TELEPSYCHIATRY IN INDIANA
Indiana is facing a state-wide shortage of psychiatric providers, making it difficult for many to receive mental health care when they need it. Research conducted by the University of Indiana School of Medicine in 2017 investigated further finding, “Regarding workforce capacity, the psychiatrist workforce still lacks capacity in many – primarily rural – counties throughout the state which could indicate limited access to psychiatric care for many Hoosier residents… [In Indiana], psychiatrists make up just under 4% of the total physicians workforce…”
In light of the nationwide shortage of psychiatric providers, telepsychiatry has emerged as a viable solution to lack of access to mental health care as it allows patients to see providers remotely over secure video-conferencing technology.
GENOA HEALTHCARE TELEPSYCHIATRY IN INDIANA
Q CODES & CPT CODES
Each telepsychiatry session generates two billable codes:
- The standard CPT codes for outpatient, psychiatric services.
- An originating site known as Q3014. The originating site fee is a Telemedicine Bonus that allows clinics to receive reimbursement for the use of the facility where telehealth services are rendered.
In Indiana, this means that clinics can bill $21.86 per patient encounter for Medicaid. The Q-code also applies to Medicare encounters when the facility is located in a Health Professional Shortage Area (HPSA) in which case clinic can bill $26.15 per patient encounter.
Who can be a Telepsychiatrist for my clinic?
Psychiatrists: Any psychiatrist (MD/DO) with a state license in Indiana can provide care via telepsychiatry.
APRNs: APRNs require collaborating physicians in order to practice telepsychiatry in Indiana. Collaborating physicians must review 5% of all charts every week.
How does reimbursement work for telepsychiatry in Indiana?
Community Mental Health Clinics are eligible for Medicare reimbursement in Indiana if they are located in a HPSA (Health Professional Shortage Area). You can check if your address is eligible for Medicare telehealth originating site payment of $26.15 here.
In Indiana, the Medicaid Q code pays $21.86. The Medicaid fee schedule is searchable at the professional fee schedule link found here.
In Indiana, for a medical professional to receive reimbursement for professional services in addition to payment for spoke/originating site services, medical necessity must be documented. (Note: Effective April 1, 2018 the 20 mile requirement between the distant and originating sites was eliminated.)
Advanced Practice Registered Nurse’s practicing telepsychiatry in Indiana are reimbursed at 75% of the MD/DO rate. Regulations require collaborating physicians to review 5% of charts every 7 days.
Prescribing Considerations in Indiana
Indiana Code does allow a provider to use telemedicine to prescribe a controlled substance to a not-previously examined patient. Opioids, however, cannot be prescribed via telemedicine except in cases in which the opioid is partial agonist and is being used to treat or manage opioid dependence. Read more here.
What tech does my clinic need?
Setting up telepsychiatry at your clinic is simple. The set up will require:
- A large monitor screen
- 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 Indiana.