Division of Medicaid Announcement - Telemedicine Providers

Date: 04/02/20

Attention: Telemedicine Providers

Effective April 1, 2020, the Division of Medicaid (DOM) will reimburse an enhanced daily monitoring rate for remote patient monitoring (RPM) when medication adherence management services are included. RPM with medication adherence management services will be reimbursed using Healthcare Common Procedure Coding System (HCPCS) code S9110 with a U9 modifier. Providers must obtain authorization, for fee-for-service (FFS) beneficiaries, from DOM’s Utilization Management and Quality Improvement Organization (UM/QIO), Alliant Health Solutions. Please refer to Alliant Health Solutions’ provider portal at: https://ms.allianthealth.org/, or call Alliant directly at 1-888-224-3067. Providers should contact Magnolia Health, Molina Healthcare or United Healthcare Community Plan, for beneficiaries enrolled in Mississippi Coordinated Access Network (MSCAN), for specific authorization and documentation requirements. Additional information regarding DOM RPM policy can be found in the Mississippi Administrative Code Part 225: Telemedicine, Chapter 2: Remote Patient Monitoring Services at https://medicaid.ms.gov/wp-content/ uploads/2015/07/Admin-Code-Part-225.pdf.