California

From Capsil Wiki

California Reimbursement Model

• The Medicaid agency recognizes physician consultations (medical & mental health) when performed using interactive video teleconferencing.
• Payment is on a fee-for-service basis, which is the same as the reimbursement for covered services furnished in the conventional, face-to-face manner. Reimbursement is made at both ends (hub and spoke sites) for telemedicine services.
• The state uses consultative CPT codes with the modifier "TM" to identify telemedicine services.

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