Michigan reimbursement for telemedicine PDF Print E-mail

Michigan Department of Community Health
Medicaid Provider Manual (see page 35)

 

An October, 2013 MSA telemedicine bulletin is available here.

 

An April, 2006 MSA bulletin explaining telemedicine services is available here.

Michigan pays for telepsychiatry + a separate facility fee.

 

Coverage

The Michigan Department of Community Health (MDCH) currently covers telemedicine services with the exception of the originating site facility fee. Effective for dates of service on and after May 1, 2006, MDCH will reimburse for the telemedicine originating site facility fee when services comply with policies detailed in this bulletin. The originating site is the location of an eligible beneficiary at the time the service being furnished via a telecommunications system occurs. Authorized originating sites are:

• County mental health clinic or publicly funded mental health facility

• Federally Qualified Health Center (FQHC)

• Hospital -- either inpatient, outpatient or a critical access hospital (CAH)

• Office of a physician or other practitioner (this includes medical clinics)

• Renal dialysis facility

• Rural Health Clinic (RHC)

• Skilled nursing facility

• Tribal Health Center (THC)

The location of the physician or practitioner providing the professional services via a telecommunications system is called the distant site. A medical professional is not required to present the beneficiary to the physician or practitioner at the distant site unless medically necessary; however, in order to be reimbursed, services provided must be appropriate and medically necessary. The decision of medical necessity will be made by the physician or practitioner at the distant site.

 

The following telemedicine services, including consultation, office visits, individual psychotherapy, pharmacologic management and End Stage Renal Disease (ESRD) related services, delivered via a telecommunications system are currently reimbursed by MDCH. Service

Procedure Codes

Consultations

99241 – 99275

Office or other outpatient visits

99201 – 99215

Individual psychotherapy

90804 – 90809

Pharmacologic management

90862

Psychiatric diagnostic interview exam

90801

ESRD

G0308, G0309, G0311, G0312, G0314, G0315, G0317, G0318

 

For more information see the ATA Wiki page for Michigan here.

 

 

Last Updated on Thursday, 23 June 2016 12:00