Wisconsin Medicaid Telehealth Billing for Mental Health
By George Ruan • October 9, 2026
Last updated: October 9, 2026.
Sections
- Start with current ForwardHealth telehealth policy
- Video and audio-only visits have different coding questions
- Match place of service and benefit-specific modifiers
- Check whether audio-only meets the service requirements
- Keep old FAQs in their date context
- Verify supervision, site fees, and the responsible plan
- Related Wisconsin Medicaid guides
- Frequently Asked Questions
Start with current ForwardHealth telehealth policy
For Wisconsin Medicaid mental health telehealth, read the live Online Handbook rather than an old emergency-era instruction sheet. The current chapter includes general telehealth policy, behavioral health modifiers, and originating/distant-site rules. This article was checked October 9, 2026.
ForwardHealth Online Handbook: telehealth policy and behavioral health
Video and audio-only visits have different coding questions
The current behavioral health table identifies GT and 95 for audiovisual delivery and FQ for audio-only behavioral health. FR identifies supervising-practitioner presence through two-way audiovisual technology. These definitions are not a universal modifier combination for every service.
ForwardHealth Online Handbook: telehealth policy and behavioral health
Match place of service and benefit-specific modifiers
The handbook directs distant-site claims to include POS 02 or 10 and the applicable telehealth modifier, alongside benefit-specific modifiers unless the procedure description already incorporates delivery. Check the service and member location before selecting claim fields.
ForwardHealth Online Handbook: telehealth policy and behavioral health
Check whether audio-only meets the service requirements
Update 2023-01 explains expanded permanent telehealth policy and modality modifiers. Use it with the live handbook and the procedure definition. Our suggested review question: can the required clinical components be completed for this member using the intended delivery method?
ForwardHealth Update 2023-01: permanent telehealth expansion
Keep old FAQs in their date context
The telehealth FAQ addresses earlier FQ/GT denials and POS questions and carries dated answers. Use it to understand the historical issue, then verify the live handbook and responsible plan’s current instructions before changing a claim.
ForwardHealth telehealth policy FAQs
Verify supervision, site fees, and the responsible plan
The handbook distinguishes originating and distant sites: the remote treating provider cannot bill the fee for hosting a member elsewhere. Check supervisory requirements and clinical documentation for the actual service. For HMO members, confirm plan-specific billing and authorization procedures too.
ForwardHealth Online Handbook: telehealth policy and behavioral health
Related Wisconsin Medicaid guides
Frequently Asked Questions
Should I append 95 to every Wisconsin Medicaid therapy claim?
No. Match the delivery method, benefit, provider arrangement, and current claim instructions. The handbook lists multiple telehealth modifiers with different meanings.
Does FQ describe audio-only behavioral health?
Yes, in ForwardHealth’s behavioral health modifier table. Confirm all other service-specific and plan requirements before billing.
Can the distant-site therapist automatically bill an originating-site fee?
No. ForwardHealth distinguishes the treating distant site from the site hosting the member; a remote provider does not earn that hosting fee merely by providing telehealth.
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