Providers delivering telemedicine services must be licensed in the state(s) where the services are provided and received. Video conferencing platforms used for telemedicine services must have the appropriate verification, confidentiality and security parameters necessary to meet the requirements of the Health Insurance Portability and Accountability Act (HIPAA).
Beginning July 1, 2022, cost-shares and copayments will no longer be waived.
Referrals are required for Active Duty Service Members (ADSM)
Beneficiaries participating in the Autism Care Demonstration (ACD) with current authorizations for parent training can no longer receive unlimited telemedicine visits - additional telemedicine visits for parent training will require prior approval.
TRICARE covers the use of interactive audio/video technology to provide clinical consultations and office visits when appropriate and medically necessary. These services are subject to the same referral and authorization requirements and include, but are not limited to:
Synchronous telemedicine services
These services involve an interactive, electronic information exchange in at least two directions in the same time period. Providers billing for synchronous telemedicine services will use CPT or HCPCS codes with a GT modifier for distant site and Q3014 for an applicable originating site to distinguish telemedicine services.
Place of Service “POS 02” is to be reported in conjunction with the GT modifier.
Asynchronous telemedicine services
These services involve storing, forwarding and transmitting medical information on telemedicine encounters in one direction at a time. Providers billing for asynchronous telemedicine services will use CPT or HCPCS codes with a GQ modifier.
When submitting claims for telemedicine services, the provider may indicate "Signature not required – distance telemedicine site" in the required patient signature field.
See more on telemedicine services from TRICARE Policy Manual, Ch. 7, Sec. 22.1
Available platforms
As healthcare evolves, Humana Military is identifying and utilizing different and innovative ways to help providers deliver simple and effective care. Working closely with outside platforms, we are providing new and discounted options in telemedicine services.
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