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August 26 2026 Clinic Providers Medicare Telemedicine Updates

August 26, 2026: Attention FQHC, RHC and IHC Providers: MDHHS has been notified that Medicare will be covering Telehealth services with an E/M code and modifier 93 or 95 requirement only. Note current Medicaid telemedicine billing requirements remain the same with no changes. Medicaid will still require a G-code or T1015 code in conjunction with the appropriate E/M code or other qualifying visit service along with the telemedicine modifier for proper claim adjudication to occur. 

To confirm the services being rendered are reimbursable via telemedicine refer to the Telemedicine Fee Screen. If the telemedicine code being billed does not have a visit count of one or higher the claim will continue to be reimbursed at $0.00 as the Clinic Reimbursement Methodology is applied when delivered via telemedicine.