DMHC Directs Health Plans to Ensure Californians Can Access Necessary Medical Care Through Telehealth

The DMHC issued an All Plan Letter (APL) in March directing health plans to ensure Californians can access necessary medical care through telehealth when medically appropriate. This includes directing health plans to reimburse providers for care provided through telehealth at the same rate as in-person care and ensuring enrollee cost-sharing is not changed for telehealth services. Following several questions from plans and providers, the DMHC issued All Plan Letter (APL) 20-013 – Billing for Telehealth Services; Telehealth for the Delivery of Services with a Frequently Asked Questions (FAQ) document. This includes information on provider billing during the COVID-19 State of Emergency to decrease administrative burdens on providers and plans.

DMHC APL 20-013 – Billing for Telehealth Services; Telehealth for the Delivery of Services
DMHC FAQ – Telehealth During the COVID-19 State of Emergency
DMHC APL 20-009 – Reimbursement for Telehealth Services