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Association Of Advanced Practice Psychiatric Nurses

Association of Advanced Practice Psychiatric Nurses

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Audio-Only Telehealth Reimbursement

Road map with a route drawn out in pen.
With this online tool, you can find a roadmap for navigating reimbursement for audio-only telehealth in Washington State under SB 5036 Audio-Only Telemedicine – Reimbursement Conditions, effective July 23, 2023.

For medically necessary service other than mental health, substance use, or behavioral health with adequate access to health care records to ensure safe and appropriate care.

I or another provider in the same integrated care group has seen the patient in person in the last two years

Audio-only telehealth reimbursable at the same rate as in-person.

Patient referred by a provider who has personally seen the patient in the last two years.

Audio-only telehealth reimbursable at the same rate as in-person.

Date of service prior to July 1, 2024?
YES
I or another provider in the same integrated care group has seen the patient via audio-visual telehealth in the last two years.

Audio-only telehealth reimbursable at the same rate as in-person.

Patient referred by a provider who has seen the patient via audio-visual telehealth in the last two years.

Audio-only telehealth reimbursable at the same rate as in-person.

NO

Payment for audio-only services may differ from in-person or disallowed for reimbursement.

None of the previous scenarios apply.

Payment for audio-only services may differ from in-person or disallowed for reimbursement.

Please note that this online tool is intended as a reference only. AAPPN does not intend to provide legal advice. If you have any concerns about how your practice meets the law, be sure to contact the Washington State Department of Health or an attorney.


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1800 James St, Ste 103
Bellingham, WA 98225

360-734-3166
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