Telehealth Resources

Medi-Cal’s telehealth policy allows providers to bill DHCS as clinically appropriate for any covered Medi-Cal benefits or services using the appropriate procedure codes, either CPT or HCPCS. The codes must be billed using place of service, 02, telehealth, and the appropriate telehealth modifier must also be used:

+     Synchronous, interactive audio and telecommunication systems – modifier 95

+     Asynchronous store and forward telecommunications system – modifier GQ

DHCS defines synchronous telehealth as “two-way interactive audio-visual communication.” CMA has confirmed with DHCS that telephonic visits qualify as synchronous telehealth under this policy.

This guidance does not apply to FQHCs. See Medi-Cal’s telehealth policy for information on telephonic visits with FQHCs, RHCs, and Tribal 638 clinics.