KMAP BULLETIN: Telemedicine Services
Date: 11/14/18
KMAP RHC FQHC BULLETIN 18208 (PDF)
Effective with dates of service on and after December 1, 2018, Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) may function as both the originating site and distant site when furnishing services through telemedicine. This will improve access to quality health care in rural and frontier areas of the State.
The Kansas Medical Assistance Program (KMAP) seeks to improve access to care and patients’ health outcomes by permitting synchronous two-way, real-time interactive communication between the patient at the originating site and the physician or practitioner at the distant site.
This electronic communication means the use of interactive telecommunications equipment that includes, at a minimum, audio and video equipment compliant with the Health Insurance Portability and Accountability Act (HIPAA).
FQHC and RHC providers at the originating site, or the location of the patient at the time the service is being furnished, may bill the originating site facility fee using code Q3014 and place of service (POS) 50 or 72 under the originating site provider ID and location number. The visit must be real-time and interactive and the patient must be present at the originating site.
FQHC and RHC providers at the distant site must submit claims with POS 02 and an approved CPT® code to identify and track reimbursement for telemedicine services under the distant site provider ID and location number. When the distant site is a satellite FQHC or RHC, the satellite may be reimbursed the encounter rate. The encounter rate for telemedicine services furnished by an FQHC or RHC will only be reimbursed at the distant site.
These codes are appropriate to be furnished via telemedicine, but providers must ensure the codes are covered by KMAP. Codes not appearing in the table below are not covered as telemedicine codes.
- 90785
- 90791
- 90792
- 90832
- 90833
- 90834
- 90836
- 90837
- 90838
- 90839
- 90840
- 90847
- 90863
- 90951
- 90952
- 90954
- 90955
- 90957
- 90958
- 90960
- 90961
- 92227
- 92228
- 96116
- 96150
- 96151
- 96152
- 96153
- 96154
- 97802
- 97803
- 99201
- 99202
- 99203
- 99204
- 99205
- 99211
- 99212
- 99213
- 99214
- 99215
- 99304
- 99305
- 99306
- 99307
- 99308
- 99309
- 99310
- 99354
- 99355
- 99366
- 99367
- 99368
- 99406
- 99407
- 99495
- 99496
- G0406
- G0407
- G0408
- G0425
- G0426
- G0427
- G0508
- G0509
- H0031HO
- H0032HA
Providers who are not RHC or FQHC providers and are acting as the distant site will be reimbursed in accordance with a percentage of the Physician Fee Schedule and not an encounter rate.
Note: The effective date of the policy is December 1, 2018. 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, once the policy is implemented.
For the changes resulting from this provider bulletin, view the update QHC Fee-for-Service Provider Manual, Section 8400, pages 8-9 and 8-10.