Updated: 5/9/2025
SWTRC Billing Guides for Region States
Should you find errors in any of the SWTRC Region States Billing Guides, please contact Carrie Foote at carriefoote@telemedicine.arizona.edu
Billing Resources for SWTRC States
Arizona
AHCCCS Telehealth Services Overview – Provides comprehensive information on telehealth services, including definitions, modalities (synchronous, asynchronous, remote patient monitoring, teledentistry, telephonic), and general billing guidelines.
AHCCCS Medical Policy Manual (AMPM) 320-I: Telehealth Services – Outlines detailed policies on telehealth services, including covered services, provider requirements, and billing instructions.
Telehealth Services and Billing Guidelines Presentation – Provides guidance on billing for telehealth services for IHS/638 providers, including examples and scenarios for various provider types.
Download the Presentation
AHCCCS Telehealth Code Set – A comprehensive list of approved telehealth service codes, including applicable modifiers and place of service codes.
Download the Code Set
Fee-For-Service Provider Billing Manual - Chapter 10: Individual Practitioner Services – Offers detailed billing instructions for individual practitioners, including telehealth services.
Access Chapter 10
Center for Connected Health Policy – Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit CCHP’s Website
AHCCCS Telehealth Code Set – A comprehensive list of approved telehealth service codes, including applicable modifiers and place of service codes.
Download the Code Set
Fee-For-Service Provider Billing Manual - Chapter 10: Individual Practitioner Services – Offers detailed billing instructions for individual practitioners, including telehealth services.
Access Chapter 10
Center for Connected Health Policy – Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit CCHP’s Website
Colorado
Colorado Medicaid Telemedicine Billing Manual – Provides comprehensive guidelines on billing procedures for telehealth services, including definitions of originating and distant sites, appropriate use of modifiers, and place of service (POS) codes.
Access the Manual
Center for Connected Health Policy – Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit CCHP’s Website
Access the Manual
Center for Connected Health Policy – Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit CCHP’s Website
Nevada
Nevada Medicaid Telehealth Billing Instructions – This comprehensive guide outlines billing procedures for telehealth services, including definitions of originating and distant sites, appropriate use of modifiers, and place of service (POS) codes.
Access the PDF
Medicaid Services Manual (MSM) Chapter 3400: Telehealth Services – Provides detailed policy information on covered and non-covered telehealth services, provider requirements, and service limitations.
View Chapter 3400
Telehealth Resource Guide – A resource guide that includes links to billing instructions, Medicaid policies, and additional telehealth resources.
Access the Guide
Center for Connected Health Policy – Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit CCHP’s Website
Access the PDF
Medicaid Services Manual (MSM) Chapter 3400: Telehealth Services – Provides detailed policy information on covered and non-covered telehealth services, provider requirements, and service limitations.
View Chapter 3400
Telehealth Resource Guide – A resource guide that includes links to billing instructions, Medicaid policies, and additional telehealth resources.
Access the Guide
Center for Connected Health Policy – Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit CCHP’s Website
New Mexico
New Mexico Medicaid Telemedicine Guidelines (2025 Update) – Outlines requirements for telemedicine services, including real-time audio and visual components, licensing for out-of-state providers, and post-COVID-19 policies.
Access the PDF
Behavioral Health Policy and Billing Manual – Provides detailed billing instructions for behavioral health services delivered via telehealth, including eligible providers and covered services.
View the Manual
Center for Connected Health Policy – New Mexico Telehealth Laws -Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit the CCHP Website
Access the PDF
Behavioral Health Policy and Billing Manual – Provides detailed billing instructions for behavioral health services delivered via telehealth, including eligible providers and covered services.
View the Manual
Center for Connected Health Policy – New Mexico Telehealth Laws -Provides an overview of state telehealth laws, including Medicaid reimbursement policies and private payer laws.
Visit the CCHP Website
National Resources
- Reimbursement Tips: Remote Physiologic Monitoring (RPM) & Remote Therapeutic
Monitoring (RTM) - Summary of Medicare Care Management Services - Billed Using G0511*
- Updated CMS Information on Remote Monitoring for FQHCs and RHCs
- MLN Factsheet – Telehealth Services
- ACEP: ED Facility Level Coding Guidelines
- CCHP 2023 Telehealth Billing Guide for Medicare Fee-For-Service (cchpca.org)
- List of services payable under the Medicare Physician Fee Schedule when furnished via telehealth (cms.gov)
- CCHP's: CY 2024 Physician Fee Schedule
- CCHP’s CY 2025 Final PFS Factsheet
- CCHP’s State Telehealth Laws & Medicaid Program Policies
- HHS: Billing for telehealth