For out-of-network providers, UnitedHealthcare will extend the expansion of telehealth access for COVID-19 testing through the end of the national public health emergency period on May 11, 2023.1, 2021 and beyond, UnitedHealthcare will reimburse in-network telehealth services as outlined in current CMS guidelines and additional codes as outlined in our Telehealth Reimbursement Policy. For in-network providers, UnitedHealthcare will extend the expansion of telehealth access for COVID-19 testing and treatment through Dec.Originating Site Expansion: For all UnitedHealthcare Individual and fully insured Group Market health plans, we are continuing to allow a home as an originating site for audio-video requirements by updating UnitedHealthcare’s Telehealth Reimbursement Policy. This means that telehealth services provided by a live interactive audio-video communication system can be billed for members at home or at a CMS originating site. 1, 2021, UnitedHealthcare has updated and expanded our Telehealth Reimbursement Policy to similarly expand the list of telehealth services eligible for reimbursement and continue to allow home as an originating site. This helped us better align with the Centers for Medicare & Medicaid Services’ (CMS) temporary waiving of originating site requirements.īeginning Jan. This expanded coverage included adding additional services eligible for coverage, and allowing reimbursement for those services, including when they were rendered within our members’ homes. In 2020 during the national public health emergency period, UnitedHealthcare expanded coverage for certain telehealth services. You can also call the number on the back of the member’s ID card for more information.įor certain markets and plans, UnitedHealthcare is continuing its expansion of telehealth access, including temporarily waiving the Centers for Medicare & Medicaid Services (CMS) originating site requirements.Īdditional telehealth information may vary by network plan, so please review each section below for details. You can use our Eligibility and Benefits self-service to verify member eligibility, help determine telehealth coverage, view care plans and get digital ID cards. ![]() Please review each network plan section below for specific plan details. Depending on whether a claim is for a Medicare Advantage, Medicaid, self-funded Group Market health plan, or Individual and fully insured Group Market health plan member, those policies may require different modifiers, date of service limitations or place of service indicators for a telehealth claim to be reimbursed. UnitedHealthcare will reimburse appropriate claims for telehealth services in accordance with the member’s benefit plan.
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