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Update on Cost Sharing & Prior Auth Requirements for COVID Treatment and Telehealth Services

Date: 11/05/21

In May we communicated updates to our prior authorization (PA) requirements for Telehealth services and COVID treatment. We just obtained clarification on the Medicare PA requirements for Telehealth services and have updated the table below that breaks down the services, and effective date of the change. The changes are in red in the Medicare (Allwell) Telehealth column.

Code/Mod/POS

*Medicaid

Marketplace

Medicare

Telehealth

Q3014

Not Covered by

AHCCCS

No PA Required

PA Required 6/1/21 for non par providers

Any CPT/HCPCS billed w/ POS 02

NA

No PA Required

PA Required 6/1/21 for non par providers

G2010-G2012

AHCCCS only covers when Medicare is primary; No PA

Required

No PA Required

PA Required 6/1/21 for non par providers

Mod 95, GT, GQ Regardless of POS

NA

No PA Required

PA Required 6/1/21 for non par providers

99421-99423

No PA Required

No PA Required

PA Required 6/1/21 for non par providers

98970-98972

No PA Required

No PA Required

PA Required 6/1/21 for non par providers

G2250-G2252

AHCCCS considers these informational only codes and not

payable

No PA Required

PA Required 6/1/21 for non par providers

99441-99443

No PA Required

No PA Required

PA Required 6/1/21 for non par providers

REV 780 Regardless of POS/Mod

PA Required 6/1/21

No PA Required

PA Required 6/1/21 for non par providers

98966-98968

No PA Required

No PA Required

PA Required 6/1/21 for non par providers

Telehealth - FQHC/RHC G0071

No PA Required

No PA Required

PA Required 6/1/21 for non par providers

RHC billing G2025 1/27/20 - 6/30/20: Mod CG required

RHC billing G2025

7/1/20 - 7/20/21: No Mod required

FQHC billing G2025 1/27/20 – 6/30/20: Mod 95 required

FQHC billing G2025 7/1/20 – 7/20/21: No mod required

AHCCCS only covers when Medicare is primary; No PA Required

No PA Required

PA Required 6/1/21 for non par providers

Description/Code/Mod/POS/DX

Medicaid

Marketplace

Medicare

COVID Treatment

Multisystem inflammatory syndrome (MIS) M35.81

No PA Required

PA Required 7/1/21

PA Required 6/1/21

Treatment billed w/ U07.1

No PA Required

PA Required 7/1/21

PA Required 6/1/21

Treatment billed w/ B97.29

No PA Required

PA Required 7/1/21

PA Required 6/1/21

Monoclonal Infusion (Regeneron)

Q0243

No PA Required

PA Required 7/1/21

PA Required 6/1/21

Monoclonal Infusion (Regeneron) M0243

No PA Required

PA Required 7/1/21

PA Required 6/1/21

Monoclonal Infusion (Eli Lily)

Q0245

No PA Required

PA Required 7/1/21

PA Required 6/1/21

Monoclonal Infusion (Eli Lily) M0245

No PA Required

PA Required 7/1/21

PA Required 6/1/21

Intravenous infusion,(Regeneron) M0244

Not currently covered by AHCCCS

PA Required 7/1/21

PA Required 6/1/21

Intravenous infusion (Eli Lily)

M0246

No currently covered by

AHCCCS

PA Required 7/1/21

PA Required 6/1/21

Member Cost Share Resumption

  • Providers resumed collecting Medicare member liability at the point of service for all telehealth services on June 1, 2021 onward, in accordance with the member’s plan benefits.
  • Providers resumed collecting Marketplace/Commercial member liability at the point of service on July 1, 2021 onward, in accordance with the member’s plan benefits.

If you have questions regarding the information contained in this update, please contact our Provider Customer Service Center at 1-866-796-0542 or your assigned Provider Engagement Specialist. If you need your assigned Provider Engagement Specialist contact information, please email us at AzCHProviderEngagement@azcompletehealth.com.