Additional Behavioral Health Care Services Reimbursable as Telehealth

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) would like to announce the addition of Behavioral Health Services to our commercial Telehealth reimbursement policy.

Starting April 10, 2024, Blue Cross NC will begin reimbursing additional behavioral health inpatient and outpatient services performed via Telehealth visits according to the updated Telehealth Reimbursement Policy. These additional behavioral health services include inpatient or outpatient daily care evaluative and/or discharge management services. Claims will still need to be billed with the appropriate place of service, procedure code and modifier combination for reimbursement.

This policy applies to Commercial, Host and Federal Employee Program (FEP). This will not apply to IPP Home or Medicare Advantage including Experience Health.