TELEPSYCHIATRY IN ILLINOIS
Genoa Healthcare in Illinois
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 Illinois can provide care via telepsychiatry. APRNs require a collaborating MD if they plan on prescribing opioids or narcotics.
How does reimbursement work for telepsychiatry in Illinois?
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.
The Illinois Telehealth Act was enacted in 2018, which requires Medicaid to reimburse eligible behavioral and mental health providers at the same rate as for in-person care. It also enables schools, hospitals, substance abuse centers and other Medicaid-eligible facilities to receive the originating site bonus (Q3014 code) from Medicaid.
Community Mental Health Clinics are eligible for Medicare reimbursement in Illinois if they are located in a HPSA (Health Professional Shortage Area).
FQHCs are covered by Illinois law for telepsychiatry services.
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 Illinois.