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Coronavirus and Telehealth: Insurance Update



With the world reeling from the recent Coronavirus update, Practice Solutions is aggressively looking for ways to keep you updated on how the insurance companies are reacting to the outbreak.


Our team has been curating responses from the insurance companies and we would like to update you on those responses.


The first video below, Jeremy Zug talks about the updates from national insurance companies and from some of the Michigan insurance companies.


The second video below, Jeremy edits the update from Cigna. While he was recording the first video, one of the team members sent an update.


More updates will follow, but for now, this is what we know!






Optum

https://www.providerexpress.com/content/ope-provexpr/us/en/Important-upates.html

  • What you need to know

  • For providers who currently offer, or who would like to offer, virtual care services through video-enabled technology:

  • Current virtual visit Providers: Please continue to use standard CPT codes and a Place of Service of 02 for virtual visits to indicate the visit was conducted remotely. This will allow claims to process through auto-adjudication without creating manual work, ensuring timely reimbursement.

  • NEW virtual visit Providers: Optum Behavioral Health is expediting new virtual visits applications for providers to offer virtual care for members who cannot travel to an office visit. To join our network, providers must be currently a participating Optum provider, use HIPAA approved telehealth technology to deliver care and complete a virtual visits attestation form here.

  • Visit the Provider Express virtual visits Page: Click here for information regarding participating in or joining the Optum virtual visits network.

  • UnitedHealth Group COVID-19 response: Click here to review the UnitedHealth Group press release on its comprehensive response to provide members and patients with COVID-19 support and resources

Optum Behavioral Health is continually monitoring this situation and if any further modifications to our normal processes are necessary to accommodate individuals impacted by COVID-19 we will notify providers immediately. As the COVID-19 situation evolves, we encourage people to stay informed by visiting the CDC website.


Michigan Medicaid

https://www.michigan.gov/documents/mdhhs/MSA_20-09_683712_7.pdf

  • Services should use POS 02 and modifier GT. Payment for these claims (March 1, 2020 - May 31, 2020) may not be paid until after June 1, 2020

Blue Cross Blue Shield of MI

  • Need to use the AMWELL platform

https://www.bcbsm.com/content/dam/microsites/som/24-7-online-health-care.pdf


Mclaren

  • Services should use POS 02 and modifier GT. Limited license can bill under you license for telehealth as well. Providers should be trained on the service they are provider, however we do not ask for acknowledgement of completed of this training.


Meridian

https://www.michigan.gov/documents/mdhhs/MSA_20-09_683712_7.pdf

  • Services should use POS 02 and modifier GT. Payment for these claims (March 1, 2020 - May 31, 2020) may not be paid until after June 1, 2020


UPDATED INFO FOR CIGNA


Cigna attestation form: https://static.cigna.com/assets/chcp/pdf/resourceLibrary/behavioral/attestedSpecialtyForm.pdf


Cigna said they are allowing telehealth on any HIPPA compliant platform as long as the provider has telehealth listed as their specialty. You can add this specialty to their Cigna profile by filling the form from the link and sending it back in. Cigna also wants the 95 modifier vs GT with the place of service code 02.


Update from BCBS of IL


Blue Cross and Blue Shield of Illinois (BCBSIL), is improving access to care for members by accelerating expansion of its telehealth “virtual visit” program in the wake of the coronavirus (COVID-19) outbreak.


“We’re committed to helping our members, employer customers and our own employees stay informed about COVID-19 and assisting those who may be affected,” said Steve Hamman, president of Blue Cross and Blue Shield of Illinois. “To give our members flexible options to access care, which can help reduce the spread of serious infections, we are expanding our telehealth coverage in Illinois.”


Read more here!