TELEPSYCHIATRY IN MISSOURI
Each year, an estimated 19% of adults in Missouri experience a mental disorder. Due to the nationwide shortage of providers, only 43.5% of adults with AMI (Any Mental Illness) in Missouri received treatment between 2013 and 2014.
The nationwide shortage of providers has made it increasingly difficult for many to access mental health and substance abuse care. Telepsychiatry has emerged as one solution to the lack of access to mental health and substance abuse care across the country as it allows patients to see providers remotely over secure video-conferencing technology.
Telepsychiatry is prevalent in Missouri in a wide range of care settings including inpatient, outpatient, rehabilitation facilities, and prisons.
“Missouri has seen rapid growth in “telepsychiatry” services. Health providers see the technology as a powerful solution to the severe shortage of specialists able to diagnose and prescribe medications for mental disorders — a dangerous scenario that has contributed to higher rates of hospitalizations, emergency room visits, drug addiction and suicide in rural areas.”
– St. Louis Post-Dispatch
GENOA HEALTHCARE TELEPSYCHIATRY IN MISSOURI
In Missouri, Genoa Healthcare has telepsychiatry programs at 18 community mental health centers (CMHCs), federally qualified health centers (FQHCs), substance use treatment facilities, and other organizations that serve the underserved.
Q CODES & CPT CODES
Each telepsychiatry session generates two billable codes:
- The standard CPT codes for outpatient, psychiatric services.
- An originating site fee known as Q3014. fee is a Telemedicine Bonus that allows clinics to receive reimbursement for the use of the facility where telehealth services are rendered.
In Missouri, this means that clinics can bill $15.17 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).
Who can be a Telepsychiatrist for my clinic?
Psychiatrists: In order to practice in the state of Missouri, a psychiatric provider must have a Missouri state license. If a psychiatric provider is already licensed to practice in the United States, obtaining a Missouri license is simple. A new Missouri license costs $75 and takes 4-6 weeks. Once a provider has a license it takes another 1-4 weeks to obtain a DEA.
APRNs: APRNs can also practice telepsychiatry in Missouri, but require a collaborating MD. The APRN and collaborating MD must initially practice for at least one month at same location. After that month, the two providers can practice separately as long as they are within 75 miles of another. If the clinic is in a Health Professional Shortage Area (HPSA) there is no distance requirement after the initial month.
How does reimbursement work for telepsychiatry?
Community mental health clinics are eligible for Medicare reimbursement in Missouri if they are located in a HPSA (Health Professional Shortage Area). Check if your address is eligible for Medicare telehealth originating site payment here.
In order to receive telemedicine reimbursement from Medicaid, your clinic must be enrolled as a Missouri HealthNet provider. If eligible, the provider site payment is the same as an in-person service. Find out if you are eligible here.
As long as the provider is enrolled at the FQHC, the facility can bill under their federal tax ID and the provider’s NPI. The provider doesn’t need to be on site in order to bill or for the facility to be reimbursed.
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 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 Missouri.