Billing Requirements for Telehealth Services

Date: 07/17/25

Providers, please note the requirements for billing telehealth services.

HFS guidelines require billing telehealth Place of Service with distinct modifiers to be billed in the following manner.

CMS Place of Service	CMS Place of Service Description	Required Modifier Rules
10	Telehealth rendered to patient located in their home	The provider must indicate with modifier GT or 93 for the telehealth place of service on the given service line how the telehealth was delivered: 93 modifier indicates audio modality only GT modifier indicates audio and video modality
02	Telehealth provided other than in patient’s Home

Claims billed with no supporting codes as listed above will deny EX1i – POS 02 OR 10 REQUIRES MODIFER GT OR 93 FOR IL MEDICAID*.

For more information on billing requirements please consult the online IAMHP billing guide.

For questions contact Provider Services at 866-606-3700 or reach out to your Provider Engagement contact.

*CARC 16/ RARC N823