Washington

Last Checked Date7/20/20
CPT Codes99201-99215
Communication TypeTelephone call allowed – Video not required
Type of ServiceOffice or other outpatient visits
POS2
ModifierGT or 95 (CS modifer for Covid 19 related)
Additional NotesEffective from March 17, 2020, through September 30, 2020, Amerigroup health plans will waive member cost shares for telehealth visits, including visits for annual wellness visits, mental health or substance use disorders, for our Medicare Advantage plans. For out-of-network providers, Amerigroup is waiving cost shares from March 17, 2020, through 09/30/2020 Cost sharing will be waived for members using our authorized telemedicine service, LiveHealth Online, and for telehealth received from other providers delivering virtual care through internet video and audio services.
Cost sharing for TelemedicineWaived
Policy Termination Date03/19/2020-09/30/2020
Policy Link/Update LinkClick Here
Additional Policy PDFClick Here
Last Checked Date7/20/207/20/20
CPT Codes99201-9921599441-99443
Communication TypeVideo requiredTelephone call allowed- Video not required
Type of ServiceOffice or other outpatient visitsTelephonic encounter (Virtual check- in)
POS1111
Modifier95 or GTBlank
Additional NotesCostsharing waived ” This will not apply to shared admin, FEP, BlueCard,Providence, HCA, Medicare Supplement, and self-funded plans who opt out.”Cost sharing waived ” This will not apply to shared admin, FEP, BlueCard, Providence, HCA, Medicare Supplement, and self-funded plans who opt out.”
Cost sharing for TelemedicineWaivedWaived
Policy Termination Date03/06/2020-12/31/202003/06/2020-12/31/2020
Policy Link/Update LinkClick HereClick Here
Additional   Policy PDFClick HereClick Here
Last Checked Date7/20/207/20/20
CPT Codes99201-9921599441-99443
Communication TypeVideo requiredTelephone call allowed- Video not required
Type of ServiceOffice or other outpatient visitsTelephonic encounter (Virtual check-in)
POS1111
Modifier95Blank
Additional NotesCost sharing waived ” This will not apply to shared admin, FEP, BlueCard, Providence, HCA, Medicare Supplement, and self-funded plans who opt out.”Cost sharing waived ” This will not apply to shared admin, FEP, BlueCard, Providence, HCA, Medicare Supplement, and self-funded plans who opt out.”
Cost sharing for TelemedicineWaivedWaived
Policy Termination Date03/06/2020-12/31/202003/06/2020-12/31/2020
Policy Link/Update LinkClick HereClick Here
Additional Policy PDFClick HereClick Here
Last Checked Date7/31/207/31/207/31/20
CPT Codes99201-99203
99212-99214
99441-99443G2012
Communication TypeTelephone call allowed- Video not requiredTelephone call allowed- Video not requiredTelephone call allowed- Video not required
Type of ServiceOffice or other outpatient visitsOffice or other outpatient visitsOffice or other outpatient visits
POS111111
Modifier95 or CS,9595 or CS,9595 or CS,95
Additional NotesCS Modifer be include along with 95 for Covid 19 related treatmentCS Modifer be include along with 95 for Covid 19 related treatmentCS Modifer be include along with 95 for Covid 19 related treatment
Cost sharing for TelemedicineWaived for Covid onlyWaived for Covid onlyWaived for Covid only
Policy Termination Date12/31/202012/31/202012/31/2020
Policy Link/Update LinkClick HereClick HereClick Here
Additional Policy PDFClick HereClick HereClick Here
Last Checked Date7/31/207/31/207/31/20
CPT Codes99201-99203
99212-99214
99441-99443G2012
Communication TypeVideo requiredTelephone call allowed – Video not requiredTelephone call allowed – Video not required
Type of ServiceOffice or other outpatient visitsOffice or other outpatient visitsOffice or other outpatient visits
POS111111
Modifier95 or CS,9595 or CS,9595 or CS,95
Additional NotesThe use of Audio and Video Must be Documented in the patient’s chart note. CS Modifer be include along with 95 for Covid 19 related treatmentCS Modifer be include along with 95 for Covid 19 related treatmentCS Modifer be include along with 95 for Covid 19 related treatment
Cost sharing for TelemedicineWaived for Covid onlyWaived for Covid onlyWaived for Covid only
Policy Termination Date12/31/202012/31/202012/31/2020
Policy Link/Update LinkClick HereClick HereClick Here
Additional Policy PDFClick HereClick HereClick Here

State Telemedicine Policy

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