Medicaid Billing for Speech-Language Therapy Conducted Via Telepractice in Montana

Great news — Montana Medicaid will reimburse for speech-language therapy services conducted via telemedicine.

In June, 2014, the Montana State Administrative Rule (ARMS) added the Provision of Telepractice Services (24.222.904) to state that “the  provision of speech-language pathology or audiology services in this state through telepractice, regardless of the physical location of the speech-language pathologist or audiologist, constitutes the practice of speech-language pathology or audiology, and is subject to state licensure requirements and regulation by the board.”

For Medicaid billing, the correct way to code for this service is to append a modifier of “GQ” to the covered code to show it was done as telehealth. This modifier is informational only and does not affect payment in any way; the code will still pay the same.

If you have questions or would like further information, please contact Cameron Kilberg, Director of Government Affairs at PresenceLearning by email at cameron@presencelearning.com or by phone at 571-214-8611.