Federally Qualified Health Center (FQHC)

Eligible Originating Site

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Disclaimer

PLEASE NOTE: CCHP is providing the following for informational purposes only. We are not providing legal advice or interpretation of the laws and regulations and policies. CCHP encourages you to check with the appropriate state agency for further information and direction. This information should not be construed as legal counsel. Consult with an attorney if you are seeking a legal opinion.

Federal

Last updated 09/09/2022

FQHCs are listed as an eligible originating site.

SOURCE:  Social

Alabama

Last updated 11/15/2022

Based on their ability to collect the origination site fee, …

Based on their ability to collect the origination site fee, FQHCs are eligible originating site.

SOURCE: AL Medicaid Alert, Origination Site Facility Fee, Mar. 13 ,2020, (Accessed Nov. 2022).

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Alaska

Last updated 11/17/2022

Live Video

Submitting a claim for a telemedicine service is …

Live Video

Submitting a claim for a telemedicine service is identical to the way a claim would be submitted for a face-to-face visit. Depending on the method of telemedicine used and the role of the provider in the consultation determines whether a modifier should be added to the procedure code. The role of the provider falls into three categories:

  • Referring Provider: Evaluates a patient, determines the need for a consultation, and arranges services of a consulting provider for the purpose of diagnosis and treatment.
  • Presenting Provider: Introduces a patient to the consulting provider during an interactive telemedicine session (may assist in the telemedicine consultation).

SOURCE: AK Dept. of Health and Social Services, FQHC/RHC (6/12), Accessed Nov. 2022). 

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Arizona

Last updated 10/19/2022

Not explicitly on list, however there is not a definitive …

Not explicitly on list, however there is not a definitive list of eligible originating sites.

See: AZ Medicaid Live Video Eligible Sites

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Arkansas

Last updated 10/17/2022

Use procedure code and type of service code Y (paper …

Use procedure code and type of service code Y (paper claims only) to indicate telemedicine charges.

View or print the procedure codes for Federally Qualified Health Center (FQHC) services.

The charge associated with this procedure code should be an amount attributable to the telemedicine service, such as line (or wireless) charges.  Medicaid will deny the charge and capture it in the same manner as with ancillary charges.

SOURCE:  AR Medicaid Provider Manual. Section II FQHC. Rule 262.120. Updated Feb. 1, 2022. pg. II-34, (Accessed Oct. 2022).

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California

Last updated 09/06/2022

Yes, see manual for originating site scenarios and billing/reimbursement policies …

Colorado

Last updated 10/21/2022

FQHCs providers can serve as an originating site allowing a …

FQHCs providers can serve as an originating site allowing a member to connect with a distant provider that is not affiliated with the originating site. The service must be submitted on a professional service claim form (the 1500). See the Telemedicine Billing Manual for the coverage of the originating site procedure code.

SOURCE: CO FQHC & RHC Billing Manual 10/22. (Accessed Oct. 2022).

FQHC are eligible for the originating site facility fee and may bill procedure code Q3014 (telemedicine originating site facility fee).

SOURCE: CO Department of Health Care Policy and Financing. “Telemedicine Billing Manual” 10/22. (Accessed Oct. 2022).

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Connecticut

Last updated 08/10/2022

Medical and Behavioral Health FQHCs cannot bill their encounter rate …

Medical and Behavioral Health FQHCs cannot bill their encounter rate when serving as an originating site only; meaning no other services were rendered to the member on that date of service outside of facilitating the telemedicine call by providing the space and technology.

SOURCE: CT Policy – Provider Bulletin 2020-09. P. 5, March 2020. (Accessed Aug. 2022).

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Delaware

Last updated 08/24/2022

Yes, FQHCs are listed as eligible originating medical facility sites. …

Yes, FQHCs are listed as eligible originating medical facility sites. An originating site refers to the facility in which the Medicaid patient is located at the time the telemedicine service is being furnished. An approved originating site may include the DMAP member’s place of residence, day program, or alternate location in which the member is physically present and telemedicine can be effectively utilized.

SOURCE: DE Medical Assistance Program. Practitioner Provider Specific Manual, 2/21/22. Ch. 16.2.5.4.1 & 16.2.5.4.2 Telemedicine, pg. 73 & Adult Behavioral Health Service Certification and Reimbursement. Dec. 1, 2016. Sec. 1. 8. pg. 11 & 12. (Accessed Aug. 2022).

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Florida

Last updated 10/26/2022

No Reference Found.

No Reference Found.

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Georgia

Last updated 10/22/2022

Yes – FQHCs and RHCs may serve as an originating …

Yes – FQHCs and RHCs may serve as an originating site for telehealth services, which is the location of an eligible Medicare beneficiary or enrolled Medicaid member at the time the service being furnished via a telecommunications system occurs.

SOURCE:  Georgia Department of Community Health, Division of Medicaid, Telehealth Guidance, p. 42 (Oct 1, 2022).  Georgia Department of Community Health, Division of Medicaid, Federally Qualified Health Center Services and Rural Health Clinic Services, p. 22 (Oct 1, 2022). (Accessed Oct. 2022).

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Hawaii

Last updated 10/29/2022

Originating site means the location where the patient is located, …

Originating site means the location where the patient is located, whether accompanied or not by a health care provider, at the time services are provided by a health care provider through telehealth, including but not limited to a health care provider’s office, hospital, critical access hospital, rural health clinic, federally qualified health center, a patient’s home, and other non-medical environments such as school-based health centers, university-based health centers, or the work location of the patient.

SOURCE: HI Revised Statues Section 671-7(c). (Accessed Oct. 2022).

The criteria for sites eligible to receive PPS payment is the same regardless whether or not tele-health is utilized. The services must be provided at a HRSA approved site or satellite. 5C (Other Activities/Locations) sites are not eligible to receive PPS reimbursement in Hawaii and therefore are not eligible to receive PPS for tele-health services.

The spoke site (originating site) is the location where the patient is located whether accompanied or not by a health care provider through tele-health. The originating site includes a patient’s residence.

The hub (distant site) is the location of the Medicaid eligible health care provider that delivers Medicaid eligible services through tele-health.

SOURCE: MedQUEST Memo QI-2007/FFS 20-03 (March 16, 2020). (Accessed Oct. 2022).

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Idaho

Last updated 08/22/2022

No reference found.

No reference found.

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Illinois

Last updated 11/18/2022

The Originating Site is the site where the patient is …

The Originating Site is the site where the patient is located. An encounter clinic serving as the Originating Site shall be reimbursed their medical encounter. The Originating Site encounter clinic must ensure and document that the Distant Site provider meets the Department’s requirements for telehealth and telepsychiatry services since the clinic is responsible for reimbursement to the Distant Site provider. For telemedicine services, a physician or other licensed health care professional must be present at all times with the patient at the Originating Site. For telepsychiatry services, a physician, licensed health care professional or other licensed clinician, mental health professional (MHP), or qualified mental health professional (QMHP), as defined in 59 IL Admin Code 132.25, must be present at all times with the patient at the Originating Site.

SOURCE: Handbook for Encounter Clinic Services. Ch. 200, pg. 17.  Aug. 2016. (Accessed Nov. 2022).

An encounter clinic serving as the originating site shall be reimbursed for its medical encounter as defined in Section 140.462.  The clinic is responsible for reimbursement to the distant site provider.

SOURCE: IL Administrative Code 89 140.403 (3). (Accessed Nov 2022).

See billing examples in appendix.

SOURCE: IL Dept of Healthcare and Family Services (Sept. 23, 2020). (Accessed Nov. 2022).

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Indiana

Last updated 10/30/2022

When the FQHC or RHC is the originating site (the …

When the FQHC or RHC is the originating site (the location where the patient is physically located), the FQHC or RHC may be reimbursed if it is medically necessary for a medical professional to be present with the member, and the service provided includes all components of a valid encounter code. The claim must include the following:

  • Encounter code T1015 (or D9999 for valid dental encounters), billed with POS code 02, 03, 04, 11, 12, 31, 32, 50 or 72
  • Procedure code Q3014 – Telehealth originating site facility fee, billed with POS code 02 and modifier 95
  • One or more appropriate procedure codes for the specific services rendered, billed with modifier 93 or 95, and a POS code of either 02 or 10, depending on the originating site/location of the patient

SOURCE:  Indiana Health Coverage Programs, Provider Reference Module, Telehealth and Virtual Services (Sept. 27, 2022), p. 6.  (Accessed Oct. 2022).

When FQHCs and RHCs bill as an originating site, they must also include procedure code Q3014 – Telehealth originating site facility fee, billed with POS code 02 and modifier 95, on the claim.

SOURCE: IHCP Bulletin BT 202253 (July 14, 2022), p. 1. (Accessed Oct. 2022).

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Iowa

Last updated 10/25/2022

FQHCs may serve as originating sites.

See: IA Medicaid Live

Kansas

Last updated 08/24/2022

The originating site, with the member present, may bill code …

The originating site, with the member present, may bill code Q3014 with POS code 50 or 72 under the originating site provider ID and location number.

SOURCE: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, FQHC/RHC, 8-13 (Aug. 2022), (Accessed Aug. 2022). 

See: KS Medicaid Live Video Eligible Sites

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Kentucky

Last updated 10/31/2022

Rural health clinics, federally qualified health centers, and federally qualified …

Rural health clinics, federally qualified health centers, and federally qualified health center look-alikes shall be reimbursed as an originating site in an amount equal to that which is permitted under 42 U.S.C. sec. 1395m for Medicare-participating providers, if the insured was physically located at the rural health clinic, federally qualified health center, or federally qualified health center look-alike at the time of service or consultation delivery and the provider of the telehealth service or telehealth consultation is not employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike.

SOURCE: KY Revised Statute Sec. 304.17A-138. (Accessed Oct. 2022).

See: KY Medicaid Live Video Eligible Sites.

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Louisiana

Last updated 11/08/2022

LA Medicaid does not have an explicit list of eligible …

LA Medicaid does not have an explicit list of eligible originating sites. They only state that a site should be coded either with POS 02 (places other than the home) or POS 10 (beneficiary’s home).  Note that they do not reimburse an originating site fee.

SOURCE: LA Dept. of Health, Informational Bulletin 20-1. (May 20, 2022). (Accessed Nov. 2022).

See: LA Medicaid Live Video Eligible Sites

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Maine

Last updated 10/18/2022

When an FQHC or RHC serves as the Originating (Member) …

When an FQHC or RHC serves as the Originating (Member) Site, the Originating Facility Fee is paid separately from the center or clinic all-inclusive rate.

SOURCE: MaineCare Benefits Manual, Telehealth, 10-144 Ch. 101, Ch. 1, Sec. 4., p. 13. (June 15, 2020). (Accessed Oct. 2022).

Also see: ME Medicaid Live Video Eligible Sites

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Maryland

Last updated 11/22/2022

FQHCs are eligible originating sites.

SOURCE: MD Medicaid Telehealth Program.

FQHCs are eligible originating sites.

SOURCE: MD Medicaid Telehealth Program. Telehealth Provider Manual, p. 2. Updated April 2020Code of Maryland Admin. Regs. Sec. 10.09.49.06. (Accessed Nov. 2022).

FQHCs and RHCs may be approved as an originating site for TMH health service delivery.

SOURCE: Code of Maryland Admin. Regs. Sec. 10.21.30.05. (Accessed Nov. 2022).

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Massachusetts

Last updated 11/17/2022

Michigan

Last updated 11/22/2022

An FQHC can be either an originating or distant site …

An FQHC can be either an originating or distant site for telemedicine services.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 738, Oct. 1, 2022 (Accessed Nov. 2022). 

The following are authorized as originating sites for telemedicine services:

  • Federally Qualified Health Center (FQHC)

SOURCE: Dept. of Health and Human Services Medicaid Provider Manual, p. 1887, Oct. 1, 2022 (Accessed Nov. 2022). 

See: MI Medicaid Live Video Eligible Sites.

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Minnesota

Last updated 10/24/2022

Rehabilitation Services

Eligible originating sites:

  • Rural health clinic (RHC) and

Rehabilitation Services

Eligible originating sites:

  • Rural health clinic (RHC) and Federally Qualified Health Center (FQHC)

SOURCE: MN Dept. of Human Svcs., Provider Manual, Rehabilitation Svcs. Jan. 25, 2022. (Accessed Oct. 2022).

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Mississippi

Last updated 11/17/2022

The Division of Medicaid covers telehealth services at the following …

The Division of Medicaid covers telehealth services at the following locations:

  • Federally Qualified Health Center (FQHC)

SOURCE: MS Admin. Code Title 23, Part 225, Rule. 1.3(B) (Accessed Nov. 2022).

An encounter for face-to-face telehealth services provided by the FQHC acting as a distant site provider. MS Medicaid reimburses a FQHC for both the distant and originating provider site when such services are appropriately provided by the FQHC.

SOURCE: MS Admin. Code Title 23, Part 211, Rule. 1.5. (Accessed Nov. 2022).

The division shall recognize federally qualified health centers (FQHCs), rural health clinics (RHCs)) and community mental health centers (CMHCs) as both an originating and distant site provider for the purposes of telehealth reimbursement. The division is further authorized and directed to reimburse FQHCs, RHCs and CMHCs for both distant site and originating site services when such services are appropriately provided by the same organization.

SOURCE: MS Code Section 43-13-117 – Sunsets July 1, 2024, (Accessed Nov. 2022).

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Missouri

Last updated 08/19/2022

FQHCs are eligible for originating site facility fee indicating they …

FQHCs are eligible for originating site facility fee indicating they can serve as originating sites.

See: MO Medicaid Live Video Eligible Sites.

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Montana

Last updated 11/01/2022

FQHCs listed as eligible site in Telemedicine manual.

SOURCE: MT

Nebraska

Last updated 11/18/2022

Not explicitly listed as originating site, although FQHCs are eligible …

Not explicitly listed as originating site, although FQHCs are eligible for reimbursement of transmission costs.

See: NE Medicaid Live Video Eligible Sites.

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Nevada

Last updated 11/03/2022

Facilities that are eligible for encounter reimbursement (e.g. Indian Health …

Facilities that are eligible for encounter reimbursement (e.g. Indian Health (IH) programs, Federally Qualified Health Centers (FQHCs), Rural Health Centers (RHCs)) may bill for an encounter in lieu of an originating site facility fee, if the distant site is for ancillary services (i.e. consult with specialist). If the originating site and distant site are two different encounter sites, the originating site may only bill the telehealth facility fee, and the distant encounter site may bill the encounter code.

SOURCE: NV Dept. of Health and Human Svcs., Medicaid Services Manual, Telehealth Services Chapter 3400, Section 3403.1, pg. 2 (Jun. 2022). (Accessed Nov. 2022).

Eligible sites:

  • Federally Qualified Health Center (FQHC)

SOURCE: Nevada Dept. of Health and Human Services Billing Guidelines Telehealth Billing Instructions, p. 1 (Nov. 18, 2020) (Accessed Nov. 2022).

See: NV Medicaid Live Video Eligible Sites

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New Hampshire

Last updated 11/10/2022

Not explicitly listed as originating site, however there is no …

Not explicitly listed as originating site, however there is no restriction on eligible originating site, according to statute.  Additionally, NH complies with the Centers for Medicare and Medicaid Services requirements for telehealth, which does reimburse a facility fee to FQHCs.

See: NH Medicaid Live Video Eligible Sites.

SOURCE: NH Revised Statutes 167:4-d (Accessed Nov. 2022).

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New Jersey

Last updated 09/06/2022

NJ statute prohibits NJ Medicaid from imposing restrictions on the …

NJ statute prohibits NJ Medicaid from imposing restrictions on the location or setting of a distant site.

NJ Medicaid newsletters limits sites to independent clinics (which include FQHCs, mental health clinics, and outpatient hospital programs.

SOURCE: NJ Division of Medical Assistance and Health Services. Newsletter. Volume 28, No. 17, Sept. 2018. (Accessed Sept. 2022).

See: NJ Medicaid Live Video Eligible Sites.

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New Mexico

Last updated 10/28/2022

Telemedicine originating-site

The location of a MAP eligible recipient at …

Telemedicine originating-site

The location of a MAP eligible recipient at the time the service is being furnished via an interactive telemedicine communications system. The origination-site can be any of the following medically warranted sites where services are furnished to a MAP eligible recipient.

  • A federally qualified health center (as defined in section 1861 (aa)(4) of the Act).

SOURCE: NM Administrative Code 8.310.2.12 (M)(a). (Accessed Oct. 2022).

See:   NM Medicaid Live Video Eligible Sites

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New York

Last updated 08/25/2022

When services are provided via telemedicine to a patient located …

When services are provided via telemedicine to a patient located at an FQHC originating site, the originating site may bill only the FQHC offsite services rate code (4012) to recoup administrative expenses associated with the telemedicine encounter. When a separate and distinct medical service, unrelated to the telemedicine encounter, is provided by a qualified practitioner at the FQHC originating site, the originating site may bill the Prospective Payment System (PPS) rate in addition to the FQHC offsite services rate code (4012).

SOURCE: NY Dept. of Health, Medicaid Update, Vol. 35, Number 2, February 2019, p. 11. (Accessed Aug. 2022).

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North Carolina

Last updated 11/03/2022

Hybrid Telehealth with Supporting Home Visit

FQHCs and RHCs may …

Hybrid Telehealth with Supporting Home Visit

FQHCs and RHCs may bill their core service code (T1015, T1015-HI, or T1015-SC) and an originating site facility fee (Q3014) for hybrid model visits to reflect the additional cost of the delegated staff person attending the patient’s home.  HCPCS code Q3014 must be appended with the GT modifier and billed with a place of service ‘12’ to designate that the originating site was the home. See manual for additional requirements.

SOURCE: NC Div. of Medical Assistance, Medicaid and Health Choice Manual, Clinical Coverage Policy No: 1H, Telehealth, Virtual Communications and Remote Patient Monitoring, pg. 14 Oct. 1, 2022NC Div. of Medical Assistance, Medicaid and Health Choice Manual, Clinical Coverage Policy No: 1D-4, Core Services Provided in Federally Qualified Health Centers and Rural Health Clinics, p. 19, Dec. 1, 2020. (Accessed Nov. 2022).

Medicaid Telehealth manual indicates there are no restrictions on originating sites.

See: NC Medicaid Live Video Eligible Sites

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North Dakota

Last updated 11/08/2022

FQHCs are not listed explicitly as an eligible originating site.…

FQHCs are not listed explicitly as an eligible originating site.

See: ND Medicaid Live Video Eligible Sites.

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Ohio

Last updated 09/07/2022

There is no limitation on the practitioner or patient site.…

Oklahoma

Last updated 09/05/2022

Not explicitly listed as originating site, according to statute.

See: …

Not explicitly listed as originating site, according to statute.

See: OK Medicaid Live Video Eligible Sites.

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Oregon

Last updated 11/10/2022

OR Medicaid indicates patients should be in a community or …

OR Medicaid indicates patients should be in a community or health care setting but don’t make an explicit reference to FQHCs.

See: OR Medicaid Live Video Eligible Sites.

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Pennsylvania

Last updated 09/06/2022

Not explicitly listed as originating site, however there is no …

Not explicitly listed as originating site, however there is no restriction on eligible originating site, according to PA Dept. of Human Services Bulletin  99-22-02.

The originating site is where the beneficiary is located at the time the MA covered service is rendered to them via telemedicine. The originating site can be, but is not limited to the beneficiary’s home, a provider’s office, clinic, nursing facility, or other medical facility site. When the originating site is a provider’s office, clinic, nursing facility or other medical facility, staff at the originating site should be trained to assist beneficiaries with the use of the telemedicine equipment and available to provide in-person clinical intervention, if needed. The provider may bill the telehealth originating site facility fee (procedure code Q3014) for the use of their office if no other MA covered service is provided at the originating site.

Providers should obtain the location of the beneficiary at the time each service is rendered via telemedicine should there be a need for emergency medical services.

SOURCE: PA Department of Human Services, Medical Assistance  Bulletin 99-22-02 (May 6, 2022), (Accessed Sept. 2022).

Telepsych services delivered in FQHCs and RHCs require providers to have a service description approved by the Office of Mental Health and Substance Abuse Services and the service must be deliverable through the managed care option. Telepsych services are limited to psychologists and psychiatrists.

SOURCE:  PA PROMISe, 837 Professional/CMS-1500 Claim Form, Provider Handbook, Appendix E – FQHC/RHC. p. 10 (Apr. 22, 2014). (Accessed Apr. 2022).

See: PA Medicaid Live Video Eligible Sites.

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Puerto Rico

Last updated 09/08/2022

No reference found.

No reference found.

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Rhode Island

Last updated 10/21/2022

RI Medicaid defines the originating site to be the patient’s …

RI Medicaid defines the originating site to be the patient’s location at the time healthcare services are provided by means of telemedicine and includes the patient’s home.  No explicit reference is made to FQHCs.

See: RI Medicaid Live Video Eligible Sites

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South Carolina

Last updated 08/12/2022

FQHCs are covered referring sites – A referring site is …

FQHCs are covered referring sites – A referring site is the location of an eligible Medicaid beneficiary at the time the service being furnished via a telecommunication system occurs. Medicaid beneficiaries are eligible for telemedicine services only if they are presented from a referring site located in the SCMSA. Referring site presenters may be required to facilitate the delivery of this service. Referring site presenters should be a provider knowledgeable in how the equipment works and can provide the clinical support if needed during a session.

SOURCE: SC Health and Human Svcs. Dept. Physicians Provider Manual, p. 30 (July 2022). (Accessed Aug. 2022).

The referring site is only eligible to receive a facility fee for telemedicine services. Claims must be submitted with an appropriate HCPCS code (Telemedicine originating site facility fee). If a provider from the referring site performs a separately identifiable service for the beneficiary on the same day as telemedicine, documentation for both services must be clearly and separately identified in the beneficiary’s medical record, and both services are eligible for full reimbursement.

SOURCE: SC Health and Human Svcs. Dept. Physicians Provider Manual, p. 215 (July 2022). (Accessed Aug. 2022).

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South Dakota

Last updated 11/10/2022

FQHC/RHCs are eligible to serve as an originating site for …

FQHC/RHCs are eligible to serve as an originating site for telemedicine services and may also provide distant site telemedicine services. An originating site is the physical location of the Medicaid recipient at the time the service is provided. Please refer to the Telemedicine manual for additional information.

SOURCE: SD Medicaid Billing and Policy Manual, FQHC and RHC Services, June. 2022, pg. 7 (Accessed Nov. 2022).

See: SD Medicaid Live Video Originating Site

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Tennessee

Last updated 09/04/2022

“Qualified site” means the office of a healthcare services provider, …

“Qualified site” means the office of a healthcare services provider, a hospital licensed under title 68, a facility recognized as a rural health clinic under federal Medicare regulations, a federally qualified health center, a facility licensed under title 33, or another location deemed acceptable by the health insurance entity; and Includes, for the provision of behavioral health services provided via telehealth, the patient’s home or a remote location chosen by the patient.

SOURCE: TN Code Annotated, Sec. 56-7-1002, as amended by House Bill 620 & Senate Bill 429, (2021 Session), (Accessed Sept. 2022).

Reimbursement and coverage must be provided for telehealth services and provider-based telemedicine without any distinction or consideration of the geographic location or any federal, state, or local designation, or classification of the geographic area where the patient is located.

SOURCE: TN Code Annotated, Title 56, Ch. 7, Part 1002, & Part 1003, (Accessed Sept. 2022).

See: TN Medicaid Live Video Eligible Sites.

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Texas

Last updated 09/07/2022

FQHCs are eligible for a facility fee when they serve …

FQHCs are eligible for a facility fee when they serve as the patient site, indicating that they are an eligible originating site for telemedicine/telehealth.

See: TX Medicaid Live Video Eligible Sites.

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Utah

Last updated 08/23/2022

Not mentioned explicitly, however state does not have a specific …

Not mentioned explicitly, however state does not have a specific originating site list.

See: UT Medicaid Live Video Eligible Sites

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Vermont

Last updated 10/27/2022

An originating site is defined as the location of the …

An originating site is defined as the location of the patient, whether or not accompanied by a health care provider, at the time services are provided by a health care provider through telemedicine, including a health care provider’s office, a hospital, or a health care facility, or the patient’s home or another nonmedical environment such as a school-based health center, a university-based health center or patient’s workplace.  However, there is no explicit reference to FQHCs.

See: VT Medicaid Live Video Eligible Sites.

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Virgin Islands

Last updated 09/08/2022

No reference found.

No reference found.

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Virginia

Last updated 11/23/2022

The originating site is the location of the member at …

The originating site is the location of the member at the time the service is rendered, or the site where the asynchronous store-and-forward service originates (i.e., where the data are collected). Examples of originating sites include: medical care facility; Provider’s outpatient office; the member’s residence or school; or other community location (e.g., place of employment). Does not explicitly specify that an FQHC is eligible.

SOURCE:  VA Dept. of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Available in multiple manuals, including physician/practitioner, see overview for full list), (Oct. 2022) (Accessed Nov. 2022).

See: VA Medicaid Live Video Eligible Sites.

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Washington

Last updated 08/26/2022

FQHCs are authorized to serve as an originating site for …

West Virginia

Last updated 09/02/2022

Yes, FQHCs are listed as eligible originating medical facility sites.…

Yes, FQHCs are listed as eligible originating medical facility sites.

SOURCE: WV Dept. of Health and Human Svcs. Medicaid Provider Manual, Chapter–519.17 Practitioner Services: Telehealth Services., p. 2 (Effective Jan. 1, 2022). (Accessed Sept. 2022).

FQHCs or RHCs may serve as an originating site for Telehealth services, which is the location of the Medicaid member at the time the service is provided through a telecommunications system.

SOURCE: WV Dept. of Health and Human Svcs. Medicaid Provider Manual. Chapter 522.8 Federally Qualified Health Center and Rural Health Clinic Svcs. P. 9. (July 1, 2019). (Accessed Sept. 2022).

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Wisconsin

Last updated 11/21/2022

For the purpose of this Online Handbook topic, FQHC refers …

For the purpose of this Online Handbook topic, FQHC refers to Tribal and Out-of-State FQHCs. This topic does not apply to Community Health Centers subject to PPS reimbursement.

FQHCs and RHCs may serve as originating site and distant site providers for telehealth services.

The originating site facility fee is not a FQHC or RHC reportable encounter on the cost report. Any reimbursement for the originating site facility fee must be reported as a deductive value on the cost report.

SOURCE: WI ForwardHealth Online Handbook. Topic #510 Telehealth, (Accessed Nov. 2022).

See WI Medicaid Live Video Eligible Sites.

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Wyoming

Last updated 10/20/2022

The Originating Site or Spoke site is the location of …

The Originating Site or Spoke site is the location of an eligible Medicaid client at the time the service is being furnished via telecommunications system occurs.

Authorized originating sites:

  • Federally Qualified Health Centers

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, p. 133 (Sept. 30, 2022), WY Division of Healthcare Financing Tribal Provider Manual, pgs. 144 & 224 (Sept. 30, 2022) & Institutional Provider Manual pg. 142.  (Sept. 30, 2022). (Accessed Oct. 2022).

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Federally Qualified Health Center (FQHC)

Eligible Originating Site

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