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US · guidance

CMS Pub. 100-04, ch. 19, § 100.16.1

A/B MAC (A) - Telehealth Originating Site Facility Fee -

activein force · 2026-08-25 – presentas-observed

Medicare Part B - Payment Policy

(Rev. 1776, Issued: 07-24-09, Effective: 01-01-09, Implementation: 01-04-10)

Effective January 1, 2009, IHS providers, including CAHs are paid separately from the

AIR for the Telehealth Originating Site Facility Fee. HCPCS code Q3014 (“telehealth

originating site facility fee”) is a Part B benefit. The fee is updated each calendar year by

the Medicare Economic Index announced in the annual Physician Fee Schedule Final

Regulation.

IHS providers are paid for HCPCS code Q3014 at the fee schedule payment, not the

provider’s usual all-inclusive payment methodology (e.g., inpatient DRG or AIR or CAH

per diem). For CAHs, the payment amount is 80 percent of the fee, not 101 percent of

cost.

The Medicare Part B deductible and coinsurance apply to the Telehealth Originating Site

Facility Fee, but are waived by the IHS.

History

(Rev. 1776, Issued: 07-24-09, Effective: 01-01-09, Implementation: 01-04-10)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
7b7615522fa44b95e5995298f177ffee3be27e84dfbdb4ac00c2a1c68a4638ee
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