OLTL Issues Reminder: Procedure Codes for Teleservices
The Office of Long-Term Living (OLTL) issued a notice as a reminder to all OBRA waiver providers, Service Coordinators (SCs), and Service Coordination Entities (SCEs) of the availability of Teleservice Cognitive Rehabilitation Therapy, Teleservice Counseling Services, and Teleservice Nutritional Consultation. If the participant chooses the teleservice option, these services must be on the Individual Service Plan (ISP) and billed with the correct procedure codes to accurately capture the teleservice delivery option. Teleservices are also available in the Community HealthChoices (CHC) waiver.
The following teleservices are available:
- Teleservice Cognitive Rehabilitation Therapy
- Provider Type: 59
- Specialty Code: 207
- Procedure Code: W0176
- Teleservice Counseling Services
- Provider Type: 59
- Specialty Code: 231
- Procedure Code: W0175
- Teleservice Nutritional Consultation
- Provider Type: 59
- Specialty Code: 230
- Procedure Code: W0170
Additional information on the licensure and certification requirements can be found in the Service Definitions under Appendix C of the waivers.
The Fee for Service rates for Teleservice Cognitive Rehabilitation Therapy, Teleservice Counseling Services, and Teleservice Nutritional Consultation are included in the fee schedule.
For existing Office of Long-Term Living providers to enroll in the services listed above, a request must be submitted to the enrollment and certification resource account via email. The required documentation should include an updated Provider Enrollment Information Form (PEIF), a copy of the required license or certification, and a copy of the job description for the service you are requesting to add to your provider profile.
Questions related to teleservices should be directed to the enrollment and certification unit at 800-932-0939, option 1, or via email.











