Prairie Practice Management Professionals, LLC
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 COVID-19 Telehealth Resources
 ** Disclaimer **
This is not a guarantee of payment or coverage, simply a quick resource for our clients and colleagues.
We strongly encourage that each patient or client contact their insurance company to verify that they have benefits under their plan.

Aetna
​​Mental/Behavioral Health - Covered
PT, OT, SLP - At this time, each individual plan should be verified .
​Updated: 03/28/2020
Place of Service: 02
​Modifiers: 95

BCBS ND
PT, OT, SLP, Mental/Behavioral Health
​Updated 03/18/2020
Place of Service: 02
​Modifiers: 95

BCBS MN
PT, OT, SLP, Mental/Behavioral Health
Updated 03/22/2020
Place of Service: 02
Modifiers: 95

BCBS MN BluePlus
PT, OT, SLP, Mental/Behavioral Health
Updated 03/22/2020
Place of Service: 02
Modifiers: 95

BCBS out of State plans
​
At this time, each individual plan should be verified .
Updated 03/22/2020
Place of Service: 
Modifiers:

Cigna
​
​
At this time, each individual plan should be verified .
Updated 03/22/2020
Place of Service: 02
Modifiers: None required

Cigna Behavioral Health
​​
Mental/Behavioral Health - they do recommend verify each plan
Telephonic sessions - OK

Updated 03/23/2020
Place of Service: 02
Modifiers: 95

Health Partners
​​
PT, OT, SLP, Mental/Behavioral  Health
Telephonic sessions - OK

Updated 03/28/2020
Place of Service: 02
Modifiers: None required

Medicare
PT, OT, SLP - Non covered 04/09/2020
Mental/Behavioral Health - Covered
​
Updated 04/16/2020
Place of Service: 11 (or what it normally would have been BEFORE the PHE)
 updated 04/16/2020***
​
Modifiers: 95 (updated 04/09/2020)

 Medica
PT, OT, SLP, Mental/Behavioral Health
Medica Commercial Plan Policy
Medical MHCP PMAP Policy

Updated 03/28/2020
Place of Service: 02
PT/OT/SLP Modifiers: 95
​Modifier Mental/Behavioral Health: None  **updated 04/16/2020

MNMA
PT, OT, SLP, Mental/Behavioral Health
Updated 03/28/2020
Place of Service: 02
Modifiers: None required

NDMA
PT, OT, SLP, Mental/Behavioral Health
​
Telephonic sessions - OK
Updated 03/20/2020
Place of Service: 02
Modifiers: 95

PreferredOne
PT, OT, SLP: Plans specific, each individual plan should be verified .
Mental/Behavioral Health - Covered
Updated 03/20/2020
Place of Service: 02
Modifiers: 95

Prime West Health
​
PT, OT, SLP
Updated 03/20/2020
Place of Service: 02
Modifiers: None required

Sanford Health Plan
​
PT, OT, SLP, *** verify each plan
Mental / Behavioral Health
​Telephonic Sessions - OK

Place of Service: 02
Modifiers: 95
PHE Effective 03/20/2020 through 09/30/2020
Last Updated: 07/09/2020

Sanford Health Plan - Medicaid Expansion
​
PT, OT, SLP *** updated 03/30/2020 verify each plan
Mental/Behavioral Health
​Telephonic Sessions - OK

Updated 03/30/2020
Place of Service: 02
Modifiers: 95

Tricare
​
PT, OT, SLP, Mental/Behavioral Health
Updated 03/20/2020
Place of Service: 02
Modifiers: 95

UMR
​
Please verify each individual plan.
Updated 03/19/2020
Place of Service:
Modifiers: 

United HealthCare
Mental/Behavioral Health - Covered
​Mental Health - 
Telephonic sessions - OK
PT, OT, SLP - Covered (see attached list of codes)
​Updated 03/28/2020
Place of Service for Mental/Behavioral Health: 02
Place of Service: for PT, OT, SLP - use regular POS code ** update 04/09/2020 **
Modifiers PT/OT/SLP: 95
Modifier Mental/Behavioral Health: None  **updated 04/16/2020
Start Date: 03/18/2020 Current End Date: 06/18/2020

Additional Resources:

​State of North Dakota
State of Minnesota
U.S. Department of Health & Human Services
CMS.gov
CDC
​3453 Interstate Blvd S Ste B
Fargo, ND 58103-2257
Phone: 701-205-4533
Email: info@PPMPpro.com
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