State behavioral health guidelines and updates due to COVID-19

State-specific guidelines

Effective 3/16/2020

All in-state insurance companies have been ordered to allow all INN providers to deliver all clinically appropriate, medically necessary services via telehealth. They are also required to reimburse the same as for face-to-face services, and to give providers guidance on billing via telehealth.

Understanding new Commercial Payer guidelines

Many commercial payers have also issued important updates explaining their expansion of telehealth services. While expanded coverage includes more services, looser restrictions put the responsibility on the provider to determine appropriate services. This shift can significantly increase the risk of payer denials later on. An informed interpretation of these new guidelines is essential to avoid issues with your revenue cycle in the coming weeks. We are available to further discuss our findings and analysis with you. To learn more about recent updates regarding commercial payer guidelines, please contact us directly.