b78d-ab9050cba722.pdf
Beacon Health OptionsMassachusetts97155, 97156https://s21151.pcdn.co/wp-content/uploads/ABA-COVID-19-FAQs.pdf
BCBSMassachusetts97153, 97155, 97156From 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.
MassHealthMassachusettsall codeshttps://www.mass.gov/doc/ltss-provider-updates-for-covid-19/download
BCBSMichigan97151, 97152, 97153, 97154, 97155, 97156, 97157, 9715895https://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/autism-assessments-protocol-modification.pdf8/31/2020 (Please validate with Funder)
BCBSMI/NDBHMichiganhttps://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/alerts/covid-19-temp-changes-due-to-pandemic.pdf
BCBS/New DirectionsMichiganSee linkhttps://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

BCBSMichigan8/31/2020https://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/autism-assessments-protocol-modification.pdf
CMH- NorcoMichiganGT
HAPMichiganhttps://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 HealthMichigan97155/97156https://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
MedicaidMichigan
BCBSMinnesota9/30/2020https://www.bluecrossmn.com/healthy/public/portalcomponents/PublicContentServlet?contentId=P11GA_26858512
MedicaidMississippihttps://medicaid.ms.gov/wp-content/uploads/2020/03/MS-SPA-20-0010-Telehealth-Emergency-Waiver-Public-Notice.pdf
AnthemMissouricurrent authorizationshttps://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
AnthemMissourihttps://providernews.anthem.com/missouri/article/information-from-anthem-for-care-providers-about-covid-19-8
HealthnetMissourihttps://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/
BCBSMontanaWhen 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)
BCBSNebraska97151, 97155, 97156https://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
AnthemNevadahttps://providernews.anthem.com/nevada/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-19-2020
MedicaidNevada97151, 97155, 97156Nevada 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
MedicaidNew Hampshirehttps://www.dhhs.nh.gov/ombp/medicaid/documents/telehealth-covid19.pdf
BCBSNew Hampshire97151, 97155, 97156https://providernews.anthem.com/new-hampshire/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-19-2020-2
AnthemNew Hampshirehttps://providernews.anthem.com/new-hampshire/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-19-2020-2
AnthemNew Hampshirehttps://anthempc-attachments-prod.s3.us-west-2.amazonaws.com/pdf/articles/COVID-19%20Update%3A%20Guidance%20for...%20-%20nh4416.pdf
Beacon Horizon Behavioral HealthNew HampshireN/Aemail from: Erin McNeill (Oakes), LPC, NCC Clinical Care Manager – ABA/Outpatient
Horizon BCBSNew Hampshirehttps://providernews.anthem.com/new-hampshire/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-7
BCBSNew Jerseyhttps://www.horizonhealthnews.com/horizon-announces-initial-steps-to-support-members-through-covid-19-outbreak/
MedicaidNew Jerseyhttps://www.state.nj.us/humanservices/news/press/2020/approved/20200323.html
HorizonNew Jerseyall covered codesUse GT or 95 Modifier. PDF located in BHCOE Portal/Insurance Communication
BCBSNew Mexicoall current authsAll 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)
MedicaidNew Mexicoincludes telephonic visits https://www.hsd.state.nm.us/uploads/FileLinks/63e11e4bdee34c68b133c1607f22bc54/LOD_COVID19_%2330_replace_and_repeal.pdf
MolinaNew Mexico97151, 97155, 97156
AnthemNew Yorkhttps://providernews.empireblue.com/article/information-from-empire-for-care-providers-about-covid-19-updated-april-22-2020
Beacon Health OptionsNew York97155Telehealth 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 HealthNew Yorkhttps://view.connections.emblemhealth.com/?qs=6b04f42a16b668d8c5d7144e4df5ebb33f8a0b4544bc674dc4f0c11b6913de713d0ea08964d5acbb22f907d155a73db1db9d985a8b80033d28c2c1e97f9ebe654a1deb523d93d3c6d70d0f4870c791cd
Empire BlueNew Yorkcurrent authorizationhttps://providernews.empireblue.com/article/information-from-empire-for-care-providers-about-covid-19-updated-april-15-2020
MedicaidNorth Carolinasee link for changeshttps://medicaid.ncdhhs.gov/blog/2020/04/21/special-bulletin-covid-19-55-nc-medicaid-receives-approval-expanded-flexibilities
BCBSNorth Carolinahttps://www.bluecrossnc.com/provider-news/covid-19-telehealth-update-and-details-how-stay-date
TrilliumNorth Carolinahttps://www.trilliumhealthresources.org/sites/default/files/docs/Network-Communication-Bulletin/061-Network-Communication-Bulletin.pdf
BCBSNorth Dakotahttps://www.bcbsnd.com/providers/news-resources/healthcare-news/covid-19-telehealth-expansion-update; https://www.bcbsnd.com/coronavirus/expanded-benefits
BCBS -AnthemOhio9/13/2020https://providernews.anthem.com/ohio/article/information-from-anthem-for-care-providers-about-covid-19-9?fbclid=IwAR1DFli5SrwA0S_IVSWYe4_FaA5LeEO04RvvMtq7qfv2whESgBLlXUu2SRA
Medicaid-BCBSOhio97151, 97153, 97155, 97156, 97157None https://medicaid.ohio.gov/Portals/0/For%20Ohioans/Telehealth/ODM-Telehealth-FAQs.pdf
BCBSOklahomaall current authsokhca.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 AdvantageOklahomaall current authshttps://www.okhca.org/about.aspx?id=24603#webinars
Regence of OregonOregonSee link for detailshttps://dfr.oregon.gov/insure/health/understand/Documents/DFR-OHA%20Telehealth%20Guidance.pdf?fbclid=IwAR1cpww_RCDCzU_KpXUoSPFNJA4UFgT6IIKbanDwUzGuLP2Z4EFHlSh8BBk
HealthShareOregon97151, 97155, 97156https://dfr.oregon.gov/insure/health/understand/Documents/DFR-OHA%20Telehealth%20Guidance.pdf?fbclid=IwAR1cpww_RCDCzU_KpXUoSPFNJA4UFgT6IIKbanDwUzGuLP2Z4EFHlSh8BBk
CareOregonOregon97153-97157
https://careoregon.org/docs/default-source/providers/behavioral-health/behavioral-health-telehealth-services-covid-19_0313.pdf
Yamhill Community Care – OR MedicaidOregon97153-97157
Independence BCBSPennsylvaniaPlan specificUpdates provided in member portal. encourages use of telehealth
Highmark BCBSPennsylvania97155/97156Some 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
MagellanPennsylvaniahttps://www.magellanofpa.com/media/5714/covid-19-telehealth-memo-may-22-2020.pdf
MedicaidPennsylvaniasee noteshttps://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 HealthPennsylvaniasee notesCommunity 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 CarePennsylvaniaServices are approved. Working on process to reimburse providers
Waiver ÅpprovalsPennsylvaniasee attachedhttps://www.dos.pa.gov/Pages/COVID-19-Waivers.aspx
BCBSRhode Island97151, 97155, 97156BCBS-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
MedicaidRhode Islandhttp://www.eohhs.ri.gov/Portals/0/Uploads/Documents/1115Waiver/COVID-19%20Memo%20for%20RI%20Medicaid%20Telehealth_03182020.pdf
BCBSSCSouth CarolinaMust email: virtualcare@bcbssc.com
MedicaidSouth Carolinahttps://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 HighmarkIowa2/1/2021https://www.wellmark.com/about/newsroom/coronavirus-covid-19
Amerigroup MedicaidTennesseeN/Ahttps://providers.amerigroup.com/Public%20Documents/TNTN_CAID_TennCareCoverRxProgramUpdatesCOVID19.pdf
BCBSTennessee97153, 97155, 97156, H0032, H201995Permanenthttps://bcbstnews.com/pressreleases/bluecross-making-in-network-telehealth-services-permanent/Making Telehealth Changes Permanant
UH CCP TN MedicaidTennessee97155, 97156No 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 TenncareTennessee97155, 97156Includes Amerigroup, BlueCare Tennessee, UnitedHealthcare Community Plan-https://www.tn.gov/content/dam/tn/tenncare/documents/TennCareMCOBehavioralHlthCOVID19TelehealthUpdate3182020.pdf
BCBSTexasall current authsAll 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
BCBSTexashttps://www.bcbstx.com/provider/pdf/tx_using_telemed_telehealth_covid19.pdf. Extended through 12/31/20
BCBSTexas12/30/2020https://www.bcbstx.com/provider/pdf/tx_using_telemed_telehealth_covid19.pdf?fbclid=IwAR3EmVZllDozUxrvKWjCgW0k8eCXrNRsBEyOPBBS6Pz67ZYjIqwRsGI9sdI
Community Health PlanTexashttps://provider.communityhealthchoice.org/media/1948/covid-19-therapies-telehealth-behavioral-health-052620.pdf
MedicaidUtah
BCBS RegenceUtah97155 - 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
MedicaidVermontCurrent Authorized Codes
BCBSVermontCurrent Authorized Codeshttps://www.bcbsvt.com/health-and-wellness/coronavirus-update/telemedicine-and-telephone-office-visits-will-reduce-exposure
Aetna Better HealthVirginiaCurrent Authorized Codes
Anthem CommercialVirginiaall codes w/proper modifierhttps://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 MedicaidVirginiahttps://www.dmas.virginia.gov/files/links/5249/3.19.2020_COVID%2019%20MEMO_4.0.pdf
CarefirstVirginia97151, 97155, 97156GT, 95 Modifier
Optima CommercialVirginiaPlan specificReach out to Network Administrator. They have indicated telehealth is approved, but were unable to confirm approved codes. Modified is not required.
Optima MedicaidVirginiaCurrent Authorized CodesNew authorization would be need if a service is added. Check with your network manager regarding if a modifer is required.
Magellan Complete CareVirginiaCurrent Authorized CodesMust have Contract Addendum. GT, GQ Modifiers, Location 02
Virginia PremierVirginiaCurrent Authorized Codeshttps://www.virginiapremier.com/information-for-healthcare-professionals-coronavirus/
UHC MedicaidVirginiaCurrent Authorized CodesApproved 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-MedicaidWashingtonAll Codeshttps://providers.amerigroup.com/Public%20Documents/WAWA_CAID_PU_AppleHealthClinicalPolicyBillingCOVID19.pdf https://www.hca.wa.gov/assets/billers-and-providers/ABA-services-bg-20200101.pdf
MolinaWashington97155, 97156Most 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
UnitedWashington97155, 97156https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan-reimbursement/UHCCP-Telehealth-and-Telemedicine-Policy-(R0046).pdf
AmerigroupWashington97155, 97156https://providers.amerigroup.com/Public%20Documents/WAWA_CAID_PU_TelemedicineFAQ.pdf
Community Health Plan of WAWashington97155, 97156https://www.chpw.org/resources/Providers/Telehealth_Services.pdf
Coordinated Care of WAWashington97155, 97156https://www.coordinatedcarehealth.com/content/dam/centene/Coordinated%20Care/provider/PDFs/508-Medicaid-Benefit-Grid-Provider.pdf
PremeraWashingtonCurrent Authorized Codeshttps://www.premera.com/wa/provider/coronavirus-faq/
MedicaidWashingtonCurrent Authorized Codeshttps://content.govdelivery.com/accounts/WAHCA/bulletins/27fb040
Washington State Health Care AuthorityWashingtonCurrent Authorized Codeshttps://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-HigmarkWest Virginiahttps://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-046.pdf
Anthem BCBSWisconsinhttps://providernews.anthem.com/wisconsin/article/information-from-anthem-for-care-providers-about-covid-19-10
Forward HealthWisconsinCurrent Authorized Codeshttps://www.forwardhealth.wi.gov/kw/pdf/2020-15.pdf
MedicaidWisconsinCurrent Authorized Codes
Tricare East/Humana MilitaryNational97156 only -- see link/pdf for addl billing infoGTExpiration of national emergency for Covid outbreakhttps://www.humanamilitary.com/provider/education-and-resources/quick-access/policy-updates-and-alerts/covid-19-telemedicine-031320
Tricare WestNationalExpiration of national emergency for Covid outbreakhttp://links.mkt2747.com/servlet/MailView?ms=NjUzMDg2NDYS1&r=NDczNDE5NDYzOTIzS0&j=MTg4MzAzODc2NQS2&mt=1&rt=0
Tricare/DHANational97156 (see link for limitations to using any other code on same day)GTCommunication to ABA Providers Regarding ContinuedTemporary Authorization to Utilize Telehealth for CPT Code 97156 During the COVID-19https://health.mil/Military-Health-Topics/Conditions-and-Treatments/Autism-Care-Demonstration
United Behavioral Health/Optum (Medicaid)National10/22/2020https://www.providerexpress.com/content/ope-provexpr/us/en/COVID-19_Provider_Updates/COVID-19_Reimbursement_Guidelines.html
United Health CareNational9/30/2020https://view.provideremail.uhc.com/?qs=70098f8ef0309c18f9e7c9e650c366fc93ea2d2e474ff94ac1b39878165228e1d702fed96088bd98fa5f65983fa824d3f73f7f82fd1f7fee523b4cb150567fe58020f1f8a4e106fb9073ed2669e060e5e73849d93ca854a4
United/OptumNational10/22/2020https://www.providerexpress.com/content/ope-provexpr/us/en/COVID-19_Provider_Updates/COVID-19_ABA_Telehealth_Policies.html
AetnaNational97151, 97153, 97155, 97156, 97157GT or 959/30/2020https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/healthcare-professionals/bh-televideo-service-codes-covid-19.pdf
Beacon Health OptionsNational97151, 97153, 97155, 97156, 97157GThttps://s21151.pcdn.co/wp-content/uploads/ABA-COVID-19-FAQs.pdf
CignaNational97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T95https://www.cigna.com/transformations/july-2020/covid-19-interim-guidance-for-behavioral-providers
HumanaNational90889, H2012, H2019, H0031, H0032, 97151-97158, 0362T, and 0373T95https://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3923140
MagellanNational97151-HO, 97152-HN, 97153-HN, 0362T-HO, 97154-HN, 97155-HO, 97156-HO, 97157-HO, 97158-HO, 0373T-HN, 90889GThttps://www.magellanprovider.com/news-publications/spotlight/crisis.aspxwith the exception of Pennsylvania and Texas
BCBS (New Direction Behavioral Health)Alabama97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T95 (synchronous) or GT (interactive audio/video)12/31/2020https://www.ndbh.com/docs/ContentManaged/Providers/Resources/COVID-19/BCBSAL/Telemedicine%20Letter%202.0.pdf
Beacon HealthAlabamahttps://www.behavioralhealthsystems.com/wp-content/uploads/BHS-Notice-to-Prov-Mbrs-COVID-19_2020_03.pdf
BCBSArkansas97153, 97155, 97156GT or 9510/31/2020https://www.arkansasbluecross.com/docs/librariesprovider9/default-document-library/covid-19-special-issue.pdf
BCBSArkansasAll ABA codes listed in fee scheduleGT or 9510/23/2020https://www.arkansasbluecross.com/covid-19/members-covered-by-arkansas-blue-cross-health-advantage-fully-insured
BCBSArizonaGT or 95No End Datehttps://m.azblue.com/~/media/azblue/files/healthcare/resources/tele-everything-bcbsaz-quick-reference.pdf?la=en
MedicaidArizona97151, 97152, 97153, 97154, 97155, 97156, 9715895, GT, GQhttps://azahcccs.gov/AHCCCS/AboutUs/covid19FAQ.html
BCBS AnthemCalifornia97151, 97152, 0362T, 97153, 97154, 97155, 97156, 97157, 97158, 0373TPOS 02 and 95 or GT mod for synch/GQ for asynchhttps://providernews.anthem.com/california/article/covid-19-update-guidance-for-telehealthtelephonic-care-for-behavioral-health-services
MagellanCalifornia97151-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-HO02 POS and GThttp://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
MagellanCaliforniaH0032, S5018, S5110 (QAS or BCBA only)95 for synchronous, GQ for asynchronoushttps://www.magellanprovider.com/news-publications/state-plan-eap-specific-information/california/aba-covid-19.aspx
Medicaid (MediCal)Californiahttps://www.dhcs.ca.gov/services/medi-cal/Documents/BHT_Plan_Information_External.pdf
BCBS AnthemColorado97151, 97153, 971055, 97156, 9715795 or GT9/30/2020https://providernews.anthem.com/colorado/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-8
MedicaidColorado97151, 97153, 97154, 97155, 97158Nonehttp://r20.rs6.net/tn.jsp?f=001rRxjgOBrZ90ilsxrhMRzmYYs0OXxILXolLkK6LExPsm3C3t19_mwn2R08Ep1jVnT3DCOK-XyalnKVtIECuizUyOE2zk9qZqntIWObKKSb4vgJaglALD_d9r1difeA6XE4HbvSc8SacfQiOxgDY6L0jCxmKzhcrAY9HWPt9L1ZBq4gULOMCLlQMu0j8A_tfV286aBFZaBMUY=&c=moEkkR1a8NEv48zXKq199s6-nVqxylG1xH6zLRktHLw0ZRTvHZI0UQ==&ch=phSAVTEHVWRXyoKwK9MJZyLvmBWK0iZys_vR3Uz1nF5_bwR1QkMGzA==
BCBS AnthemConnecticut97151, 97153, 971055, 97156, 97157GT9/30/2020https://providernews.anthem.com/connecticut/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-5
MedicaidConnecticuthttps://www.ctdssmap.com/CTPortal/Information/Get%20Download%20File/tabid/44/Default.aspx?Filename=PB20_44.pdf&URI=Bulletins/PB20_44.pdf
BCBS HighmarkDelaware97151, 97152, 97153, 971055, 9715695 or GT9/30/2020https://hdebcbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits-DE
BayCareFlorida97153, 97155NoneNo end date
MedicaidFloridaH2019 BA, H2012 BAGThttps://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 DirectionsFlorida97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373Ts95 or GT
BCBSFloridacodes in fee schedule95 synchronous or GT interactive a/v systemsNo End Datehttps://www.floridablue.com/sites/floridablue.com/files/docs/COVID-19_Billing_Guidelines_07.20.20_Approved_1.pdf
BCBS AnthemGeorgia9/30/2020https://providernews.anthem.com/georgia/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-9
MedicaidGeorgiahttps://files.constantcontact.com/c2257ded301/3e0220f3-4ccb-4a95-8451-dd05f672b14c.pdf
BCBS AnthemNational9/30/2020https://mediproviders.anthem.com/Documents/NVNV_CAID_PU_COVID19GuidanceTelehealthBH.pdfAll Except Georgia
Medicaid (HMSA)Hawaii97155 RBT onsite by LBA only, 97156 and 97157 by LBA only12/31/2020https://hmsa.com/help-center/telehealth-resources-hotlines. https://hmsa.com/help-center/telehealth-resources-hotlines/
MedicaidHawaii97155 w/ RBT onsite onlyhttps://www.medicaid.gov/sites/default/files/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/HI/HI-16-0004.pdf
BCBS WellmarkIowa97152, 97153, 97155, 97156None8/31/2020https://www.wellmark.com/about/newsroom/coronavirus-covid-19
MedicaidIowa97151, 97153, 97154, G9012, 97152,9715695https://dhs.iowa.gov/sites/default/files/2103-MC-FFS_Update_Originating_and_Distant_Sites_for_Telehealth_1.pdf?031320202140
BCBS RegenceIdahoState Specific 9/30/2020
12/31/2020		https://www.regence.com/provider/library/whats-new/covid-19/covid-19-telehealth
BCBSIdahoCodes per fee schedule12/31/2020https://bcidaho.com/coronavirus/
BCBSIllinois97151, 97153, 97155, 97156, 9715795 or GT12/31/2020https://www.bcbsil.com/pdf/education/covid19_provider_faq.pdf
BCBS AnthemIndiana97151, 97153, 971555, 97156, 97157GT or 959/30/2020https://providernews.anthem.com/indiana/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19, https://www.mdwise.org/for-providers
MedicaidIndianaPer fee scheduleGThttp://provider.indianamedicaid.com/ihcp/Bulletins/BT202022.pdf
BCBSKansashttps://www.bcbsks.com/CustomerService/Providers/news/2020/2020-03-20_telehealth-services-temporarily-expanded.shtml
MedicaidKansas97155, 97156, T1027https://www.kmap-state-ks.us/Documents/Content/Bulletins/20051%20-%20HCBS%20-%20Expanding_Telemedicine_for_HCBS_Services.pdf
MedicaidKentucky97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158https://chfs.ky.gov/agencies/dms/Documents/ProviderFAQs.pdf
BCBSKentucky97151, 97153, 97155, 97156, 9715795, GThttps://www.bcbsks.com/CustomerService/Providers/news/2020/2020-03-20_telehealth-services-temporarily-expanded.shtml
MedicaidLouisiana97151, 97151 TF, 97152, 97153 HN, 97153, 0373T, 97154, 97155 TF, 9715695Remote supervision allowed up to 2 weeks after the expiration of the emergency COVID-19https://www.cchpca.org/sites/default/files/2020-03/Louisiana%20Medicaid%20Update%202020.03.17.pdf
BCBSLouisiana97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158GT or 95https://files.constantcontact.com/de2417c8101/cf36fcf2-7a48-47b4-877e-7162e1e55806.pdf97155.97156-Concurrent Billing Approved
Medicaid (MassHealth Only)MassachusettsH2019-U2, H2012-U2, H0031-U2, H0032-U2NoneRemote supervision allowed up to 2 weeks after the expiration of the emergency COVID-19 declarationshttps://files.constantcontact.com/5fd452fb301/0a231687-351f-475c-bf03-78335f067215.pdf
BCBSMassachusettsCodes per fee scheduleGT,95,G0, or GQFor duration ofPublic Health Emergencyhttps://home.bluecrossma.com/coronavirus
MBHP/Beacon (Medicaid MCO)MassachusettsH2019-U2, H2012-U2 (1 hr unit), H0032-U295 or GThttps://www.masspartnership.com/pdf/FAQ%203%2027%202020.pdf
BCBSMaryland97151, 97153 97155, 97156, 97158GTThrough end of public health emergencyhttps://individual.carefirst.com/carefirst-resources/pdf/carefirst-telemedicine-code-modifier.pdf
MedicaidMaryland97151-97158, 0362T, 0373TUBhttps://maryland.optum.com/content/dam/ops-maryland/documents/autism/alerts/Telehealth%20ABA%20Provider%20Alert.pdfUB Modifer for Parent Training only
BCBSMaine97151, 97153, 97155, 97156, 9715795 or GT9/30/2020https://providernews.anthem.com/maine/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-19-2020-1
MedicaidMaineGThttps://www.maine.gov/dhhs/samhs/coronavirus.shtml
BCBSMichigan97151, 97152, 97153, 97154, 97155, 97156, 97157, 9715895Until further Noticehttps://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/autism-assessments-protocol-modification.pdf
BCBSMississippi97153, 97155, 97156, 9715712/31/2020https://webstatic.bcbsms.com/pdf/COVID-19_Pandemic_Telemedicine_Policy_4.27.20_w_links.pdf
BCBSMinnesota97151, 97152, 97153, 97154, 97155, 97156, 97157, 9715995Duration of National Public Health Emergencyhttps://www.bluecrossmn.com/healthy/public/portalcomponents/PublicContentServlet?contentId=P11GA_12332836
MedicaidMinnesotahttps://mn.gov/dhs/partners-and-providers/news-initiatives-reports-workgroups/behavioral-health/telemedicine/
BCBSMissouri97151, 97152, 97153, 97154, 97155, 97156, 97157, 9715895 or GT9/30/2020https://anthempc-attachments-prod.s3.us-west-2.amazonaws.com/pdf/articles/COVID-19%20Update%3A%20Guidance%20for...%20-%20mo4411.pdf
MedicaidMissouri97151, 97152, 97153, 97155, 97156, 97158, H0004GThttps://dss.mo.gov/mhd, http://manuals.momed.com/collections/collection_psy/print.pdf
BCBSMontanaper fee scheduleGT or GQ8/31/2020https://www.bcbsmt.com/provider/education-and-reference/news?lid=k7sxoqp8
MedicaidMississippi97151, 97155, 97156GTDuration of the COVID-19 emergencyhttps://www.mstelehealth.org/telehealth-policy-updates-related-to-covid-19/
MedicaidMontanaThroughout State of Emergencyhttps://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
MedicaidNorth Carolina97151, 97152, 97153, 97155, 97156, 97157GT and CRThroughout State of Emergencyhttps://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
MedicaidNorth DakotaThroughout State of Emergencyhttp://www.nd.gov/dhs/info/covid-19/docs/policy-medicaid-temporary-telehealth.pdf
BCBSNorth DakotaPer fee schedule95https://www.bcbsnd.com/coronavirus/expanded-benefits, https://www.bcbsnd.com/coronavirus/covid-19providers/billing#services-not-related
BCBSNebraska959/30/2020https://newsroom.nebraskablue.com/bcbsne-extends-waiver-of-member-cost-shares-for-covid-19-testing-and-treatment-including-telehealth/
MedicaidNebraskahttp://dhhs.ne.gov/pages/Medicaid-Provider-Bulletins.aspx, http://dhhs.ne.gov/Medicaid%20Provider%20Bulletins/Provider%20Bulletin%2020-10.pdf
BCBSNew JerseyPer fee schedule95 or GTThroughout New Jersey State of Emergencyhttps://www.horizonblue.com/sites/default/files/2020-04/BH_COVID.pdf
BCBSNew Hampshire97151, 97153, 97155, 97156, 9715795 or GT9/30/2020https://providernews.anthem.com/new-hampshire/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-7
MedicaidNew Hampshire97151, 97153, 97155, 97156GTDuring COVID-19 State of Emergencyhttps://nhmmis.nh.gov/portals/wps/wcm/connect/f49b7b804dc93b198a8caad060d2307a/NHCSR-OMBP-3-Posting-%28Telehealth+Bulletin%29-Attachment1-20200402.pdf?MOD=AJPERES
MedicaidNew MexicoDuring COVID-19 State of Emergencyhttps://www.hsd.state.nm.us/uploads/FileLinks/b68cf3e47e5c45938941b359b33fa462/LOD_%23011___BHSD___COVID_19_Measures_3.25.2020_FINAL.pdf
MedicaidNew MexicoT1026, 0362T, 97151, 97152, 97153, 97155, 97156, 0373TDuring COVID-19 State of Emergencyhttps://nmmedicaid.portal.conduent.com/static/PDFs/Telephonic Procedure Codes Rate List.pdf
BCBSNew Mexico8/31/2020https://www.bcbsnm.com/provider/news/2020_03_30.html
BCBSNorth Carolina97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373TCR -Telephone12/31/2020https://www.bluecrossnc.com/sites/default/files/document/attachment/services/public/pdfs/medicalpolicy/telehealth.pdf#search=applying%20applies%20apply
BCBSNorth DakotaDuring declared emergencyhttps://chad.memberclicks.net/assets/COVID19/Telehealth%20-%20COVID19%20News%20Blast%20Final%203-20-20%281%29.pdf
BCBS AnthemNevada97151, 97153, 97155, 97156, 9715795 or GT9/30/2020https://providernews.anthem.com/nevada/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-10
MedicaidNevadaDuring COVID-19 State of Emergencyhttp://dhcfp.nv.gov/uploadedFiles/dhcfpnvgov/content/Pgms/CPT/COVID-19/Telehealth%20Update%20Memo_05.26.2020_ADA.pdf
BCBS Empire BlueNew York97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373TH0031, H0032, H0046, H2012, H2014, H2019, S5108, S511095 or GT9/30/2020https://providernews.empireblue.com/article/information-from-empire-for-care-providers-about-covid-19-updated-april-22-2020
MedicaidNew YorkDuring duration of State of Emergencyhttps://coronavirus.health.ny.gov/system/files/documents/2020/03/supplemental-guidance-use-of-telemental-health-disaster-emergnecy.pdf
Emblem HealthNew Yorkhttps://www.emblemhealth.com/content/emblemhealth/home/providers/clinical-corner/um-and-medical-management/providers-covid19/covid19-update.html
MedicaidOhio97151, 97155, 97156, 97153GTDuring duration of State of Emergencyhttps://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/
BCBSOhio97151, 97153, 97155, 97156, 9715795 or GT9/30/2020https://providernews.anthem.com/ohio/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-3
MedicaidOklahoma9/30/2020http://www.okhca.org/providers.aspx?id=112
BCBSOklahomahttps://www.bcbsok.com/newsroom/news-releases/2020/eliminating-telemedicine-copays-covid-19
BCBS RegenceOregonper fee schedule95Varies, 9/30/2020, 12/31/2020https://www.regence.com/provider/library/whats-new/covid-19/covid-19-telehealth
BCBSRhode Island97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373TCR9/2/2020https://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
MedicaidRhode IslandH2014-HO, H2014-HP, T1016, H0046, T1024, S9446Until further noticehttps://bhddh.ri.gov/mh/pdf/COVID-19%20Memo%20for%20RI%20Medicaid%20Telehealth_03182020%20(002).pdf?
BCBSSouth Carolina10/1/2020https://web.southcarolinablues.com/providers/providernews/providernewsarchives/2020providernews.aspx?article_id=1278
MedicaidSouth Carolina97151, 97153, 97155, 97156GT or CRDuring COVID State of Emergencyhttps://content.govdelivery.com/attachments/SCDHHS/2020/03/30/file_attachments/1414944/%282020-03-30%29%20COVID%20TH%20Bulletin%20ABA.pdf
BCBSSouth Dakota97152, 97153, 97155, 971568/31/2020https://www.wellmark.com/Provider/CommunicationAndResources/COVID-19/Telehealth.aspx
Medicaid-AmerigroupTennesseeH0032, H2019, H2019-HM95 or GT9/30/2020https://providers.amerigroup.com/Public%20Documents/TNTN_PU_TalkingPointsCOVID19.pdf
BCBSTexas97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T95, GT, GQ12/31/2020https://www.bcbstx.com/provider/pdf/txcpcp01_telemedicine_and_telehealth_servces.pdf
BCBS RegenceUtah97155, 97156, 9715795https://www.regence.com/provider/library/whats-new/covid-19
MedicaidUtah97151, 97155 and 97156, 97155 and 9715610% of services provided by the RBT must be supervised by a BCBA with 50% being direct supervision.
MedicaidVirginia97151, 97152, 97156, 97157https://www.dmas.virginia.gov/files/links/5258/COVID%2019%20ARTS%20and%20BH%20Memo%203.27.20_FINAL.pdf
BCBSVirginia97151, 97153, 97155, 97156, 9715795 or GT12/31/2020https://providernews.anthem.com/virginia/article/information-from-anthem-for-care-providers-that-perform-aba-services-during-covid-19-11
BCBSVermont0362T, 97151, 97152, 97153, 97154, 97155, 97156, 97157, 9715895http://www.bcbsvt.com/health-and-wellness/coronavirus-update/reduce-exposure-with-telemedicine/
BCBS (Regence)WashingtonState Specific 9/30/2020, 12/31/2020https://www.regence.com/provider/library/whats-new/covid-19/covid-19-telehealth
AmerigroupWashington97151, 97153, 97155, 97156, 9715795 or GThttps://providers.amerigroup.com/Public%20Documents/WAWA_CAID_PU_COVID19GuidanceTelehealthBH.pdf
BCBS (Premera)Washington97151, 97153, 97155, 97156, 0362T, H0031, H0032, H2014, H201995 (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)Washington95https://www.regence.com/provider/library/whats-new/fep-telehealth
KaiserWashington97151, 97152, 97153, 97154, 97158, 97155, 97156, 97157, 0362T, 0373T, H2017Nonehttps://wa-provider.kaiserpermanente.org/resources/covid-19-resources
MedicaidWashington97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158GT10/23/2020https://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-AppleCareWashington10/23/2020https://www.hca.wa.gov/assets/billers-and-providers/apple-health-applied-behavior-analysis-policy-and-billing-COVID-19.pdf
Medicaid-MolinaWashingtonhttps://www.molinahealthcare.com/providers/common/pages/wacovid19.aspx
BCBSWisconsin97151, 97153, 97155, 97156, 9715795 or GT9/30/2020https://mediproviders.anthem.com/Documents/WIWI_CAID_PU_TalkingPointsCOVID19.pdf, https://mediproviders.anthem.com/Documents/WIWI_CAID_PU_COVID19GuidanceTelehealthBH.pdf
BCBSWest Virginia97151, 97152, 97153, 97155, 97156GT or 959/30/2020https://mediproviders.anthem.com/Documents/WIWI_CAID_PU_COVID19GuidanceTelehealthBH.pdf
BCBSWyomingGT8/31/2020https://www.bcbswy.com/provider_updates/updates-to-bcbswy-covid-19-response/

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