Telemental Health Policy Changes During The Pandemic

The following provides available information about changes in policy and insurance/coverage related to provision of mental health services by telehealth during the pandemic.

Clinicians, consumers and interested others are encouraged to provide information to

FORM TO REPORT TELEMENTAL HEALTH POLICY

so these may be added here as they are reported.

FEDERAL

Centers for Medicare and Medicaid waived “key requirements under telehealth so that Medicare beneficiaries can receive services in their homes with fewer restrictions.”

https://www.apaservices.org/practice/legal/technology/covid-19-telehealth-waiver

https://www.apaservices.org/practice/reimbursement/government/medicare-telehealth-temporary-changes

List of services payable under the Medicare Physician Fee Schedule when furnished via telehealth:
https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes

Medicare Telemedicine Health Care Provider Fact Sheet:
https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

Medicare Telehealth Frequently Asked Questions (FAQs) March 17, 2020:
https://edit.cms.gov/files/document/medicare-telehealth-frequently-asked-questions-faqs-31720.pdf

MEDICAID

https://www.medicaid.gov/medicaid/benefits/downloads/medicaid-telehealth-services.pdf

HIPAA-related

https://www.hhs.gov/sites/default/files/february-2020-hipaa-and-novel-coronavirus.pdf

HHS.gov “Enforcement discretion”:
https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html

BY STATE/LOCAL JURISDICTION/INSURANCE COMPANY

California

Anthem:
https://providernews.anthem.com/california/article/information-from-anthem-for-care-providers-about-covid-19-5

“As of March 17, 2020 Anthem will waive, until further notice, any member cost share for telehealth or telephonic visits provided by in-network provider, including visits for mental health, for our fully insured employer, individual, Medicare and Medicaid plans.  Cost shares will be waived for members using Anthem’s telemedicine service, LiveHealth Online, as well as care received from other telehealth providers. Self-insured plan sponsors will have the choice to participate.”

Illinois

BlueCross BlueShield of Illinois:
https://www.bcbsil.com/provider/education/2020/2020_03_16.html

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