PARA Weekly eJournal: May 20, 2020
COVID-19 MEDI-CAL SERVICES AND TELEHEALTH NOTICE The update manual pages for this change will be released in a future Medi-Cal Update
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COVID-19 Traditional Telehealth (Synchronous or Asynchronous) Policy updates for FQHCs, RHCs, and Tribal 638 Clinics: For FQHCs, RHCs and Tribal 638 Clinics, participating providers may provide Medi-Cal covered benefits/services via synchronous telehealth to ESTABLISHED PATIENTS. Medi-Cal defines an established patient as those patients that have not been seen at the FQHC, RHC or Tribal 638 Clinic within the last three years. Medi-Cal covered benefits or services that have been rendered via synchronous telehealth, FQHCs, RHC and Tribal 638 Clinics should report the telehealth services using T1015. Services reported under T1015 are reimbursed at the All-inclusive Rate (AIR).
For COVID-19, FQHC, RHC and Tribal 638 Clinics, Medi-Cal covered benefits outside of the four walls, may be provided via synchronous telehealth for certain populations pursuant to applicable federal law, including migrant/seasonal workers, homeless individuals, and homebound individuals.FQHCs, RHCs and Tribal 638 Clinics, cannot bill for e-Consults or telephone visits. 13