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 12/14/2023

FQHCs are listed as an eligible originating site.

SOURCE:  Social

Alabama

Last updated 02/26/2024

The following sites are recognized by Medicaid as origination sites: …

The following sites are recognized by Medicaid as origination sites: …

  • Federally Qualified Health Centers (FQHCs)

Telemedicine services can be rendered to a recipient in their home. However, a recipient’s home should not be considered an origination site entitled to receive an origination site fee.

FQHCs can bill Q3014 (independent of the encounter rate)

SOURCE: AL Medicaid Management Information System Provider Manual, Telemedicine Services, Ch. 112, Jan. 2024, p. 5 & 11 (Accessed Feb. 2024).

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Alaska

Last updated 02/27/2024

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).

NOTE: Manual is under review.

SOURCE: AK Dept. of Health and Social Svcs. Billing for Telemedicine Services. Section II: Professional Claims Management [listed under FQHC tab], Feb. 6, 2020, pg. 20, (Accessed Feb. 2024).

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Arizona

Last updated 02/09/2024

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 02/06/2024

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 Feb. 2024).

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California

Last updated 12/20/2023

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

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

The billable provider, employed or under direct contract with an FQHC or RHC can respond from any location, including their home, during a time that they are scheduled to work for the FQHC or RHC.

For the purposes of payment for covered treatment or services provided through telehealth, the department shall not limit the type of setting where services are provided for the patient or by the health care provider.

SOURCE: CA Department of Health Care Services (DHCS). Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHC) Outpatient Services Manual.(Jan 2023), p. 15-20. (Accessed Dec. 2023).

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Colorado

Last updated 01/29/2024

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 8/22. (Accessed Jan. 2024).

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” 1/24. (Accessed Jan. 2024).

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Connecticut

Last updated 01/10/2024

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 Jan. 2024).

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Delaware

Last updated 01/15/2024

FQHCs are listed as eligible originating medical facility sites in …

FQHCs are listed as eligible originating medical facility sites in the Behavioral Health manual. Generally, according to the Practitioner manual as well, an originating site refers to the facility in which the Medicaid patient is located at the time the service is being furnished, and 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 telehealth can be effectively utilized.

SOURCE: DE Medical Assistance Program. Practitioner Provider Specific Manual, 1/12/24. Ch. 16.2.5.4.1 & 16.2.5, pg. 73 & Adult Behavioral Health Service Certification and Reimbursement. Dec. 1, 2016. Sec. 1. 8. pg. 11 & 12. (Accessed Jan. 2024).

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Florida

Last updated 02/23/2024

No Reference Found.

No Reference Found.

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Georgia

Last updated 01/31/2024

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. 38 (Jan. 1, 2024).  Georgia Department of Community Health, Division of Medicaid, Federally Qualified Health Center Services and Rural Health Clinic Services, p. 24 (Jan. 1, 2024). (Accessed Jan. 2024).

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Hawaii

Last updated 02/13/2024

Until December 31, 2024, Federally Qualified Health Center (FQHC) behavioral …

Until December 31, 2024, Federally Qualified Health Center (FQHC) behavioral health providers may be located at a non-HRSA approved site or satellite within the United States and the United States’ territories. If the FQHC provider is prescribing controlled substances, they must be located in the State of Hawai’i.

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 nonmedical environments such as schoolbased health centers, university-based health centers, or the work location of the patient. The originating site includes a patient’s residence. The U.S. Department of Health and Human Services Office for Civil Rights expects that patients should not receive telehealth services in public or semi-public settings, absent patient consent or exigent circumstances.

SOURCE: Med-QUEST Memo QI-2338/FFS 23-22/CCS-2311.  (Accessed Feb. 2024).

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 346-59.1(g). (Accessed Feb. 2024).

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Idaho

Last updated 02/13/2024

No reference found.

No reference found.

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Illinois

Last updated 02/27/2024

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 Feb. 2024).

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 Feb 2024).

See billing examples in appendix.

SOURCE: IL Dept of Healthcare and Family Services (Sept. 23, 2020). Encounter Clinic Services – Appendices.  (Accessed Feb. 2024).

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Indiana

Last updated 12/05/2023

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 Dec. 2023).

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 Dec. 2023).

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Iowa

Last updated 01/15/2024

FQHCs may serve as originating sites.

See: IA Medicaid Live

Kansas

Last updated 12/06/2023

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, 8-14 (Aug. 2023), (Accessed Dec. 2023).

See: KS Medicaid Live Video Eligible Sites

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Kentucky

Last updated 12/11/2023

For rural health clinics, federally qualified health centers, and federally …

For rural health clinics, federally qualified health centers, and federally qualified health center look-alikes, reimbursement for covered telehealth services and telehealth consultations shall:

  • To the extent permitted under federal law, include an originating site fee in an amount equal to that which is permitted under 42 U.S.C. sec. 1395m for Medicare-participating providers if the Medicaid beneficiary who received the telehealth service or telehealth consultation 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 Statute Sec. 205.559. (Accessed Dec. 2023).

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 Dec. 2023).

See: KY Medicaid Live Video Eligible Sites.

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Louisiana

Last updated 02/15/2024

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 Feb. 2024).

See: LA Medicaid Live Video Eligible Sites

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Maine

Last updated 02/03/2024

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. 12. (Nov. 6, 2023). (Accessed Feb. 2024).

Also see: ME Medicaid Live Video Eligible Sites

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Maryland

Last updated 02/21/2024

The originating site may be any secure location, approved by

The originating site may be any secure location, approved by the participant and the provider, for the delivery of services.

SOURCE: MD Medicaid Synchronous Telehealth Policy Guide, p. 2, 7. Updated Aug. 2023; COMAR Sec. 10.09.49.04. (Accessed Feb. 2024).

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 Feb. 2024).

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Massachusetts

Last updated 01/12/2024

Michigan

Last updated 09/05/2023

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. 750, Jul. 1, 2023 (Accessed Sept. 2023).

Authorized originating sites:

  • Federally Qualified Health Center (FQHC)

SOURCE: Dept. of Health and Human Services Medicaid Provider Manual, p. 2117, Jul. 1, 2023 (Accessed Sept. 2023).

See: MI Medicaid Live Video Eligible Sites.

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Minnesota

Last updated 02/29/2024

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 Feb. 2024).

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Mississippi

Last updated 12/23/2023

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 Dec. 2023).

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 Dec. 2023).

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 Dec. 2023).

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Missouri

Last updated 01/20/2024

FQHC Cost Reporting: Originating Site

The telemedicine charges and costs, …

FQHC Cost Reporting: Originating Site

The telemedicine charges and costs, including the depreciation cost for equipment, are not allowed on the FQHC cost report.

FQHC providers must remove charges and payments for telemedicine services from their year-end cost reports.

SOURCE: MO HealthNet Telemedicine Billing PPT, Education and Training Unit, Revised July 2022, (Accessed Jan. 2024).

RHCs and FQHCs are eligible to receive reimbursement for a facility fee for Telehealth services when operating as the originating site. Claims must be submitted with HCPCS code Q3014 (Telehealth originating site facility fee). Reimbursement will be made at the lesser of the actual charge or $14.75. FQHCs will be reimbursed at 92% of their billed charges up to a maximum payment of $14.75.

Effective for dates of service on or after January 1, 2016, FQHC providers must bill no more than $16.03 to receive the $14.75 reimbursement.  Claims will be subject to post payment review and those reimbursed more than $14.75 will be adjusted to recoup the difference.

FQHC providers must leave the Rendering Provider ID field (24j on CMS-1500) blank on their claims when billing the Q3014 originating site facility charge.

FQHCs must remove charges and payments for Telehealth services from their year-end cost reports.

SOURCE: Provider Bulletin Volume 38, No. 46, June 1, 2016, (Accessed Jan. 2024).

As stated in the Telehealth bulletin, Volume 38 Number 46, dated June 1, 2016, RHCs and FQHCs are eligible to receive reimbursement for a facility fee for Telehealth services when operating as the originating site. Claims must be submitted with HCPCS code Q3014 (Telehealth originating site facility fee). For dates of service on or after July 1, 2016, the originating site reimbursement is increased by 1% and will be the lesser of the usual and customary charge or $15.61.
Effective for dates of service on or after July 1, 2016, FQHC providers must bill no more than $16.97 in order to receive the $15.61 maximum reimbursement. Claims will be subject to post payment review and those reimbursed more than $15.61will be adjusted to recoup the difference.

FQHC providers must leave the Rendering Provider ID field (24j on CMS-1500) blank on their claims when billing the Q3014 originating site facility charge. FQHC providers must also remove charges and payments for Telehealth services from their year-end cost reports.

SOURCE: Provider Bulletin Volume 39, No. 28, Nov. 9, 2016, (Accessed Jan. 2024).

See: MO Medicaid Live Video Eligible Sites.

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Montana

Last updated 02/13/2024

FQHCs listed as eligible site in Telemedicine manual.

SOURCE: MT

FQHCs listed as eligible site in Telemedicine manual.

SOURCE: MT Dept. of Public Health and Human Svcs., Medicaid and Medical Assistance Programs Manual, General Information for Providers, Telemedicine (Feb. 2020). (Accessed Feb. 2024).

The following revenue codes are reimbursable when billed by an RHC or FQHC with a valid, allowable procedure code:

  • 0780 – Telehealth originating site

SOURCE: MT Dept. of Public Health and Human Svcs., FQHC and RHC Provider Manual, Nov. 2021, pg. 8 (Accessed Feb. 2024).

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Nebraska

Last updated 01/04/2024

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 12/18/2023

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 Dec. 2023).

Eligible sites:

  • Federally Qualified Health Center (FQHC)

SOURCE: Nevada Dept. of Health and Human Services Billing Guidelines Telehealth Billing Instructions, p. 1 (2/22/23) (Accessed Dec. 2023).

Originating Site: The FQHC may bill an encounter rate in lieu of the originating site fee, if the distant site (provider) is providing ancillary services. The originating site code, Q3014, must be used when billing in lieu of an encounter code.

SOURCE: NV Medicaid FQHC Billing Guidelines. 8/30/19. (Accessed Dec. 2023).

See: NV Medicaid Live Video Eligible Sites

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New Hampshire

Last updated 12/19/2023

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.

SOURCE: NH Revised Statutes 167:4-d (Accessed Dec. 2023).

See: NH Medicaid Live Video Eligible Sites.

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New Jersey

Last updated 02/02/2024

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 Feb. 2024).

See: NJ Medicaid Live Video Eligible Sites.

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New Mexico

Last updated 02/26/2024

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 Feb. 2024).

See: NM Medicaid Live Video Eligible Sites

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New York

Last updated 11/18/2023

When services are provided via telemedicine to a member located …

When services are provided via telemedicine to a member located at a FQHC opting into APGs, the provider submits an APG claim for services provided. If the off-site provider delivering service is not employed or contracted by the facility, the provider submits APGs for CPT code “Q3014” as originating site fee. See Medicaid Comprehensive Guidance for further site and location billing scenarios.

SOURCE: NY Dept. of Health, Medicaid Update, Vol. 39, Number 3, February 2023, p. 8, 15-17. (Accessed Nov. 2023).

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North Carolina

Last updated 12/12/2023

Hybrid Telehealth with Supporting Home Visit

FQHCs, FQHC-Lookalikes, and RHCs …

Hybrid Telehealth with Supporting Home Visit

FQHCs, FQHC-Lookalikes, and RHCs may utilize this hybrid model but shall not bill the home visit codes in table C.1.; FQHCs, FQHC-Lookalikes and RHCs may bill their core service code (T1015) and an originating site facility fee (Q3014) for hybrid model visits to reflect the additional cost of the delegated staff person attending the beneficiary’s home. To be reimbursed for the originating site facility fee, all of the following requirements must be met for each home visit:

  • The assistance delivered in the home must be given by an appropriately trained delegated staff person.
  • The fee must be billed for the same day that the home visit is conducted.
  • 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.
  • The core service code (T1015) must be billed separately from the originating site facility fee code (Q3014)

SOURCE: NC Div. of Medical Assistance, Medicaid and Health Choice Manual, Clinical Coverage Policy No: 1H, Telehealth, Virtual Communications and Remote Patient Monitoring, Amended Jun. 1, 2023, (Accessed Dec. 2023).

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. To be reimbursed for the originating site facility fee, all of the following requirements must be met for each home visit:

  • The assistance delivered in the home must be given by an appropriately trained delegated staff person.
  • The fee must be billed for the same day that the home visit is conducted.
  • 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.
  • The core service code (T1015, T1015-HI or T1015-SC) must be billed as a separate claim from the originating site facility fee code (Q3014).

Telehealth claims, except for hybrid telehealth with supporting home visits, should be filed with the provider’s usual place of service code(s).

Hybrid telehealth with supporting home visits should be filed with Place of Service (POS) 12 (home).

SOURCE: NC 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. 18, Aug. 15, 2023. (Accessed Dec. 2023).

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 11/15/2023

FQHCs and RHCs

Revenue code 0780 should only be reported …

FQHCs and RHCs

Revenue code 0780 should only be reported along with Q3014 when the FQHC is the originating site.

SOURCE: ND Medicaid, Telehealth, Jan. 2024, (Accessed Feb. 2024).

FQHCs and RHCs – Dentistry

Revenue code 0780 should only be reported along with Q3014 when the FQHC is the originating site. When providing teledentistry services to patients located in their homes or another facility, FQHCs and RHCs should continue to bill the revenue code listed below along with the CDT© code for the service rendered appended with modifier GT or 95.

Revenue Code 512: Dental Clinic.

SOURCE: North Dakota Human Services Dental Manual, Teledentistry, pg. 12-13 (Jan. 2024), (Accessed Feb. 2024).

See: ND Medicaid Live Video Eligible Sites.

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Ohio

Last updated 02/16/2024

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

There is no limitation on the practitioner or patient site.

SOURCE: The Ohio Department of Medicaid.  Telehealth Billing Guide.  Revised 7/15/2022.  (Accessed Feb. 2024).

Managed Care

Patient Site – the physical location of the patient at the time a health care service is provided through the use of telehealth. There is no limitation on the patient site except for penal facilities or public institutions such as jail or prison. Medicaid covered individuals can access telehealth services in the following locations, but are not limited to:  …

  • Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC)

SOURCE: OH Department of Medicaid, Telehealth Services: Guidelines for Managed Care Entities, July 15, 2022, (Accessed Feb. 2024).

See: OH Medicaid Live Video Eligible Sites.

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Oklahoma

Last updated 12/04/2023

Clinic Services

Telehealth and audio-only health service delivery requires either …

Clinic Services

Telehealth and audio-only health service delivery requires either the provider or the member to be located at the freestanding clinic that is providing services pursuant to the Code of Federal Regulations. Refer to section Oklahoma Administrative Code (OAC) 317:30-3-27 for telehealth policy and OAC 317:30-3-27.1 for audio-only telecommunication policy.

SOURCE: OK Admin Code Sec. 317.30-5-575, (Accessed Dec. 2023).

See: OK Medicaid Live Video Eligible Sites.

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Oregon

Last updated 12/20/2023

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 01/22/2024

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  99-23-08.

The originating site is where the beneficiary is located at the time the MA covered service is rendered to them via telehealth. 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 telehealth equipment and available to provide in-person clinical intervention, if needed. Providers should obtain the location of the beneficiary at the time each service is rendered via telehealth should there be a need for emergency medical services.

SOURCE: PA Department of Human Services, Medical Assistance  Bulletin 99-23-08 (Aug. 2, 2023), p. 4, (Accessed Jan. 2024).

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 Jan. 2024).

See: PA Medicaid Live Video Eligible Sites.

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Puerto Rico

Last updated 12/18/2023

No reference found.

No reference found.

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Rhode Island

Last updated 02/01/2024

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 02/08/2024

FQHCs are covered referring sites – A referring site (also …

FQHCs are covered referring sites – A referring site (also called the patient site) is the location of an eligible Medicaid beneficiary at the time the telehealth service is being furnished . Medicaid beneficiaries are eligible for telehealth 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 person knowledgeable in how the equipment works and able to provide clinical support if needed during a session.

SOURCE: SC Health and Human Svcs. Dept. Physicians Provider Manual, p. 33 (Feb. 2024). (Accessed Feb. 2024).

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

RHCs and FQHCs are eligible to receive reimbursement for a facility fee for the telehealth services when operating as the referring site. Claims must be submitted with the HCPCS code for telehealth referring site facility fee. When serving as the referring site, the RHCs and FQHCs cannot bill the encounter code if these are the only services being rendered.

SOURCE: SC Health and Human Svcs. Dept. Physicians Provider Manual, p. 215 (Feb. 2023). (Accessed Feb. 2024).

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South Dakota

Last updated 12/21/2023

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. A distant site is the physical location of the practitioner providing the service via telemedicine. Please refer to the Telemedicine manual for additional information.

SOURCE: SD Medicaid Billing and Policy Manual, FQHC and RHC Services, Dec. 2023, (Accessed Dec. 2023).

The following providers are eligible to be reimbursed a facility fee for serving as an originating site:

  • Federally Qualified Health Center (FQHC)

SOURCE: SD Medicaid Billing and Policy Manual: Telemedicine, p. 2 (Dec. 2023), (Accessed Dec. 2023),

See: SD Medicaid Live Video Originating Site

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Tennessee

Last updated 01/21/2024

“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, any facility licensed under title 33, or any other location deemed acceptable by the health insurance entity.

SOURCE: TN Code Annotated, Sec. 56-7-1002, (Accessed Jan. 2024).

“Qualified site” means the primary or satellite 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 any other location deemed acceptable by the health insurance entity.

SOURCE: TN Code Annotated, Sec. 56-7-1003, (Accessed Jan. 2024).

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 Jan. 2024).

See: TN Medicaid Live Video Eligible Sites.

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Texas

Last updated 01/07/2024

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 02/28/2024

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 12/05/2023

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 12/18/2023

No reference found.

No reference found.

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Virginia

Last updated 01/05/2024

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).

Telehealth services may be included in a Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), or Indian Health Center (IHC) scope of practice, as approved by HRSA and the Commonwealth. If approved, these facilities may serve as the Provider or originating site and bill under the encounter rate. The encounter rate methodology for FQHCs and RHCs is described in 12VAC30-80-25; the encounter rate for IHCs (including Tribal clinics) is the All Inclusive Rate set by Indian Health Services.

SOURCE:  VA Dept. of Medical Assistance Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Available in multiple manuals), (Oct. 2022) (Accessed Jan. 2024).

See: VA Medicaid Live Video Eligible Sites.

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Washington

Last updated 12/15/2023

FQHCs are authorized to serve as an originating site for …

West Virginia

Last updated 02/14/2024

Ongoing Telehealth Medicaid Flexibilities until December 31, 2024:

As noted …

Ongoing Telehealth Medicaid Flexibilities until December 31, 2024:

As noted in a 2023 WV Medicaid Provider Newsletter, with the end of the federal Public Health Emergency (PHE), the Centers for Medicare and Medicaid Services (CMS) have extended telehealth flexibilities until December 31, 2024. West Virginia Medicaid and the WVCHIP will also continue to follow CMS in allowing Telehealth flexibilities until this date. For more information on WV Medicaid COVID Telehealth Policies, see the Medicaid memos located on the WV Medicaid COVID-19 Telehealth Website, and in terms of FQHCs in particular, the Non-emergent E&M visits through Telehealth Memo. In addition, in August 2023 WV Medicaid added an appendix to its Practitioners Services Medicaid Policy Manual Telehealth Section with available codes specific to the PHE Medicaid Telehealth Services Flexibilities – see Policy 519.17 Appendix B.


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 Feb. 2024).

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 Feb. 2024).

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Wisconsin

Last updated 01/09/2024

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

SOURCE: WI ForwardHealth Handbook, Originating and Distant Sites, Topic #22739, (Accessed Jan. 2024).

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

CHCs should submit claims for originating site services on a professional claim form with HCPCS procedure code Q3014 (Telehealth originating site facility fee) and a POS code that represents where the member is located during the service. Modifier GT should not be included with procedure code Q3014 for originating site services to be considered under the PPS reimbursement method. ForwardHealth will not separately reimburse the CHC for originating site services because all costs for providing originating site services have already been incorporated into the PPS rates for CHCs. However, claims billed by CHCs for originating site services may be used for future rate setting purposes, and CHC costs associated with telehealth services may be reported for change in scope adjustment consideration.

SOURCE: WI ForwardHealth Handbook, Telehealth for Community Health Centers, Topic #21997, (Accessed Jan. 2024).

See WI Medicaid Live Video Eligible Sites.

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Wyoming

Last updated 01/31/2024

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. 135 (Jan. 2, 2024), WY Division of Healthcare Financing Tribal Provider Manual, 133 & 212, (Jan. 2, 2024) & Institutional Provider Manual pg. 134.  (Jan. 2, 2024). (Accessed Jan. 2024).

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Federally Qualified Health Center (FQHC)

Eligible Originating Site

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