March 30, 2020
To: All Self-Insurers, Insurers, Claim Administrators, and
Medical Service Providers
From: Florida Division of Workers' Compensation Subject: Telehealth and Telemedicine Services Provided Under Chapter 440, Florida Statutes
In response to the recent
outbreak of COVID-19, the Division of Workers’ Compensation is providing the
following information related to telehealth and telemedicine services
provided by licensed practitioners to workers’ compensation patients under
chapter 440, Florida Statutes.
All telehealth and telemedicine
services are governed under the Florida Department of Health, section 456.47,
Florida Statutes. Authorized services must be in compliance with section
456.47,
Florida Statutes and Florida Department
of Health Emergency Order 20-002.
The provision of telehealth and
telemedicine services provided by licensed practitioners must be mutually
agreed upon by the carrier and health care provider prior to
treatment. Emergency services and care, defined in section 395.002,
Florida Statutes, do not require prior authorization.
Carriers and health care providers should utilize national
coding standards as adopted by the Centers for Medicaid and Medicare Services
to accommodate the provision of telehealth and telemedicine services.
All telemedicine and telehealth services provided by health care
practitioners should be billed with Place of Service Code (POS) 02 on the
DFS-F5-DWC-09/CMS-1500 claim form.
Reimbursement is according to a mutually agreed upon contract amount or the listed Maximum Reimbursement Allowance (MRA) in the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, 2016 Edition. A copy of this reimbursement manual may be found here.
Please email any questions regarding this e-alert notification
to Workers.CompMedService@myfloridacfo.com
To learn more about these issues and other Workers' Compensation
information click here: https://www.myfloridacfo.com/division/wc/
|
Monday, March 30, 2020
Telehealth Announcement
The Following was sent by the Division of Workers' Compensation.