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March 6, 2020
EFFECTIVE IMMEDIATELY for an initial 90-day period in an effort to connect members with their providers, Horizon BCBSNJ shall expand the use of telemedicine services, for providers, during the current public health emergency, COVID-19. Horizon BCBSNJ shall reimburse the following services in addition to those allowed under the existing Telemedicine Services reimbursement policy.
The following alternative technologies commonly available on smart phones and other devices may be utilized during this public health emergency:
For all of telehealth services rendered, the provider should:
Temporary extended telemedicine services include: Audiology/tinnitus assessments, Behavioral Health Assessments, Behavioral Health Counseling, Behavioral Health OBAT/MAT services, Hearing aid checks (binaural and monaural), Occupational Therapy (OT) Evaluations, Physical Therapy (PT) Evaluations, Self-Management Education services and Speech Therapy services.
Limitations and Exclusions:
While eligibility for reimbursement is provided under applicable Federal and State laws, regulatory guidance or government mandates, payment determination is subject to, but not limited to: