State Health Official Letter #23-001 RE: Coverage & Payment Of Interprofessional Consultation In Medicaid & CHIP

On January 5, 2023, the Centers for Medicare & Medicaid Services (CMS) published this State Health Official Letter #23-001 regarding coverage and payment of interprofessional consultation in Medicaid and the Children's Health Insurance Program (CHIP). CMS issued this letter to clarify Medicaid and CHIP policy for coverage and payment of interprofessional consultations. This letter clarifies that Medicaid and CHIP coverage and payment of interprofessional consultation is permissible, even when the beneficiary is not present, as long as the consultation is for the direct benefit of the beneficiary . . .