The Department of Medical Assistance Services (DMAS) is in the process of developing policy that will permit clinically appropriate delivery of audio-only health services for Virginia Medicaid. This policy will remain in effect after the end of the federal COVID-19 Public Health Emergency. If you have any questions about this survey, please contact vatelemedicine@dmas.virginia.gov.

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* 1. Thinking about your/your facility's caseload, who would most benefit from being able to receive audio-only services? In answering, can you describe specific examples of situations in which: pre-COVID, your patients were not able to access services because audio-only was not an option; and/or currently, your patients were able to access services via audio-only but likely could not have accessed that service if audio-only were not an option?

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* 2. The AMA has relatively recently defined 6 "telephonic evaluation" CPT codes (see below). If DMAS were to open up those codes to reimbursement, how likely would you be to bill them? What feedback do you have for DMAS on the value of opening up those codes?

Telephonic evaluation CPT codes:
99441: Telephone evaluation and management service by a physician or other · qualified health care professional who may report evaluation and management services provided to an established patient, parent or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion

99442: 11-20 minutes of medical discussion

99443: 21-30 minutes of medical discussion

98966:  Telephone evaluation and management service by a qualified non-physician health care professional to an established patient, parent or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an evaluation and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion

98967: 11-20 minutes of medical discussion

98968: 21-30 minutes of medical discussion

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* 3. Beyond the 6 "telephonic evaluation" CPT codes listed in the previous question, do you have recommendations for other CPT codes to consider adding an audio-only option (e.g., E&M codes, such as 99211)?

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* 4. As a payer of services, DMAS is concerned about ensuring appropriate use of audio-only services (i.e., audio-only being used to deliver high-value/high-quality care). If DMAS were to open up codes beyond the 6 "telephonic evaluation" CPT codes, what guardrails around use of those codes can you recommend to ensure appropriate use (e.g., CPT code XXXXX cannot be billed more than one time per week per patient)?

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* 5. Is there anything else that you would like DMAS to consider as it develops clinically appropriate audio-only policy?

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