Reminders for Billing Telehealth Services

Date: 03/08/22

Fort Lauderdale, Florida

We want to share important information about billing telehealth services for Medicare, Medicaid, including Children’s Medical Services (CMS) Health Plan, Serious Mental Illness (SMI) Specialty Plan and Child Welfare (CW) Specialty Plan.

Please follow the guidance below when billing telehealth services:

• Utilize place of service (02).
• To reduce the administrative burden of selecting the correct modifier in a certain position, we have enhanced our system to recognize the POS 02 as the indicator that the service is being rendered via telehealth.
• Bill Sunshine Health telehealth without the telemedicine modifiers GT, 95 or CR.

Claim submissions for members who transitioned to Sunshine Health or CMS Health Plan with dates of service after October 1, 2021, must be billed to Sunshine Health.

For questions or concerns, please contact Sunshine Health Provider Services at 1-844-477-8313. Stay up to date on any provider notices by reviewing and bookmarking Provider News.

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