KMAP BULLETIN: CMHC Codes and Modifiers
Date: 12/01/17
KMAP GENERAL BULLETIN 17250
Effective with processing dates on and after December 1, 2017, retroactive to dates of service on and after January 3, 2017, for Community Mental Health Centers (CMHCs), H2011HO will be a reimbursable telemedicine code.
Effective with dates of service on and after January 1, 2018, H0031HO will be used when a CMHC is providing a Mental Health Assessment.
When providing services through telemedicine, the provider must bill the code using the GT modifier and place of service (POS) code 02 (Telemedicine) to be reimbursed at the same rate as face-to-face services. The originating site, with the beneficiary present, may bill code Q3014 with modifier GT and the appropriate POS code.
The following procedure codes are allowed with POS 02:
| 90785GT | 90791GT | 90792GT | 90832GT | 90833GT |
|---|---|---|---|---|
| 90834GT | 90836GT | 90837GT | 90838GT | 90839GT |
| 90840GT | 90847GT | 90863GT | 92227GT | 92228GT |
| 96116GT | 97802GT | 97803GT | 99201GT | 99202GT |
| 99203GT | 99204GT | 99205GT | 99211GT | 99212GT |
| 99213GT | 99214GT | 99215GT | 99221GT | 99222GT |
| 99223GT | 99304GT | 99305GT | 99306GT | 99366GT |
| 99367GT | 99368GT | G0406GT | G0407GT | G0408GT |
| G0425GT | G0426GT | G0427GT | G0508GT | G0509GT |
| H0001GT | H0004GT | H0005GT | H0006GT | H0007GT |
| H0031HOGT** | H0032HAGT | H0032GT | H0038GT | H0038HQGT |
| H2011HOGT | T1023GT | T1030* | T1031* |
*Telehealth only. **Effective with dates of service on and after January 1, 2018.
Note: The implementation of State policy by the KanCare managed care organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates.
For the changes resulting from this provider bulletin, view the updated Coding Modifiers Table and General Benefits Fee-for-Service Provider Manual, Introduction, page I-1, and Section 2720, page 2-25.