Medicaid: Telehealth Expansion and Related Resources
STATUS: Active. Expires day after end of federal public health emergency (PHE). The federal PHE is currently set to expire Apr. 16, 2022.
Medicaid: Interprofessional Consultations and Remote Physiologic Monitoring
STATUS: Active, until additional guidance from Forward Health
Medicaid: Temporary Changes to Telehealth Policy and Clarifications for Behavioral Health and Targeted Case Management Providers
STATUS: Some policies active until ForwardHealth announces otherwise’ some policies permanent. May be superseded by permanent policies listed below starting Jan. 1, 2022.
Medicaid: Transition from Temporary to Permanent Synchronous Telehealth Coverage Policy and Billing Guidelines
STATUS: Expired Dec. 31, 2021. Some policies may have been extended until end of federal public health emergency. See link above.
Medicaid: Changes to ForwardHealth Telehealth Policies for Covered Services, Originating Sites, and Federally Qualified Health Centers
STATUS: Permanent
Medicaid: Additional Services to be Provided Via Telehealth
STATUS: Active, until rescinded or modified when emergency orders issued by the state and federal governments expire
Medicaid: Temporary Changes to Clinical Policy and Prior Authorization
STATUS: Active, until further notice
Medicaid: Dental Telehealth Services
STATUS: Active, until Medicaid: Additional Services Update expires
Medicaid: Therapy Provided as Part of the Birth to 3 Program
STATUS: Active, until further notice
Medicaid: Changes to Narcotic Treatment Services
STATUS: Active, until further notice
Medicaid: FAQs about Telehealth Policy Changes
STATUS: Active
Medicaid 1915(c) Waiver: Appendix K – Children’s Long Term Support Waiver Program
STATUS: Extended to no later than six months after the expiration of the national public health emergency, see below.
Medicaid 1915(c) Waiver: Appendix K Extension – Children’s Long Term Support Waiver Program
STATUS: Active, no later than six months after the expiration of the national public health emergency
Medicaid 1915(c) Waiver: Appendix K –Family Care Waiver Renewal 2020
STATUS: Extended to no later than six months after the expiration of the national public health emergency, see below.
Medicaid 1915(c) Waiver: Appendix K Extension – Family Care Waiver Renewal 2020
STATUS: Active, no later than six months after the expiration of the national public health emergency
Medicaid 1915(c) Waiver: Appendix K – Self-Directed Support Waiver, Intellectual/developmental Disability and Aged/Physical Disability
STATUS: Extended to no later than six months after the expiration of the national public health emergency, see below.
Medicaid 1915(c) Waiver: Appendix K Extension – Self-Directed Support Waiver, Intellectual/developmental Disability and Aged/Physical Disability
STATUS: Active, no later than six months after the expiration of the national public health emergency
PERMANENT TELEHEALTH COVERAGE POLICY AND BILLING GUIDELINES
*Only synchronous (two-way, real-time, interactive communications) and remote physiological monitoring services identified under permanent policy may be reimbursed when provided via telehealth effective on the first day of the first month after the federal public health emergency related to the COVID-19 pandemic expires.
Temporary telehealth policy will remain in effect until the switch to permanent policy occurs when ForwardHealth will require providers to follow permanent billing guidelines for synchronous telehealth and remote physiological monitoring services. Telehealth-related updates to the ForwardHealth Online Handbook will be available following the implementation of permanent policy.
PERMANENT TELEDENTISTRY POLICY
*ForwardHealth will transition to permanent telehealth coverage policy and billing guidelines for synchronous (two-way, real-time, interactive communications) telehealth services effective on the first day of the first month after the public health emergency related to the COVID-19 pandemic expires.
This telehealth coverage policy will include coverage for synchronous teledentistry services. Asynchronous teledentistry policy is still in development and will be published in a future ForwardHealth Update. Temporary public health emergency allowances, including Health Insurance Portability and Accountability Act of 1996 flexibilities, will continue through the end of the federal health public emergency unless providers are notified otherwise in writing prior to that time.
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