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Telemedicine Delivery of Mental Health Services

Revised: 10-19-2018

  • Overview
  • Eligible Providers
  • Eligible Recipients
  • Covered Services
  • Noncovered Services
  • Billing
  • Legal References
  • Overview

    Telemedicine is the delivery of health care services or consultations while the patient is at an originating site and the licensed health care provider is at a distant site. Telemedicine may be provided by real-time two-way, interactive audio and visual communications, including secure videoconferencing or store-and-forward technology to provide or support health care delivery. The telemedicine services facilitate the patient’s assessment, diagnosis, consultation, treatment, education, and care management.

    Eligible Providers

    Eligible providers are mental health professionals who are qualified under Minnesota Statute 245.462 Subd. 18 or mental health practitioners working under the supervision of a mental health professional.

    To be eligible for reimbursement, providers must self-attest that they meet all of the conditions of the MHCP telemedicine policy by completing the Provider Assurance Statement for Telemedicine (DHS-6806) (PDF).

    Eligible Recipients

    MHCP members are eligible to receive their mental health services via telemedicine when:

  • • Telemedicine is determined medically appropriate (see Eligible Providers for service exceptions)
  • • The member has consented to using a telemedicine method before receiving services
  • The member must be present to receive service through the telemedicine method.

    Covered Services

    MHCP covers medically necessary mental health services delivered by a health care provider via telemedicine.

    Payment for telemedicine services is limited to three visits per calendar week per member.

    Noncovered Services

    The following services may not be conducted via telemedicine:

  • • Children’s day treatment
  • • Partial hospitalization programs
  • • Mental health residential treatment services
  • • Case management services delivered to children
  • See the manual sections for specific mental health services for service limitations

    Billing

    Refer to the following when billing for services provided through telemedicine:

  • • Use the place of service code 02 to indicate the service was provided via telemedicine.
  • • Services provided via telemedicine have the same service thresholds, authorization requirements and reimbursement rates as services delivered face-to-face.
  • Legal References

    Minnesota Statutes 256B.0625, subd. 46 (MH Telemedicine)
    Minnesota Statutes 256B.0625
    subd. 3b (Telemedicine Services)
    Minnesota Rules 9505.0371
    , subpart 10 (Telemedicine)

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    © 2018 Minnesota Department of Human Services Updated: 10/19/18 3:07 PM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 10/19/18 3:07 PM