TELEPSYCHIATRY IN CALIFORNIA
Genoa Healthcare in California
Who can be a telepsychiatrist for my clinic?
Psychiatrists & APRNs: Any psychiatrist (MD/DO) or Advanced Practice Registered Nurse
(APRN) with a state license in California can provide care via telepsychiatry.
How does reimbursement work for telepsychiatry in California?
Each telepsychiatry session generates two billable codes:
- The standard CPT codes for outpatient, psychiatric services.
- An originating site facility fee (Q3014) that allows clinics to receive reimbursement for the use of the facility where telehealth services are rendered.
In order to receive telemedicine reimbursement from Medicaid in California, your clinic must be enrolled as a Medi-Cal provider. If eligible, Medi-Cal pays the originating site facility fee per transmission for providing services using telemedicine equipment. The maximum is once per day per patient using HCPCS code Q3014.
Community Mental Health Clinics are eligible for Medicare reimbursement in California if they are located in a HPSA (Health Professional Shortage Area).
FQHCs and RHCs are not yet authorized to serve as a distant site for telehealth consultations and therefore, are not eligible for reimbursement. Read more here.
What tech does my clinic need?
Setting up telepsychiatry at your clinic is simple. The set up will require:
- A two-way video telecommunication system that allows for real-time communication between the provider and patient
- HIPAA-compliant video conferencing technology
UTILIZATION & PROGRAM SUSTAINABILITY
Utilization is the percentage of a telepsychiatrist’s time that is spent on reimbursable patient care. Tracking this number helps clinics understand the financial sustainability of telepsychiatry for their organization.
Download our Utilization Best Practices to learn more about how to ensure telepsychiatry is financially sustainable for your clinic.
READY TO GET STARTED?
Get in touch with a member of our Clinic Partnerships team to learn more about telepsychiatry in California.