Behavioral Health

Q: How should 301 clinics list modifiers when billing for service delivered through the telehealth flexibilities authorized during the COVID-19 public health emergency?

A: For codes 90832, 90834, 90837, 99408, H0001, H0032 and H0038, providers should bill with existing modifiers and use the second modifier field to add the GT modifier as applicable.

For code H0004, providers should bill with the GT modifier in the first modifier field.

Q. Can providers performing Applied Behavior Analysis services as parent-directed services or through remote supervision of a registered behavior technician change between the two delivery methods during the COVID-19 pandemic?

A. As the period of recommended social distancing has increased, SCDHHS will allow providers to change from parent-directed services to in-home services with an RBT receiving remote supervision by a BCBA once. The decision to switch between delivery methods must be agreed to by both the provider and the parent or guardian of the child receiving the service. Providers must document the change of circumstance in the beneficiary’s record on a clinical service note.

Q. Is guidance available regarding telehealth services for the 301-provider system?

A. Yes, SCDHHS published a memo on April 17, 2020, that clarified authorities for telehealth authorities for Act 301 local alcohol and drug abuse authorities. The memo is available here on SCDHHS’ COVID-19 website.

Q. Will licensed independent practitioners (LIPs) with associate-level licenses be able to provide and be reimbursed for telehealth services?

A. SCDHHS has offered telemedicine flexibilities to several categories of LIPs in the behavioral health and therapeutic professions. In addition, SCDHHS issued a bulletin on April 6, 2020, shortly after the conclusion of the webinar, that provides additional expanded coverage and guidelines for licensed associates.Bulletins explaining these flexibilities are available at  www.scdhhs.gov/covid19 .

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