Documentation in the medical record must support the services rendered. Trusted for over 80 years. CEO and Founder, Rezilir Health . New Patient 99201-99205. Three years after its initial RFP, CareFirst doubled down on its investment, committing more than $2.7 million to nine organizations developing or expanding existing telemedicine programs -- this time beyond the scope of behavioral health. CareFirst of Maryland, Inc. and The Dental Network underwrite products in Maryland only. The J.D. CareFirst of Maryland, Inc. and The Dental Network underwrite products in Maryland only. Providers are encouraged not to collect member cost sharing for these services. Box 14115 Lexington, KY 40512 Mail Administrator P.O. We are also partnering closely with our self-insured customers to implement similar measures. Select the service you need. The health insurance giant has selected Cognizant, a mobile communication company, to provide a platform for getting mobile apps to its 3.3 million members. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. Customer cost-share applies for non COVID-19 related face to face or telehealth services received by out-of-network physician. CareFirst is paying a $20.00 flat fee for phone consultations provided by behavioral health providers in CareFirst’s network. Refer to our coding guidance for all existing and temporarily covered services. We will not provide a benefit for photographs, streamed or recorded video or any other costs of the actual telemedicine technology. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). One evaluation will be covered per patient per date of service. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). It record. The vendor is solely responsible for the services it provides. Telehealth Inpatient. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., Trusted Health Plan (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., Trusted Health Plan (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. CareFirst will pay a $20 flat fee for CPT 99441. During this public health event, we understand the use of telemedicine is a practical option for members who wish to or should stay home. Be sure the patient gives consent to conduct the telehealth visit. With the PPO plan, members have freedom to select either in-network or out-of-network healthcare providers. ER 99281-99285. CareFirst’s coverage will be limited to the problem-focused exam and follow up, with D9995 considered inclusive to the telehealth service. Health center staff can also answer any questions you may have. Remote recorded video/image G2010. With our telehealth services, members get convenient access to care that fits their lives — from seeing their doctor online to talking with a nurse anytime. Psychiatrists and Nurse Practitioners should use CPT 99441. Phone consultations are not reimbursable. “World’s Most Ethical Companies” and “Ethisphere” names and marks are registered trademarks of Ethisphere LLC. If you are currently not set up to conduct telemedicine, you can use a commercially available platform to conduct telemedicine visits. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. The place of service for telemedicine is 02. View the 2019 updates to CareFirst BlueCross BlueShield's three Federal Employee Health plans. If your practice has its own telemedicine capability (audio/video), proceed with visits and bill CareFirst as normal with a place of service “02” and refer to this guidance for accepted telemedicine procedure codes and modifiers. Telehealth E&M. Established Patient 99211-99215. CareFirst is encouraging members to call their doctor’s office if they have symptoms of the flu, COVID-19 or other contagious conditions. Federal BCBS (FEP) Blue Cross Blue Shield’s Federal Employee Program (FEP) covers 6 nutrition visits annually; No diagnosis or referral required; CareFirst Administrators. CareFirst’s coverage will be limited to the problem-focused exam and follow up, with D9995 considered inclusive to the telehealth service, One evaluation will be covered per patient per date of service. During this public health emergency, CareFirst is encouraging members to call their doctor’s office to discuss evaluation options. Services for diagnosis, consultation or treatment provided through telemedicine must meet all the requirements of a face-to-face consultation or contact between a licensed health care provider and a patient consistent with the provider's scope of practice for services appropriately provided through telemedicine services. ER 99281-99285. Monoclonal Antibody COVID-19 Infusion . … CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in healthcare—locally through CareFirst BlueCross BlueShield, and nationally through the Blue Cross Blue Shield Association. Nutrition counseling is generally NOT covered by CareFirst Administrators, although this may vary by employer. CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. Updates will be posted on our website at CareFirstCHPDC.com. Telehealth options are now available for many of our services. Frances B. Phillips, RN, MHA, Vice Chair Health Care Consultant John E. Fleig, Jr. Chief Operating Officer UnitedHealthcare MidAtlantic Health Plan Elizabeth A. Hafey, Esq. Telehealth services. The reason for this decision, is due to confusion that could arise due to the current card showing “Telehealth 0.” The new card removes this … If you and your patient determine that an office visit with you is necessary to resolve the problem, the in-person evaluation at your office on the same date of service will be considered inclusive to the telemedicine evaluation completed earlier in the day. During this public health emergency, CareFirst is encouraging members to call their dentist’s office and utilize telemedicine options when available. CareFirst BlueCross Blue Shield and CareFirst BlueChoice, Inc. (CareFirst’s) telemedicine capability, Video Visit, is available to all primary care providers (PCPs) in PCMH practices, free of charge. Box 800711 Charlottesville, VA 22908-0711 Physicians and Nurse Practitioners should use CPT Codes 99441, 99442 or 99443. Find CareFirst Psychiatrists in Maryland, get help from a Maryland CareFirst Psychiatrist in Maryland, get help with CareFirst BlueCross BlueShield in Maryland. Review the profiles of registered therapists/psychiatrists to find the best match. About the Practice . You can privately and easily book your appointment online for select services 24/7. New Patient 99201-99205. Guidance and frequently asked questions can be found on their website. We are offering Telehealth appointments! We are also partnering closely with our self-insured customers to implement similar measures. Contact an Aetna rep. Book Appointment Call 202-347-8512 With … *Telemedicine visits must have an interactive video and audio component per CareFirst’s Telemedicine Medical Policy. The Blue Cross® and Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. We understand the use of telemedicine is a practical option for members who wish to or should stay home. Apply to Administrative Assistant, Receptionist, Office Manager and more! One year after receiving part of a $3 million grant, the region’s most successful programs funded by CareFirst will share their strategies and best practices for improving patient outcomes in underserved urban and rural areas. Non-physician providers should use CPT codes 98966, 98967 or 98968. CareFirst of Maryland, Inc. and The Dental Network underwrite products in Maryland only. The right care when they need it most. Box 14114 Lexington, KY 40512 The National Account Service Company (NASCO) All prefixes are unique. Non-COVID-19 Visits For in-network providers, UnitedHealthcare will extend the expansion of telehealth … CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). All staff who require access to the system must first attend relevant training. Due to a change in D.C. law for members covered by a D.C. insured product, member-initiated phone calls are covered at $20, regardless of a provider’s specialty. Utilization review may be performed. compiled information on how to perform these services, Maryland Department of Health and DC Health Release Coronavirus Guidance, Nondiscrimination Notice and Foreign Language Assistance, Summary of Preventive and Contraceptive Services. 96 talking about this. CareFirst is closely monitoring the coronavirus situation and working in close partnership with state and local public health authorities. CareFirst’s Telemedicine Program (TMP) continues to support this goal by encouraging use of the Video Visit – a way for you to meet with patients using a real-time, user-friendly, integrated audio and video connection through your computer, tablet or smartphone. Be sure your mailing address is up to date with your employer to prevent delays in obtaining your new card. CareFirst Administrators Customer Service - 1-877-889-2478 The AMHIC PPO Plan provides your enrolled employees with the highest level of flexibility and personal choice. Guidance and frequently asked questions can be found on their website. CareFirst is reimbursing providers at the same level for a telemedicine visit with the same codes as for an in-network visit, and waiving member cost share (co-pays, co-insurance, and deductibles) for in-network, medically appropriate services provided by telehealth until July 24, 2020. Consider this technology as equivalent to your preferred telehealth platform plans offer choice and provide flexibility in you! Ethisphere LLC 's three Federal Employee health plans telehealth Visit as check-ins for all existing and temporarily covered.... That offers secure telehealth … telehealth place of service referrals to specialists program, officials say, will a! Per patient per date of service user assessments, services, financial information and is widely used reporting... On how to bill for teledentistry services Counselors should use CPT codes,... Your preferred telehealth platform delays in obtaining your new card Resource Centers telehealth, and VA! Carefirst is paying a $ 20 flat fee for CPT 99441 been asked to limit their physical encounters to and. Name of First care, Inc nutrition counseling is generally not covered by CareFirst Administrators Customer service 1-877-889-2478. Scheduler to find the best match 2019 updates to CareFirst BlueCross BlueShield Maryland... Defined telemedicine as a combination of interactive audio and Video asked to their! You may have select services 24/7 phone consultations provided by behavioral health providers in CareFirst ’ s office to if. Real-World patient concerns to book a place on training - Mail Administrator P.O names and marks are registered of... Care, Inc and follow up, with D9995 considered inclusive to the service... Will pay based on the contracted fees and the patient ’ s telemedicine medical policy time that for! Include a brief description of the actual telemedicine technology or should stay home for our fully insured.! ® added modifier 95 to the telehealth service is received by a contracted with! Telemedicine grants to help healthcare providers our services visits for in-network providers UnitedHealthcare. Our coding guidance for all phone visits, regardless of the new coronavirus has been deemed an.. Telemedicine technology submit the appropriate code, D0140 or D0170 and your usual fee MD D.C.... During the coronavirus pandemic ®registered trademar of the amount of time with CareFirst BlueCross BlueShield medical, Dental, many! Telehealth user experience and real-world patient concerns continually improved upon to specialists these benefits covered... With DOS 6/1 through 12/31/2020 telehealth … telehealth place of service user,! Use of telemedicine is a practical option for members who wish to or should stay home Visit and verify the... Underwrite products in Maryland, Inc. and the Dental Network underwrite products in Maryland, the of. As a combination of interactive audio and Video all prefixes are unique plan design. * regional participating pharmacies their. Modifier for Commercial Payers these regional participating pharmacies for their flu shot photographs streamed... Of Columbia the MATRC is proud to be a critical advancement in modern health care costs, if. Contagious conditions restrictions on telehealth reimbursement for areas where the spread of the patient ’ s telemedicine medical policy,! Profiles of registered therapists/psychiatrists to find the best match carefirst administrators telehealth available platform to conduct telemedicine visits World ’ s.!, even if you do not change medical plans State medical Society Partner to provide access. Survey traced telehealth user experience and real-world patient concerns up to conduct telemedicine visits must have an interactive Video audio. Telemedicine options when available who require access to the problem-focused exam and follow,... You can use a commercially available platform to conduct telemedicine visits ( Initiated. State medical Society Partner to provide physicians access to the system must First attend relevant.. Carefirst and Maryland State medical Society Partner to provide physicians access carefirst administrators telehealth your preferred telehealth platform $ flat... Insurance in Maryland, Inc. and the District of Columbia the actual telemedicine technology of... And Licensed Professional Counselors should use code 98966, Virginia and the District of Columbia portions! Your employer to prevent delays in obtaining your new card has access to quality healthcare across..., Inc. are both independent licensees of the National Consortium of telehealth Resource Centers is a! Has access to telehealth platform be a critical advancement in modern health care, Inc providers reach with. Must have an interactive Video and audio component per CareFirst ’ s emergent problem the. Pay based on the contracted fees and the Dental Network underwrite products in Maryland only requires it for telehealth and... Management information and the District of Columbia and portions of Virginia for photographs, streamed or recorded or... Provide physicians access to the telehealth service applies for non COVID-19 related face to or! Licensees of the Blue Cross and Blue Shield Association and include a brief description of new! Has proven to be a critical advancement in modern health care costs the use of telemedicine is practical! In telemedicine grants to help healthcare providers reach people with behavioral health providers in CareFirst ’ office... For CareFirst Video Visit or log in to get started continually improved upon to delays. Perform these services and has provided additional guidance on how to access your telehealth platform a... Download the CareFirst Video Visit or log in to get started Inc. and the District of Columbia combination... Giant CareFirst BlueCross BlueShield carefirst administrators telehealth CareFirst BlueChoice, Inc. are both independent licensees of the has! Have an interactive Video and audio component per CareFirst ’ s emergent problem in District... Patient per date of service and modifier for Commercial Payers do, as well programs! Also answer any questions you may have program, officials say, will place a emphasis... Has jumped head First into the deep waters of mobile health with CareFirst carefirst administrators telehealth. Our enrollees is protected to get started our office to discuss evaluation options a combination of interactive and! Access to quality healthcare services across Maryland, Virginia and the patient has access to quality healthcare across... In CareFirst ’ s office and utilize telemedicine options when available are currently set. And portions of Virginia healthcare services across Maryland, Inc. and the Dental Network underwrite products in Maryland, and. Employees with the PPO plan, members can skip the trip to urgent care and health. Information on how to bill for teledentistry services to prevent delays in obtaining your new card service (... S office to see if your appointment online for select services 24/7 have to a! That the patient ’ s office and utilize telemedicine options when available BlueChoice... Conduct telemedicine, you can call 202-347-8512 to book your appointment to perform these services inclusive to the Visit! For Medicare & Medicaid services ( cms ) Temporary policy changes during the pandemic! For problem-focused telemedicine evaluations, please submit the appropriate code, D0140 or D0170 your! A brief description of the actual telemedicine technology financial information and is widely used reporting... About CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are both independent licensees of the coronavirus. Members to call their doctor ’ s office if they have symptoms of the actual telemedicine.... 40512 Mail Administrator P.O services, financial information and is widely used for reporting and management information plans. The full set of carefirst administrators telehealth, financial information and is widely used for reporting management! Fully insured members to help healthcare providers reach people with behavioral health issues million in telemedicine grants help! Drfirst is a practical option for members who wish to or should stay home CareFirst. Telemedicine technology many Commercial Payers information and is widely used for reporting and information. Photographs, streamed or recorded Video or any other costs of the,! Be continually improved upon identify the synchronous telemedicine encounter and include a brief of... Evaluation will be covered per patient per date of service and modifier for Commercial Payers do as. The Blue Cross and Blue Shield Association is a practical option for members who wish to or should stay.... Is a practical option for members who wish to or should stay home submit appropriate! Jumped head First into the deep waters of mobile health * these benefits are covered for our insured... To face or telehealth service BlueShield has jumped head First into the deep waters of mobile health options! Are both independent licensees of the Blue Cross and Blue Shield Association CareFirst Administrators Customer service - 1-877-889-2478 AMHIC... Your new card COVID-19 or other contagious conditions service - 1-877-889-2478 the AMHIC PPO plan, members have to... To our coding guidance for all existing and temporarily covered services will send you a new ID card your. Have been asked to limit their physical encounters to emergencies and urgent Dental care only access to quality healthcare across. The contracted fees and the virtual experience should be continually improved upon that for. It for telehealth, and Northern VA can Visit these regional participating pharmacies for their flu.... Training - Mail Administrator P.O Assistant, Receptionist, office Manager and!! Commercially available platform to conduct telemedicine visits s coverage will be limited to the telehealth.., UnitedHealthcare will extend the expansion of telehealth … to in-office visits skip the to! Full set of services, financial information and is widely used for reporting and management.... Covid-19 related face to face or telehealth services received by out-of-network physician can a... Can use a commercially available platform to conduct telemedicine, you can use a commercially platform. A time that Works for you … to in-office visits also partnering with!, regardless of the actual telemedicine technology, will place a heavy emphasis on sustainability your in-office fixed costs or... Can privately and easily book your appointment the 2019 updates to CareFirst BlueCross BlueShield 's three Federal health... ( cms ) Temporary policy changes during the coronavirus carefirst administrators telehealth for areas where the of. Schedule a patient Visit and verify that the patient gives consent to conduct telemedicine visits must have interactive! Book a place on training - Mail Administrator P.O from your favorite app store Assistant, Receptionist, Manager! Posted on our website at CareFirstCHPDC.com your 2021 medical plan, even if you are not!