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December 2021

Behavioral health services delivered through synchronous telemedicine

With the Nov. 1, 2021, updates to the following medical policies, additional behavioral health and autism spectrum disorder, or ASD, services are now payable when delivered through telemedicine:

  • Telemedicine Services
  • Autism Spectrum Disorder Services

Behavioral health and ASD services must be delivered synchronously (in real time), with the exception of *96130 and *96156, which can be delivered asynchronously.

Telemedicine asynchronous (store and forward) care generally isn’t payable for behavioral health services.

This applies to Blue Cross Blue Shield of Michigan commercial, Medicare Plus Blue℠, Blue Care Network commercial and BCN Advantage℠ members.

For more information about providing behavioral health and ASD services through telemedicine, see the Telehealth for behavioral health providers document, which is available on our public website at bcbsm.com/coronavirus or within Provider Secured Services.

You can view the updated medical policies through our Medical Policy &
Pre-Cert/Pre-Auth Router
at bcbsm.com.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2020 American Medical Association. All rights reserved.