Live Video
POLICY
No individual or group health insurance policy, medical service plan, contract, hospital service corporation contract, hospital and medical service corporation contract, fraternal benefit society, health maintenance organization or the Kansas medical assistance program shall exclude an otherwise covered healthcare service from coverage solely because such service is provided through telemedicine, rather than in-person contact, or based upon the lack of a commercial office for the practice of medicine, when such service is delivered by a healthcare provider.
SOURCE: KS Statute Ann. § 40-2,213(b). (Accessed Mar. 2025).
ELIGIBLE SERVICES/SPECIALTIES
Office visits, individual psychotherapy, and pharmacological management services are examples of services which may be reimbursed when provided via telecommunication technology. The provider at the distant side must bill an appropriate code from the lists below with place of service (02) designating a telemedicine service provided other than in the patient’s home OR place of service (10) designating a telemedicine service provided in the patient’s home. (Please note: the GT modifier is no longer used to designate a telemedicine service.) Services delivered via telemedicine will be reimbursed at the same rate as a face-to-face (in the same physical location) service. Documentation requirements are the same as an in-person service.
See manual for eligible codes.
QMB only codes are not noted in these tables. Additionally, telemedicine rules governing HCBS waiver codes may change depending on waiver submissions; therefore, the specific HCBS waiver manual needs to be consulted for current code status allowances.
KMAP does not recognize AMA CPT consultation codes 99242, 99243, 99244, 99245, 99252, 99253, 99254, and 99255 for payment.
Note: Refer to Section 2720 of the General Benefits Fee-for-Service Provider Manual for complete details regarding Telemedicine.
SOURCE: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, FQHC/RHC, p. 8-14 (Jan. 2025); Provider Manual, Substance Use Disorder, p. A-2, (May. 2024); Local Education Agency (Oct. 2024), pg. 8-7; Provider Manual, Certified Community Behavioral Health Clinic (CCBHC), p. 8-6 (Mar. 2025); Home Health Agency, p. 8-29 (Jan. 2025), Mental Health, p. 8-3, 8-23, A-I, (Feb. 2025), Rehabilitative Therapy Services, (Jan. 2025), pg. 8-4, (Accessed Mar. 2025).
Mobile Response Stabilization Services/Mobile Crisis Response (MRSS/MCR) H2011 U1
MRSS/MCR services are to be provided in person by teams of at least two individuals, at the preferred location of the individual or family (home, school, or other community-based setting). In circumstances where face to face service by a LMHP is not viable, the medical record should reflect the reason that a LMHP was unable to respond in person to the crisis. In those cases, utilization of telemedicine delivery by the LMHP is allowed, however, an in-person response should be made that would provide the telemedicine access to a LMHP.
Stand-alone vaccine counseling may also be covered when provided via telehealth.
The face-to-face encounter [for home health] may occur through telehealth, as implemented by the State.
Telehealth and transportation codes are covered codes for OTP services. Please refer to the Kansas Medicaid Telehealth and Non-Emergency Medical Transportation (NEMT) policies
Stand-alone vaccine counseling will be covered only when the vaccine counseling and the administration of the vaccine occurs on two separate visits. Vaccine counseling is content of service when the vaccine counseling and administration of the vaccine occur at the same visit. Stand-alone vaccine counseling may also be covered when provided via telehealth.
Autism Services
Family Adjustment Counseling Limitations – Delivery of this service may occur via telemedicine, telehealth, or other modes of video distance monitoring methods that adhere to all required HIPAA guidelines and meet the state standards for telemedicine delivery methods. This service delivery model is subject to state program manager approval. A request submitted for this exception must include, at a minimum, three written statements from service providers in at least a 50-mile radius declining to provide services because the participant resides in a location that is so remote or far away that the provider does not have the staff to meet with the child on a continual and/or intermittent basis as needed.
Parents Support and Training – Delivery of this service may occur via telemedicine, telehealth, or other modes of video distance monitoring methods that adhere to all required HIPAA guidelines and meet the state standards for telemedicine delivery methods. This service delivery model is subject to state program manager approval. A request submitted for this exception must include, at a minimum, three written statements from service providers in at least a 50-mile radius declining to provide services because the participant resides in a location that is so remote or far away that the provider does not have the staff to meet with the child on a continual and/or intermittent basis as needed.
Intellectual/Developmentally Disabled Services
All functional assessments must be conducted in-person at a location of the individual’s choosing, or, if available, through the use of real-time interactive telecommunications equipment that includes, at a minimum, audio and video equipment. Those responsible for conducting the assessment will be flexible in accommodating the individual’s preference for the meeting location and time of assessment.
Prenatal Care At Risk Enhanced Care Coordination
Effective with dates of service on and after May 1, 2023, procedure code H1002 will be covered for telemedicine for video and audio transmissions. Existing provisions for the delivery of this service will remain in effect. Place of service (POS) code 10 (telehealth services provided in patient’s home) will be covered for code H1002.
Lactation Counseling
Effective with dates of service on or after April 1, 2023, lactation counseling services (utilizing procedure code S9443) for nonphysician lactation counselors will be additionally covered via telemedicine. Both video and audio transmissions will be covered. The home setting is allowed for this service delivery. Existing provisions for the delivery of this service will remain in effect until specifically rescinded.
Telemedicine Place of Service (POS) codes include:
- 02 – Telehealth
- 10 – Telehealth in patient home
HCBS Appendix K
The service delivery options that will continue after November 11 include the following: …
A Remote Option for Receiving Services:
- Members will be able to receive some in-home services through tele-video. The State is currently working to receive approval from the federal government for this. Managed Care Organization (MCO) Care Coordinators will provide members more information when this option is approved.
Non-Waiver Mental Health Attendant Care Service
Telehealth services are excluded from the EVV process for Non-Waiver Mental Health Attendant Care. Centers will continue to submit claims for Non-Waiver Mental Health Attendant Care until otherwise instructed.
Advance Directives
The face-to-face encounter may occur through telehealth, as implemented by the State.
Serious Emotional Disturbances
Wraparound Facilitation: Meetings can be telehealth or by conference call by member’s choice when the meeting is not the initial or 6-month review.
Medication Assisted Treatment
Telehealth and transportation codes are covered codes for OTP services. Please refer to the Kansas Medicaid Telehealth and Non-Emergency Medical Transportation (NEMT) policies.
SOURCE: Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Mental Health, (Feb. 2025), pg. 8-18; & Substance Use Disorder Provider Manual, (May 2024), pg. 7-6. (Accessed Mar. 2025).
Mobile Crisis Intervention Services
MCR services are to be provided in person by teams of at least two individuals at the preferred location of the individual or family (home, school, or other community-based setting). In circumstances where face-to-face service by a LMHP is not available, the medical record should reflect the reason that an LMHP was unable to respond in person to the crisis. In those cases, utilization of telemedicine delivery by the LMHP is allowed; however, an in-person response should be made to provide telemedicine access to an LMHP.
ELIGIBLE PROVIDERS
Provisions in the Kansas Telemedicine Act will allow speech-language pathologists and audiologists licensed by KDADS to provide services via telemedicine. Services must be provided via real-time, interactive (synchronous) audio-video telecommunication equipment that is compliant with HIPAA.
Note: See specific Telemedicine code allowances and guidelines under Section 2720 of this manual.
The provider at the distant side must bill an appropriate code from the lists below with place of service (02) designating a telemedicine service provided other than in the patient’s home OR place of service (10) designating a telemedicine service provided in the patient’s home. (Please note: the GT modifier is no longer used to designate a telemedicine service.) Services delivered via telemedicine will be reimbursed at the same rate as a face-to-face (in the same physical location) service. Documentation requirements are the same as an in-person service.
“Distant site” means a site at which a healthcare provider is located while providing healthcare services by means of telemedicine.
“Healthcare provider” means an individual appropriately licensed, registered, certified, or otherwise authorized to provide a specifically designated telemedicine service.
ELIGIBLE SITES
The provider at the distant side must bill an appropriate code from the lists below with place of service (02) designating a telemedicine service provided other than in the patient’s home OR place of service (10) designating a telemedicine service provided in the patient’s home. (Please note: the GT modifier is no longer used to designate a telemedicine service.) Services delivered via telemedicine will be reimbursed at the same rate as a face-to-face (in the same physical location) service. Documentation requirements are the same as an in-person service.
The originating site provider, with the patient present, may bill Q3014 with the appropriate place of service code denoted.
Codes S9453 and T2011 are allowed but not in the home.
“Originating site” means a site at which a patient is located at the time healthcare services are provided by means of telemedicine.
Effective with dates of service on and after July 24, 2024, one of the following Place of Service (POS) codes should be utilized for all visits in AuthentiCare: …
- 02: Telehealth Provided Other than in Patient’s Home …
- 10: Telehealth Provided in Patient’s Home
SOURCE: KS KMAP General Medicaid Bulletin 24100, Jul. 2024, (Accessed Mar. 2025).
Adding Place of Service Code 10 to Home Telehealth Nursing Services
Effective with dates of processing on and after January 1, 2022, licensed practical nurses (LPNs) or registered nurses (RNs) that provide home telehealth services must use Place of Service (POS) code 10 for codes T1030 and T1031 on all claims.
See remote patient monitoring section for more information on home telehealth services from the Home Health Agency Manual.
Intensive Individual Support (IIS) Providers
Intensive Individual Support (IIS) providers may now bill under the following POS codes:…
- 02 – Telehealth Provided Other Than in Patients Home
- 10 – Telehealth Provided in Patients Home
See bulletin for other POS codes.
SOURCE: KS KMAP General Medicaid Bulletin 23211, Aug. 2023, (Accessed Mar. 2025).
CCBHC
The allowable Place of Service (POS) codes for HCPCS code H0040 are defined to provide clarity on coverage:
- 02 – Telehealth Provided Other Than in Patients Home
- 10 – Telehealth Provided in Patients Home
SOURCE: KS KMAP General Medicaid Bulletin 24005, Jan. 2024, (Accessed Mar. 2025).
GEOGRAPHIC LIMITS
No Reference Found
FACILITY/TRANSMISSION FEE
Certified Community Behavioral Health Clinic (CCBHC) Services
The originating site, with the member present, may bill code Q3014 with the appropriate POS code. No payment will be made for Q3014 if the originating telemedicine site is place of service “home” (POS code 12) without the physical presence of a provider.
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