June 5, 2019
HCPCS H0038-GT performed in a Telehealth location

Applicable to: Mercy Care Complete Care, Mercy Care Long Term Care, Mercy Care RBHA and Division of Developmental Disabilities

Mercy Care is revisiting our provider notification from March 3, 2017, New HCPCS/Modifier Code Combinations , that was previously archived from our website. 

An excerpt from that notification indicated: 

"The following HCPCS code and modifier combinations have been approved by AHCCCS, are
loaded into our claims system, and are available for your use.

HCPCS Code       HCPCS Code Description         Modifier         Description

H0038                Self-help/peer services,          GT                 Via interactive audio and video
                           per 15 minutes                                                 communication system"

The AHCCCS Covered Behavioral Health Services Guide permits the utilization of GT (Interactive Audio & Video Telecommunication Systems) modifier and 02 Place of Service (Telehealth) to be provided in conjunction with H0038 - Self-Help/Peer Services .

We encourage providers to be mindful of their service delivery mechanisms when offering telehealth services while honoring provisions of CFR 42 Part 2 and recognizing advanced requirements for privacy and confidentiality associated with the provision of services through telehealth technology.

As always, don't hesitate to contact your Mercy Care Provider Relations Representative with any questions or comments. You can find this notice and all other provider notices on our Mercy Care website.

Thanks for all you do!