RE: TELEHEALTH – CHANGES TO AUDIO-ONLY BILLING

TO: ALL PROVIDERS

As of January 1, 2025, per New York State Medicaid updated guidance, the American Medical Association (AMA) deleted the telephonic (audio-only) E/M procedure codes “99441” “99442” and “99443”. Providers may bill NYS Medicaid as they would for an in-person or audio-visual telehealth visit (using the appropriate procedure or rate code) with the addition of a telehealth modifier to indicate delivery by audio-only.

Please refer to Telehealth Policy Manual – New York State Medicaid Fee-for-Service Provider Policy Manual for more information.

If you have any questions regarding this memo, please contact MetroPlusHealth at: [email protected].

Thank you.

MetroPlusHealth

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