From Capsil Wiki
Minnesota Reimbursement Model
- The Medicaid agency recognizes physician consultations (medical and mental health) when provided using interactive video or store-and-forward technology. Interactive video consultations may be billed when there is no physician present in the emergency room, if the nursing staff requests a consultation from a physician in a hub site. Coverage is limited to three consultations per beneficiary per calendar week.
- Payment is on a fee-for-service basis, suing the same payment rate as for covered services furnished in a conventional, face-to-face manner. Payment is made at both the hub and spoke sites. No payment is made for transmission fees.
- Minnesota uses consultation CPT codes with the modifier "CT" for interactive video services and the modifier "WT" for consultations provided through store-and-forward technology. Emergency room CPT codes are used with a "GT" modifier for interactive video consultations done between emergency rooms