Telehealth Billing Simplified:
New Guides & Must Have Resources
April 2025
To celebrate the release of our newly updated regional billing guides, this month’s newsletter is dedicated to helping you navigate billing for telehealth-enabled services. Not only will we show you how to access the updated guides, but we’ll also share a variety of additional billing resources tailored to your needs. Keep reading to find the tools and information that matter most to you!
Regional Billing Guides
The newly updated Regional Billing Guides for Arizona, Colorado, Nevada, and New Mexico are now available. These guides provide information on virtual visit types (i.e., telehealth, e-visit, telephone), payor mix (e.g., by payor, which visit types are allowable), payor guidelines, and guidance specific to Rural Health Clinics and Federally Qualified Health Centers. Whether you're navigating reimbursement or streamlining billing practices, these guides are designed to support you every step of the way. Click on the links below to access these guides.
State-Specific Telehealth Billing Resources
Arizona
AHCCCS Telehealth Services Overview – Provides comprehensive information on telehealth services, including definitions, modalities (synchronous, asynchronous, remote patient monitoring, teledentistry, telephonic), and general billing guidelines.
Visit the Telehealth Services Page
AHCCCS Medical Policy Manual (AMPM) 320-I: Telehealth Services – Outlines detailed policies on telehealth services, including covered services, provider requirements, and billing instructions.
Access the Policy Manual
Telehealth Services and Billing Guidelines Presentation – Provides guidance on billing for telehealth services for IHS/638 providers, including examples and scenarios for various provider types.
Download the Presentation
AHCCCS Telehealth Code Set – A comprehensive list of approved telehealth service codes, including applicable modifiers and place of service codes.
Download the Code Set
Fee-For-Service Provider Billing Manual - Chapter 10: Individual Practitioner Services – Offers detailed billing instructions for individual practitioners, including telehealth services.
Access Chapter 10
Center for Connected Health Policy – Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit CCHP’s Website
Colorado
Colorado Medicaid Telemedicine Billing Manual – Provides comprehensive guidelines on billing procedures for telehealth services, including definitions of originating and distant sites, appropriate use of modifiers, and place of service (POS) codes.
Access the Manual
Center for Connected Health Policy – Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit CCHP’s Website
Nevada
Nevada Medicaid Telehealth Billing Instructions – This comprehensive guide outlines billing procedures for telehealth services, including definitions of originating and distant sites, appropriate use of modifiers, and place of service (POS) codes.
Access the PDF
Medicaid Services Manual (MSM) Chapter 3400: Telehealth Services – Provides detailed policy information on covered and non-covered telehealth services, provider requirements, and service limitations.
View Chapter 3400
Telehealth Resource Guide – A resource guide that includes links to billing instructions, Medicaid policies, and additional telehealth resources.
Access the Guide
Center for Connected Health Policy – Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit CCHP’s Website
New Mexico
New Mexico Medicaid Telemedicine Guidelines (2025 Update) – Outlines requirements for telemedicine services, including real-time audio and visual components, licensing for out-of-state providers, and post-COVID-19 policies.
Access the PDF
Behavioral Health Policy and Billing Manual – Provides detailed billing instructions for behavioral health services delivered via telehealth, including eligible providers and covered services.
View the Manual
Center for Connected Health Policy – New Mexico Telehealth Laws -Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit the CCHP Website
National Billing Resources
We offer a wealth of national billing resources to support your telehealth and healthcare operations. Explore valuable tools and guidance from trusted organizations like the U.S. Department of Health and Human Services, the Center for Connected Health Policy, and the National Association of Community Health Workers. If you haven’t explored these yet, now’s the perfect time to dive in!
Visit the Website
Featured Previous Billing Webinars
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OFFICE HOURS: CMS' 2025 Final Ruling on the MPFS with Carol Yarbrough: This session provides an update on the Centers for Medicare & Medicaid Services 2025 final ruling on the MPFS, highlighting changes and their impact on medical practices in 2025.
View the Webinar |
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Federal Telehealth Policy in 2025 with Mei Kwong from the Center for Connected Health Policy: Co-hosted with the National Consortium of Telehealth Resource Centers, this webinar explored recent Congressional activity—both actions taken and inaction—related to federal Medicare telehealth waivers. The session highlighted what policies have changed, which are continuing, and which may be ending.
View the Webinar |
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Telehealth Roundup: SCTRC Regional Billing & Reimbursement Update: This webinar walked attendees through the major telehealth billing and coding changes for 2025. It featured a detailed review of the newly released telehealth CPT codes from the AMA and offered analysis on payor acceptance of these updates. The session also highlighted key changes in the 2025 Medicare Physician Fee Schedule related to telehealth.
View the Webinar |
In Other News
Upcoming Webinars
Title: State of the Science on Therapeutic Alliance in Teens Using Telemental Health
When: April 29th I 12:00 p.m. to 1:00 p.m. (MST)
Registration Link: Register
Note: The University of Arizona College of Medicine – Tucson designates this live activity for a maximum of 1.0 CME.
Title: Rattlesnakes: Envenomations, Intoxications And Travel-Related Diseases
When: May 14th I 12:00 p.m. to 1:00 p.m. (MST)
Registration Link: Register
Note: The University of Arizona College of Medicine – Tucson designates this live activity for a maximum of 1.0 CME.
Previous Webinars
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Navigating the Digital Health Legal Landscape: User Guide to State Data Privacy Laws: Expert speakers John F. Howard, Chase Millea, Claudia Stedman, and Tara Sklar delivered a compelling discussion on the evolving landscape of federal and state data privacy laws affecting healthcare providers, digital health companies, and telehealth platforms. They explored how emerging state regulations intersect with HIPAA and offered practical compliance strategies for delivering virtual care across multiple jurisdictions.
View the Webinar |
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Telepsychiatry: Dr. Sara Gibson launched our Telemedicine Applications and Services webinar series with an insightful presentation on the benefits of telepsychiatry for both providers and patients. She covered best practices for delivering Medications for Opioid Use Disorder via telehealth, addressed common clinical challenges and strategies to overcome them, and shared practical approaches to mitigating fraud in home-based telehealth services.
View the Webinar |
Funding Opportunities
Rural Health Care Program – Healthcare Connect Fund
Rural Health Care Telecommunications (Telecom) Program
Deadlines: June 2, 2025
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