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KMAP BULLETIN: Speech-Language and Audiology Services via Telemedicine

Date: 12/27/18

KMAP GENERAL BULLETIN 18265 (PDF)

Effective with dates of service on and after January 1, 2019, provisions in the Kansas Telemedicine Act will allow speech-language pathologists and audiologists licensed by the Kansas Department for Aging and Disability Services (KDADS) to provide services via telemedicine. Services must be provided via real-time, interactive (synchronous) audio-video telecommunication equipment that is compliant with the Health Insurance Portability and Accountability Act (HIPAA).

The speech-language pathologist or audiologist may furnish appropriate and medically necessary services within their scope of practice via telemedicine. As documented in related telemedicine policies, telemedicine claims at the distant site must contain place of service (POS) 02 (Telehealth distant site). Providers at the originating site may submit claims using code Q3014.

  • Distant site means a site at which the healthcare provider is located while providing healthcare services by means of telemedicine.
  • Originating site means a site at which a patient is located at the time healthcare services are provided by means of telemedicine. The facilitator at the originating site must have the appropriate skill set to safely assist the speech-language pathologist or audiologist to provide safe, effective, and medically necessary services via telemedicine.

The following codes are deemed appropriate to be furnished via telemedicine by the American Speech-Language and Hearing Association. Codes not appearing on the tables below are not covered via telemedicine.

Speech-Language Pathology Codes

  • G0515
  • 92507
  • 92508
  • 92521
  • 92522
  • 92523
  • 92524
  • 92526
  • 92605
  • 92606
  • 92618
  • 92626
  • 92627
  • 92630
  • 92633
  • 96105
  • 96110
  • 96111
  • 96125
  • 97533

Audiology Codes

  • 92550
  • 92561
  • 92587
  • 92551
  • 92563
  • 92601
  • 92552
  • 92565
  • 92602
  • 92553
  • 92567
  • 92603
  • 92555
  • 92568
  • 92604
  • 92556
  • 92584
  • 92625
  • 92557
  • 92585
  • 92560
  • 92586

Note: Modifier GT is no longer required when billing telemedicine services. The appropriate manual updates will be made and notification will be sent.

Note: The effective date of the policy is January 1, 2019. The implementation of State policy by the KanCare managed care organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates, once the policy is implemented.

For the changes resulting from this provider bulletin, view the updated General Benefits Fee-for-Service Provider Manual, Section 2710, pages 2-27 and 2-28; Local Education Agency Fee-for-Service Provider Manual, Section 8400, pages 8-7 and 8-8; and Rehabilitative Therapy Fee-for-Service Provider Manual, Section 8400, pages 8-4 and 8-5.