Expanded Provider Telehealth Access
UnitedHealthcare is waiving the Centers for Medicare and Medicaid’s (CMS) originating site restriction and audio-video requirement for Medicare Advantage, Medicaid, and Individual and Group Market health plan members from March 18, 2020 until June 18, 2020. Eligible care providers can bill for telehealth services performed using interactive audio-video or audio-only, except in the cases where we have explicitly denoted the need for interactive audio/video, such as with PT/OT/ST, while a patient is at home.
COVID-19 Testing-Related Telehealth Visits
From Feb. 4, 2020 and throughout this national emergency, we will waive member cost sharing for in-network and out-of-network COVID-19 testing-related telehealth visits, including both interactive audio-video and audio-only.
NEW! Cost Share Waived for In-Network Telehealth Services
We will also waive cost sharing for in-network telehealth services for medical, outpatient behavioral and PT/OT/ST services from March 31, 2020 until June 18, 2020 for Medicare Advantage, Medicaid, and Individual and fully insured Group Market health plan with opt-in available for self-funded employers.
For medical and outpatient behavioral telehealth visits, providers can utilize both interactive audio-video and audio-only. For PT/OT/ST provider visits, interactive audio/video technology must be used. For more details on PT/OT/ST telehealth, please click hereOpens in a new window.
Cost sharing will be waived for in-network telehealth visits. According to plan benefits, out-of-network providers also qualify for telehealth and member benefit and cost sharing will apply, if applicable.
NEW! Expanded List of Services for Telehealth and Virtual Check-In
From March 31, 2020 until June 18, 2020, UnitedHealthcare has expanded the services that can be covered using telehealth, as well as through a virtual check-In for Medicare Advantage, Medicaid, and Individual and Group Market health plan members. A list of reimbursable codes that can be used during the waiver period can be found under the Billing Guidance section of Telehealth or Virtual Check-Ins.
We will not require attestation except for behavioral health services.
Telehealth Services for Behavioral Health
For information on telehealth for Optum Behavioral Health providers, refer to providerexpress.com.Opens in a new window
Telehealth for VA Community Care Network
For COVID-19 and telehealth information specific to providers supporting the Veterans Affairs (VA) Community Care Network (VA CCN), go to the VA CCN Provider Portal.Opens in a new window