Telehealth Updates
MetroPlusHealth Telehealth Updates During the COVID-19 Emergency
Additional Telehealth Information
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Speak To Someone In Your Community
Find Someone In Your Neighborhood And In Your Language
In accordance with New York State Department of Health guidance, MetroPlusHealth is allowing all Network Providers to offer telehealth services to existing members in cases where face-to-face visits may not be recommended, and it is appropriate for the member to be evaluated and managed by telephone. MetroPlusHealth providers will be reimbursed for the services and members should not be billed.
During the New York State COVID-19 State of Emergency, MetroPlusHealth has waived cost sharing on all telehealth services provided to members for all lines of business. Payment will be made for the service, and members should not be billed for telehealth services. Providers should follow billing guidelines outlined in the Medicaid Telehealth FAQ for information regarding POS codes, modifiers, and acceptable service types. View the FAQ page here.
NYSDOH has provided guidance to support the policy that members needing care should be treated through telehealth, including telephonically. All Medicaid qualified practitioners and service providers should offer telehealth services wherever possible to avoid member congregation with potentially infected patients. Telephonic communication will be covered when provided by a qualified practitioner or service provider. All telephonic encounters documented as appropriate by the provider would be considered medically necessary for payment purposes in Medicaid FFS or Medicaid Managed Care. Additional information can be found here.
CMS guidance will now allow Medicare patients to use telecommunication technology for office visits, hospital visits and other services that generally occur in-person. MetroPlusHealth will apply this guidance for our Medicare Advantage lines of business.
The CMS fact sheet regarding telehealth for Medicare beneficiaries can be found here.
On January 31, 2022, MetroPlus Health Plan’s Telehealth program, MetroPlusHealth Virtual Visit, can be accessed through ExpressCare. Virtual Visit offers telehealth medical and mental health visits to our membership. MetroPlusHealth Virtual Visit is not a replacement for primary care doctor visits – it is a free, supplemental service for members to use for low acute illnesses that can be treated online like UTI, pink eye, rashes, depression, anxiety. Learn more about the program here.
Talk To Us About Questions Or Concerns
Monday–Saturday | 8 a.m.–8 p.m. (ET)
Sunday | 9 a.m. –5 p.m. (ET)
Talk To Us About Any Questions or Concerns
Monday–Saturday | 8 a.m.–6 p.m. (ET)
Sunday | 9 a.m. –5 p.m. (ET)
Find Someone In Your Neighborhood And In Your Language
Topic: MetroPlusHealth Annual Public Meeting
Date/Time: Tuesday, December 13th @ 4:00PM
Zoom Webinar Information Below
Please click the link below to join the webinar:
https://metroplus-org.zoom.us/j/85027965324?pwd=bDRBTnFjeW1JZUxLQ2pHU1NZY0pnQT09
Passcode: 498808
Or One tap mobile :
Or Telephone:
Dial (for higher quality, dial a number based on your current location):
+1 646 558 8656 or +1 301 715 8592 or +1 312 626 6799 or +1 253 215 8782 or +1 346 248 7799 or 1 669 900 9128
Webinar ID: 850 2796 5324
International numbers available: https://metroplus-org.zoom.us/u/kbBFHldTq
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