I am following up on recent Procentive User Forum discussions about telehealth, in particular the question of whether insurance companies doing business in MN pay for telehealth when the recipient is in their home. I am working my way through the local and national companies, and so far every company has told me that they pay for telehealth when the recipient is in their home.
The outlier is BCBS MN, which has a policy that clearly states that payment is limited to services provided when the recipient is located at "another facility.
I have had an interesting exchange with a BCBS MN representative. He confirmed that they pay only for services provided when the recipient is in another facility, and not in the home. I pointed out, however, that DHS specifically covers telehealth when the recipient is in their home, and BCBS has a PMAP contract which requires them to cover DHS benefits. He acknowledged this and said that he would "have to research this further." I have not heard back, but it has only been a week and I expect that he will have to work with others at BCBS internally to sort this out.
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