Telehealth Documentation and Platform Requirements

Q: Is there an end date to COVID-19-related telehealth coverage?

A: Any modifications to telehealth policies, including the sunsetting of any telehealth flexibilities authorized in response to COVID-19, will be communicated via Medicaid bulletin(s) in a manner that allows ample notice for providers and Healthy Connections Medicaid members to plan and ensure continuity of care. Policy changes and additional guidance and resources related to the COVID-19 pandemic are available at www.scdhhs.gov/covid19.

Q. Does SCDHHS require use of a certain platform to provide telehealth services?

A. Providers have the same ethical and other obligations to maintain the security and privacy of their patients’ information and the service delivery platform. The agency understands not everyone has the same capabilities and/or has adopted a Health Insurance Portability and Accountability Act (HIPAA)-compliant platform and is expecting providers to use reasonable judgement and show evidence of a good faith effort. SCDHHS does not want technical compliance with certain requirements to stand in the way of patient care during this emergency response period.

Q. What are the documentation requirements for reimbursement for telehealth services? Will the South Carolina Medicaid program require wet-ink signatures?

A. Providers are responsible for maintaining service planning, service notes and any necessary documentation requirements as listed in the provider manual. As described in the provider manual, Medicaid requires that services provided/ordered be authenticated by the author. Medical documentation must be signed by the author of the documentation except when otherwise specified in the provider manual. The signature may be handwritten, electronic or digital.

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