I wanted to follow up to inform DMAS that this billing requirement should be removed until the MCO claim systems are set-up properly to accept Telehealth claims using the "GT" modifier:
Providers of telemedicine assisted assessment must follow the requirements for the provision of telemedicine described in the “Telehealth Services Supplement” including the use of the GT modifier for units billed for a telemedicine assisted assessment. Providers should not bill originating site fees. MCO contracted providers should consult with the contracted MCOs for their specific policies and requirements for telehealth.
Doing our part to follow the DMAS regulations, I encouraged all Telehealth assisted assessments to be submitted utilizing the "GT" modifier with all MCO's. These claims were all subsequently denied causing claim payment delays of several weeks once we identified the issue. It's my suggestion to remove this or ensure that MCO systems are updated to accept these modified claims. Thank you!