This article is for all providers caring for our members
In an effort to continue to increase access to mental health services for our members, we are pleased to announce an update to telehealth reimbursement. Effective for dates of service on or after August 1, 2022, when a claim includes a primary/principal diagnosis code only of F01 through F99 (indicating the primary nature of the visit is mental, behavioral, or neurodevelopmental disorders), we will reimburse telehealth at the same rate as in-person visits for all providers, regardless of specialty.
For additional information about reimbursement and billing guidelines, please refer to our Telehealth payment policies.
If you have any questions, please call Network Management and Credentialing Services at
1-800-316-BLUE (2583). As always, thank you for the care you provide to our members.
To download our payment policies, log in and click Find a Payment Policy on the right side of your home page. Or, go to Office Resources>Policies & Guidelines>Payment Policies.