Professional providers: POS 02 virtual care services reimbursed at facility-based rate starting May 1
Effective May 1, 2024, we’re aligning with CMS on our reimbursement rate for professional virtual care services based on the reported place of service (POS) code.
| POS code | Reimbursement | Products impacted* |
|
02 |
Reimbursement will be updated to the facility-based fee schedule rate | Commercial, Medicare |
| 10 Telehealth provided in the patient's home |
Reimbursement will continue to be at the non-facility-based fee schedule rate | Commercial, Medicare |
| * Medicaid will also be updated to align with the state of Michigan's reimbursement rates for virtual care. | ||
Why are we making this change?
This update aligns with CMS’s recent reimbursement changes that went into effect on Jan. 1, 2024.