US · guidance
CMS Pub. 100-04, ch. 19, § 100.16.1
A/B MAC (A) - Telehealth Originating Site Facility Fee -
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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