State behavioral health guidelines and updates due to COVID-19
NY has suspended a portion of its telehealth regulations including the requirements for in-person initial assessments, limitations on who can deliver such services, and requirements for who must be present during service delivery. Suspension of telehealth regulations are effective until 9/7/2020.
Peer Services are allowed via telehealth for both licensed and non-licensed professionals.
All patient cost shares will be waived for in-network telehealth services.
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.