12/08/2023
Texas Human and Health Services Commission (HHSC) informed Blue Cross and Blue Shield of Texas Medicaid that certain telemedicine services for nonbehavioral health conditions may be provided by synchronous telephone (audio-only) technology. This guidance is effective for dates of services on or after November 1, 2023.
The following office and other outpatient telemedicine services may be provided by synchronous telephone (audio-only) technology for the diagnosis, evaluation, and treatment of non-behavioral health conditions if clinically appropriate and safe, as determined by the provider and agreed to by the client receiving services:
- Established patient services (procedure codes 99212, 99213, 99214, and 99215)
- Established patient service (procedure code 99211) – only during certain public health emergencies
- Established patient services for non-behavioral health conditions provided by synchronous telephone (audio-only) technology must be billed using modifier 93.
Resources
TMHP bulletin: Telephone (Audio-Only) Telemedicine Services for Non-Behavioral Health Conditions, published on September 15, 2023.
Providers, for questions or additional information, please:
- Contact your Medicaid Provider Network Representative at 1-855-212-1615
- Submit via email Texas Medicaid Network Department