Hello,

I am new to working for an FQHC and my facility would like to start billing for telehealth services starting 2019. However I keep finding conflicting information on the NY Medicaid website and MLN on whether or not we are qualified to bill for distant/originating sites. We are located in Brooklyn, NY. Can anyone please shed some light on the requirements needed to bill for telehealth, specifically telepsychiatry.

https://www.health.ny.gov/health_car…5/mar15_mu.pdf

https://www.cms.gov/Outreach-and-Edu…rvcsfctsht.pdf

https://www.cms.gov/Outreach-and-Edu…cfactsheet.pdf

Also can FQHC’s bill for Prolonged Services with direct patient contact? I read the PDF I put above and it is not included, however they define FQHC visits as “A FQHC visit is a medically-necessary medical or mental health visit, or a qualified preventive health visit. The visit must be a face-to-face (one-on-one) encounter between a FQHC patient and a FQHC practitioner during which time one or more FQHC services are furnished. “

Are you all billing for Chronic Care Management? I am trying to get it implemented here but they are saying it will be hard to enforce and hard to track. Do you have any tips?

Thank you,

Lauren