​​Now in effect: Updated telemedicine and telehealth services policy

July 19, 2022

Effective July 1, 2022, AmeriHealth New Jersey has updated its medical policy on telemedicine and telehealth services for its members.

The policy criteria were updated to:

  • Allow two-way audio communication to be covered when reported without store and forward communications
  • To clarify asynchronous telemedicine/telehealth is covered when the intent is to allow the member to be evaluated and managed by a provider without physically being present
  • To clarify telemedicine and telehealth services are covered for medically necessary services provided with the same standard of care requirements or practice standards as if the services were provided in person
  • To clarify capitation rules still apply

The following codes were added to the not eligible for reimbursement header: 99441, 99442, 99443.

For more information, please view Medical Policy #00.10.42d: Telemedicine and Telehealth Services for AmeriHealth New Jersey Membe​rs.