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For providers Billing for telehealth during COVID-19

Medicaid and Medicare billing for asynchronous telehealth

The Centers for Medicare & Medicaid Services now includes asynchronous telehealth as a covered benefit on a state-by-state basis.

Asynchronous telehealth exit disclaimer icon  — often called “store and forward” — lets providers and patients share information directly with each other before or after telehealth appointments.

This includes providers sending their patients lab results, X-rays, or other imaging reports. Asynchronous telehealth also includes patients sending their providers pictures or video of symptoms, for example, and the provider reviewing it before the virtual appointment.

Medicaid coverage

Each state has its own store and forward billing policies. Providers interested in billing for asynchronous telehealth can check their state’s policies on the National Policy Center - Center for Connected Health Policy exit disclaimer icon .

Medicare coverage

Federal law limits Medicare’s telehealth coverage of store-and-forward or asynchronous telehealth to certain projects located in Alaska or Hawaii. Some asynchronous tasks, such as virtual check-ins can be billed to specific Medicare codes.

Read more: Medicare Leaning Network Fact Sheet: Telehealth Services (PDF) — Centers for Medicare & Medicaid Services

Last updated: October 8, 2021

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