Skip to main content
  • Medicaid Provider Alert: Provider revalidation has begun and those not completing the process risk disenrollment.  Check your account now to learn when your revalidation is due. More information here.
  • The Cook Central Office, 36 South Wabash Avenue, Chicago, will close 02/03/2025.  The new Cook Central Office will open at 115 South LaSalle, Chicago, for in-person service on 02/10/2025.  
  • ​UPDATE (1/21/2025): The State Disbursement Unit (SDU) has processed all payments impacted by the outage and is back to normal operation. To verify payments, please log into the SDU parent portal or contact the SDU Customer Service Call Center at 877.225.7077.  For SDU business hours, click here.
Elizabeth M. Whitehorn, Director

Provider Notice Issued 03/02/2021

Date:    March 2, 2021

 

To:       Enrolled Hospitals:  Chief Executive Officers; Chief FinancialOfficers; and Patient Accounts Managers

 

Re:      Hospitals Billing as the TelehealthOriginating Site with Revenue Code 0780 and HCPCS Code Q3014

 

 

 

 

Thisnotice provides additional guidance to hospitals billing as the originatingsite for outpatient telehealth services. The billing requirements apply to claimsbilled under Medicaid fee-for-service as well as HealthChoiceIllinois managed care plans.

 

Asoutlined in provider notices dated June 2,2020 and June 24,2020, effective with service From Dates beginning July 1, 2020, hospitals must bill all services previously billed asprofessional (non-hospital) services as outpatient institutional services.

 

The June 24,2020, provider notice stated that hospitals must bill Revenue Code 0780 –Telehealth, General Classification, on the institutional claim format todesignate the telehealth originating site. Additionally, effective withclaims received on and after March 1, 2021, the Department is revising editingto require HCPCS code Q3014 – Telehealth Originating Site Facility Fee, to bebilled in conjunction with Revenue Code 0780. HCPCS code Q3014 must beidentified on the same revenue line with Revenue Code 0780. If any otherprocedure code is billed with Revenue Code 0780, the claim will be rejectedwith error code T55 – Missing/Invalid HCPCS for Revenue Code 0780.

 

Otherservices may be billed as necessary on the same outpatient claim with atelehealth facility fee, but the telehealth service must be identified asdescribed above. No modifier is requiredfor the telehealth service.

 

Questionsregarding this notice may be directed to a hospital billing consultant in theBureau of Professional and Ancillary Services at 877-782-5565 or the applicableHealthChoiceIllinois managed care plan.

 

 

KellyCunningham, Administrator

Divisionof Medical Programs

 

 ​