Alaska Medicaid Telehealth Provider Information

Telehealth Announcements


Updated Telehealth Guidance Available


The below telehealth guidance has been updated to include information on the use of modifier FQ and place of service code 10:


  • Policy clarification: Medicaid Telehealth Coverage
  • Temporary Expansion of Medicaid Telehealth Coverage
  • Telehealth Coverage during COVID-19 Health Emergency FAQs

New Telehealth Place of Service Code 10


Effective for dates of service on or after 3/1/2022, Alaska Medicaid providers must bill with a place of service code 10 if the member is in their home during the telehealth visit and 02 if memberis at any other location.


New Telehealth Modifier FQ


Effective for dates of service on or after 3/1/2022, Alaska Medicaid providers must bill with a modifier FQ when an audio-only telehealth mode delivery is utilized. Alaska Medicaid covers audio-only modes of delivery when billed with CPT codes 98966-98968, 99441-99443, and T2023. For more information on telehealth coding please see the telehealth fee schedule.



Telehealth Coverage During COVID-19 Health Emergency FAQs


Click on a question to view the answer below it.



Q: What are the recognized methods of telehealth services?
  • Live Interactive (Synchronous): Use of camera, video, or dedicated audio conference equipment on a real-time basis; a telephone call alone does not meet the definition of live interactive
  • Store and Forward (Asynchronous): The transfer of digital images, sounds, or previously recorded video
  • Self-Monitoring or Testing: Monitoring devices in a member's home with only indirect involvement of the provider

Q: Are behavioral health services provided through other telehealth modes of delivery covered during the COVID-19 public health emergency?

Q: Does Medicaid cover telephone and online digital check-ins?
A: Yes. Medicaid has expanded services to cover both telephone and online digital check-ins for established patients. Refer to the Telehealth Services Temporary Fee Schedule for more information on who can be reimbursed for telephone and online check-ins.

Q: Why are telephone and online digital check-ins not included as recognized methods of telehealth services?
A: Telephone and online digital check-ins are non-face to face services that are being temporarily covered; they are not considered new modes of telehealth delivery.

Q: What is the difference between a telehealth delivered problem-focused evaluation and a telephone or online digital check-in?
A: A problem focused evaluation may be billed utilizing the appropriate telehealth modifier (GT, 95, or GQ) if the service rendered meets the definition of the procedure code (e.g. history, examination, and medical decision complexity). A telephone call alone does not meet the definition of a problem focused evaluation and should not be billed as a problem focused evaluation service. Online digital telehealth modes utilizing live interactive applications may meet the definition of a problem focused exam and may be billed utilizing the problem focused exam procedure code if appropriate.

Telephone and online check-ins are non-face to face patient-initiated evaluations provided to a member via telephone or online digital method. These are brief visits with a patient to provide guidance and to determine if other services, such as a problem focused evaluation, are required. If the check0in is related to another evaluation and management services provided within the previous 7 days or leads to another evaluation and management service within the next 24 hours, it is not separately reimbursable.

Q: Does Alaska Medicaid pay differently for a service provided via telehealth versus an in-person visit?
A: No, providers are reimbursed at the rate indicated on the fee schedule specific to their provider type, whether the service is provided in-person or via a telehealth mode.

Q: What types of connections are authorized to use for telehealth services?
A: The U.S. Department of Health and Human Services, Office for Civil Rights' Notification of Enforcement Discretion for Telehealth Remote Communications during the COVID-19 Nationwide Publis Health Emergency Guidance authorizes the use of secure and some unsecure connections during the COVID-19 public health emergency.

Secure connection: Technology that protects information from inappropriate access, e.g. encrypted email, encrypted portal communications, encrypted patient-facing applications.

Unsecure connection: Technology that may not completely protect member information from being inappropriately accessed.

The notification authorizes use of two-way synchronous communications, e.g. Apple FaceTime, Facebook Messenger video chat, Goodle Hangouts video, Zoom, Skype. Providers should establish and utilize best practices to ensure the highest security possible. This includes practices such as locking personal rooms for secure meetings, setting personal room notifications, scheduling meeting instead of using a personal room, and not reusing passwords for meetings.

Not allowed: Public facing tools such as Facebook Live, TikTok and similar video communication applications.

Q: Do I need to register to offer telehealth services?
A: Yes. Businesses that offer telehealth services must be listed on the Division of Corporations, Business and Professional Licensing Telehealth Business Registry. For more information on applying for a license during this public health emergency, visit Telehealth & Licensing during COVID-19.

Q: Are school districts that provide services via telehealth required to register with the Division of Corporations, Business and Professional Licensing Telehealth Business Registry?
A: No.

Q: What type of informed consent is required when providing services via telehealth?
A: Members must be informed of the type of connection being used during the telehealth visit (secure or unsecure) and give oral or written consent to move forward with the visit once informed. Documentation on file must indicate that informed consent was given orally.

Note: Refer to your scope of practice regulations for certain services that may require written consent prior to treatment.

Q: What are the telehealth documentation requirements?
A: Telehealth services are documented episodes of care and require the same clinical documentation as seeing a member in-person, identified in 7 AAC 105.230, plus documentation that describes the telehealth visit, including:

  • Method (e.g. live interactive, store and forward) and connection used (e.g. encrypted patient facing application, Zoom, Skype).
  • Identify where the patient and provider are located (e.g. home, clinic)
  • Statement that the member has given informed consent for services via the technology used
  • Documentation that supports the full definition of the procedure code(s) billed
  • Time-based services must have supporting documentation of the time spent providing the service
  • Telephone and online digital check-in services should record the amount of time spent with each patient and the type of communication that occurred (e.g. telephone, email, patient portal)


Q: What services are reimbursable if provided through a telehealth mode of delivery?
A: Services authorized to be performed via telehealth can be found on the Telehealth Services Temporary Fee Schedule. Providers shouldrefer to the fee schedule specific to their provider type to determine what codes are reimbursable for their provider type. For information on expanded telehealth for behavioral health services, please visit the Division of Behavioral Health website.

Q: How do I indicate on a claim that a service was delivered via telehealth?
A: Use place of service code 02 or 10 to indicate the service was delivered via telehealth and one of four modifiers to identify the telehealth mode of delivery that was utilized:

  • GT or 95: Live interactive
  • GQ: Store and Forward
  • FQ: Audio only

Effective for dates of service on or after 3/1/2022, use modifier FQ when billing CPT codes 98966–98968 and 99441–99443. Failure to include modifier FQ for dates of service on or after 3/1/2022 will result in the denial of payment for audio only services.

Do not use telehealth modifiers when billing CPT codes 98970–98972 and 99421–99423. For dates of service prior to 3/1/2022 do not use a telehealth modifier for CPT codes 98966–98968, 98970–98972, 99421–99423, and 99441—99443.

Modifier G0 (G-Zero) guidance: Telehealth services for diagnosis, evaluation, or treatment of symptoms of an acute stroke:

  • Must also use modifier for mode of telehealth delivery (FQ, GT, 95, or GQ)
  • G0 (G-Zero) often gets confused with modifier GO (G-Oh). Please ensure the appropriate modifier is utilized when billing either G0 (G-Zero) or GO (G-Oh).


Q: Can a Drug Enforcement Administration (DEA)-registered practitioner issue a prescription for a controlled substance in instances where an in-person medical evaluation cannot be conducted?
A: See the Division of Corporations, Business and Professional Licensing guidance, Telehealth & Licensing During COVID-19.

Q: Are the telephone and online digital check-ins reimbursable for new patients?
A: No. These services are reimbursable only for established patients.

Q: Do I need to add a telehealth modifier (FQ, GT, GQ, or 95) when billing telephone or online digital check-in services?
A: Effective for dates of service on or after 3/1/2022, use modifier FQ when billing CPT codes 98966–98968 and 99441–99443. Failure to include modifier FQ for dates of service on or after 3/1/2022 will result in the denial of payment for audio only services.

Do not use telehealth modifiers when billing CPT codes 98970–98972 and 99421–99423. For dates of service prior to 3/1/2022 do not use a telehealth modifier for CPT codes 98966–98968, 98970–98972, 99421–99423, and 99441—99443.

Q: Can a telephone or online digital check-in be reimbursed in conjunction with other evaluation and management services?
A: No. If a telephone or online digital check-in is performed in conjunction with another E/M services, it is considered part of that other E/M service and is not separately reimbursable.


Q: Is there a limit on how many online digital check-ins may be reimbursed?
A: Yes. Online digital check-in procedure codes are a total of all services performed within a 7-day period of time; Alaska Medicaid will reimburse up to 1 unit per 7-day period of time, per member.


Q: Therapy providers (PT, OT, SLP) cannot utilize new telephone and online digital procedure codes; how do I bill for therapy services delivered via telehealth?
A: Claims for therapy services must be submitted using the same procedure codes used to bill for an in-person service, along with a GT or 95 modifier. Only live interactive mode of delivery is covered for therapy services. Refer to the Telehealth Services Temporary Fee Schedule for covered services.


Q: Can direct entry midwives provide services via telehealth?
A: No. As of November 1, 2021, Direct Entry Midwives (DEM) are no longer authorized to provide services via telehealth.


Q: Do I need to add a telehealth modifier when billing for the professional component of radiology services when delivered through an electronic format?
A: No. This is a standard business practice and is not reported as telehealth through Alaska Medicaid. Radiology services should be billed using the professional modifier (26) and technical modifier (TC).


Q: Are initial hospital care procedure codes (99221-99223) reimbursable if performed via telehealth?
A: Yes, initial hospital care procedure codes are temporarily being added to accomodate potential healthcare provider shortages. For a full list of hospital care services authorized for telehealth please go to the Telehealth Services Temporary Fee Schedule.


Q: Can ventilator management services be conducted via a telehealth mode of delivery?
A: Yes. Ventilator management is reimbursable when performed via telehealth. Only the healthcare provider managing the ventilator may be reimbursed for ventilator management; any bedside adjustments are not separately reimbursable.

Q: Are outpatient therapy centers able to bill telehealth for therapy services utilizing a UB-04 or 8371 and are there any additional requirements for identifying the claim as a telehealth claim?
A: Outpatient therapy centers are authorized to provide therapy services listed on the Telehealth Services Temporary Fee Schedule. Telehealth for therapy services identified by utilizing the modifiers (GT or 95) and a place of service 02; there are no additional requirements when billing on a UB-04 or 8371.

Q: Are physical therapy assistants, occupational therapy assistants, or speech pathology assistants authorized to provide telehealth services?
A: Yes, services provided by enrolled physical and occupational therapy assistants and speech language pathology assistants are authorized for reimbursement of approved telehealth services.

Q: What servicing address should be used on the claim when billing telehealth services?
A: The address on the claim must be the same address that would be used if the service had been provided in-person, even if the provider is providing services via telehealth from another location such as home.


Added April 21, 2020



Q: During the COVID-19 public health emergency, for my clinic to receive full Medicare reimbursement, Medicare is requiring a POS 11 on telehealth claims. Alaska Medicaid requires POS 02 or 10-- what POS should be on the claim for dual-eligible members?
A: Dual-eligible member claims may be billed with a POS 11, Alaska Medicaid will reimburse co-pay and deductible for these claims. Providers must include the appropriate telehealth modifier for these claims to be reported as a telehealth encounter.

Q: Do I need to register my business on the Telehealth Registry if I am only doing the telephone and/or online digital check-ins with no other additional telehealth service?
A: Yes; telephone and online digital check-ins are considered forms of telehealth and require your business to be on the telehealth registry.

Q: When documenting the telehealth encounter do I need to identify the physical address where the member and healthcare provider are located durig the encounter?
A: No; documentation should identify where the patient and provider are located (e.g. home, clinic), but the addresses of the locations are not needed.



Added May 7, 2020; revised March 9, 2021



Q: Must out-of-state providers be licensed in Alaska to provide services via telehealth to a member who is located in Alaska?
A: Typically the provider must be licensed in Alaska. However, during the COVID-19 public health emergency declared between April 10, 2020, and February 13, 2021, physicians, APRNs, and PAs were able to provide services via telehealth without an Alaskan license. As of February 14, 2021, anyone providing telehealth services to a member located in Alaska must hold the appropriate professional Alaska license to perform the services being rendered. Courtesy licenses for emergency or temporary situations are offered by many boards. For more information please visit the CBPL COVID-19 Information for Licensing & Businesses. Any questions concerning licensing requirements may be sent to license@alaska.gov or contact the Division of Corporations, Business, and Professional Licensing at 907.269.8160 or 907.465.2550.


Added August 14, 2020



Q: Is an audio-only mode of delivery covered for psychologists and LCSWs rendering behavioral health services at an FQHC?
A: Effective 8/1/2020, behavioral health services performed via audio-only mode of delivery by psychologists and/or LCSWs rendering services at an FQHC are covered; to bill for these services use CPT codes 98966, 98967, and 98968 (telephone assessment and management services). Audio-only behavioral health services are only covered if all other modes of delivery-- including audio/video modalities-- are not available to the member. Record documentation should clearly indicate the rationale for utlizing an audio-only mode of delivery.

Audio-only behavioral health services covered in an FQHC:

  • Psychiatric diagnostic interview procedures
  • Psychological testing and examination services
  • Individual psychotherapy
  • Health and behavior assessment and intervention services


Added December 8, 2020; revised November 3, 2021



Q: Can vision services be performed via telehealth?
A: No. Effective November 1, 2021, vision services may no longer be performed via telehealth. This includes services performed by optometrists and opthalmologists.


Added April 13, 2021



Q: Do school districts and targeted case management providers need to add a telehealth modifier (FQ, GT, GQ, or 95) when billing a telehealth service?
A: Yes, effective for dates of service on or after 5/15/2021, school districts and targeted case management providers must bill with the appropriate telehealth modifier.




Questions? Contact Carrie Silvers at carrie.silvers@alaska.gov or 907.269.4576