Providers are not required to obtain a hard copy of the consent form as noted in the Telehealth Guidance manual. Verbal ConsentĬonsent to receive services must be provided verbally by the member and noted in the member’s file or medical record. The Department will post additional information as needed. MMIS will be modified to include new codes following DCH review. DCH will continue to review all categories of service, adding services and procedure codes that can be reimbursed through telehealth service delivery as identified. Providers should reference the 3/18/20 banner message relating to COVID-19 and the Use ofTelehealth for additional requirements related to member consent and patient confidentiality.
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Claims must be billed using the associated procedure code, GT modifier and place of service code 02 to indicate telehealth delivery. Services delivered from distant sites will be billed using the provider billing address associated with the enrolled Medicaid practice or facility. Qualified providers should continue to follow all applicable licensure rules specific to their profession. During the COVID-19 state of emergency, providers may deliver medically necessary services in various settings including their homes or other settings in which the privacy and confidentiality of the member can be assured. Qualified providers deliver services from distant sites. The services must meet established medical necessity criteria relevant to the procedure or treatment. Under the emergency declaration and waivers, these services may be provided by professionals regardless of patient location. All members with access to video or telephone communication may receive services in their homes to reduce exposure to themselves and others. The Coronavirus Preparedness and Response Supplemental Appropriations Act as signed into law by the President on Maallows states broad authority to waive limitations on settings where members are eligible to receive telehealth and where telehealth services can be delivered during the emergency. Service Delivery Location: Originating Site Other practitioners enrolled in Georgia Medicaid such as certified nurse anesthetists, licensed clinical social workers, clinical psychologists and therapists (PT, ST and OT) may also deliver services within their scope of practice, consistent with Medicaid reimbursement rules, and in the category of service in which they are enrolled. Qualified providers permitted to furnish Medicaid-reimbursed telehealth services during the Public Health Emergency include physicians and certain non-physician providers such as nurse practitioners, physician assistants and certified nurse midwives. In response to requests for clarification of service delivery locations and the term “distant site locations” DCH is issuing additional guidance to clarify these outstanding questions.
The Department of Community Health (DCH) has received requests for additional clarification of the telehealth guidance released 3/17/20 and further clarified in a message dated 3/18/20.
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