New Telehealth Code Added to EWC for FQHC/RHC Providers

June 8, 2021

Effective retroactively for dates of service on or after March 4, 2020, the Every Woman Counts Program (EWC) has added HCPCS code G0071 as a benefit to align with the Medi-Cal Payment for Telehealth and Virtual/Telephonic Communications Relative to the 2019-Novel Coronavirus (COVID 19) guidelines.

An Erroneous Payment Correction (EPC) will be implemented to reprocess denied claims with dates of service on or after the effective date of this billing policy, that were appropriately submitted based on the guidance published in this article, but erroneously denied because Medi-Cal had not yet implemented the system changes to support appropriate adjudication. Providers may also elect to use this updated billing policy to correct and resubmit previously denied claims as described in the CIF Submission and Timeliness Instructions section of the Provider Manual. EWC services rendered using telehealth modalities and the above HCPCS code should be billed with an appropriate ICD-10-CM code(s) listed in tables 1a, 1b, 2a and 2b in the Every Woman Counts section of the Provider Manual.