Audio-Only Telehealth Reimbursement
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.