February 17, 2022

Arizona Medicaid: Use the correct place of service code to avoid claim denials for telehealth services

Effective Jan. 1, 2022, the Centers for Medicare & Medicaid Services (CMS) has updated the place of service (POS) descriptions for POS 02 and POS 10, as follows:

  • POS 02: Telehealth provided other than in patient’s home
  • POS 10: Telehealth provided in patient’s home

What this means for you
To avoid a claim denial, please ensure you’re using the correct POS code when providing telehealth services for UnitedHealthcare Community Plan members, as required by the Arizona Health Care Cost Containment System (AHCCCS).

You can read more about the new POS descriptions in the notice AHCCCS posted in December 2021.

Stay informed about billing guidelines
Please be sure to review the AHCCCS website regularly for the most up-to-date billing guidelines, including the telehealth code set posted in the medical coding resources under Reference Extracts.

Questions?
Contact your provider advocate.

PCA-1-22-00246-C&S-News_02012022