State behavioral health guidelines and updates due to COVID-19

State-specific guidelines

Effective 3/12/2020

Licensing requirements waived to allow health care professionals who is licensed in another state to provide localized treatment in temporary residences for telehealth services. Effective 3/26/2020, all licensed providers may utilize telemedicine during COVID-19 as long as they are practicing within their normal scope of practice.

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.