Reimbursement for telehealth services

The California Department of Managed Health Care Social Services (DMHC) has ordered that health plans reimburse providers at the same rate regardless of the modality of delivery.  For services provided by telehealth, a health plan may not impose cost-sharing greater than if the services were provided in person.  Health plans must provide the same amount of reimbursement for a service provided by telephone as they would if the service is provided by video, as long as the modality by which the service is provided is medically appropriate for the enrollee.  (APL 20-009, March 18, 2020.)