Eligible Originating Site

FQHCs are listed as an eligible originating site.

SOURCE:  Social Security Act, Sec. 1834(m) (Title 42, Sec. 1395m). (Accessed Jul. 2025).

An originating site is the location where a patient gets physician or practitioner medical services through telehealth. Before the COVID-19 PHE, patients needed to get telehealth at an originating site located in a certain geographic location.

All patients can get telehealth wherever they’re located. They don’t need to be at an originating site, and there aren’t any geographic restrictions. For non-behavioral and non-mental health services, patients can get telehealth wherever they’re located through September 30, 2025.

FQHCs can be originating sites for telehealth if they’re in a qualifying area. FQHCs serving as telehealth originating sites get an originating site facility fee. You may include the originating site facility fee charges on the claim. Although FQHC services aren’t subject to a deductible, we don’t consider the facility fee an FQHC service. You must apply the deductible when billing the telehealth originating site facility fee.

SOURCE: Centers for Medicaid and Medicare Services, Medicare Learning Network Booklet 6397, Federally Qualified Health Centers, Apr. 2025, & MLN Booklet 6398, Rural Health Clinics, Apr. 2025, (Accessed Jul. 2025).

RHCs and FQHCs may serve as an originating site for telehealth services, which is the location of an eligible Medicare beneficiary at the time the service being furnished via a telecommunications system occurs. RHCs and FQHCs that serve as an originating site for telehealth services are paid an originating site facility fee.

Although FQHC services are not subject to the Medicare deductible, the deductible must be applied when an FQHC bills for the telehealth originating site facility fee, since this is not considered an FQHC service.

SOURCE:  CMS, Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy Manual Chapter 13 Update, 4/21/25, pg. 46, (Accessed Jul. 2025).

See: Federal Medicare Live Video Eligible Sites

The following sites are recognized by Medicaid as origination sites: …

• Federally Qualified Health Centers (FQHCs)

Telemedicine services can be rendered to a recipient in their home. However, a recipient’s home should not be considered an origination site entitled to receive an origination site fee.

FQHCs can bill Q3014 (independent of the encounter rate)

SOURCE: AL Medicaid Management Information System Provider Manual, Telemedicine Services, Ch. 112, Apr. 2025, p. 5 & 11 (Accessed Jun. 2025).

Live Video

Submitting a claim for a telemedicine service is identical to the way a claim would be submitted for a face-to-face visit. Depending on the method of telemedicine used and the role of the provider in the consultation determines whether a modifier should be added to the procedure code. The role of the provider falls into three categories:

• Referring Provider: Evaluates a patient, determines the need for a consultation, and arranges services of a consulting provider for the purpose of diagnosis and treatment.
• Presenting Provider: Introduces a patient to the consulting provider during an interactive telemedicine session (may assist in the telemedicine consultation).

NOTE: Manual is under review.

Unclear if referring site applies to FQHCs.

SOURCE: AK Dept. of Health and Social Svcs. Billing for Telemedicine Services. Section II: Professional Claims Management, Feb. 6, 2020, pg. 20, (Accessed Jun. 2025).

Not explicitly on list, however there is not a definitive list of eligible originating sites.

See: AZ Medicaid Live Video Eligible Sites

Use procedure code and type of service code Y (paper claims only) to indicate telemedicine charges.

View or print the procedure codes for Federally Qualified Health Center (FQHC) services.

The charge associated with this procedure code should be an amount attributable to the telemedicine service, such as line (or wireless) charges.  Medicaid will deny the charge and capture it in the same manner as with ancillary charges.

SOURCE:  AR Medicaid Provider Manual. Section II FQHC. Rule 262.120. Updated Feb. 1, 2022. pg. II-34, (Accessed May 2025).

Yes, see manual for originating site scenarios and billing/reimbursement policies applicable.

The billable provider, employed or under direct contract with an FQHC or RHC can respond from any location, including their home, during a time that they are scheduled to work for the FQHC or RHC.

For the purposes of payment for covered treatment or services provided through telehealth, the department shall not limit the type of setting where services are provided for the patient or by the health care provider.

SOURCE: CA Department of Health Care Services (DHCS). Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHC) Outpatient Services Manual. (Mar. 2024), p. 17-21. (Accessed May 2025).

FQHCs providers can serve as an originating site allowing a member to connect with a distant provider that is not affiliated with the originating site. The service must be submitted on a professional service claim form (the 1500). See the Telemedicine Billing Manual for the coverage of the originating site procedure code.

SOURCE: CO Dep. of Health Care Policy and Financing, FQHC/RHC Services, Last revised 4/15/25, (Accessed Jun. 2025).

The following provider types may bill procedure code Q3014 (telemedicine originating site facility fee): …

• FQHC

SOURCE: CO Department of Health Care Policy and Financing.  “Telemedicine Billing Manual” 2/25. (Accessed May 2025).

Medical and Behavioral Health FQHCs cannot bill their encounter rate when serving as an originating site only; meaning no other services were rendered to the member on that date of service outside of facilitating the telemedicine call by providing the space and technology.

SOURCE: CT Policy – Provider Bulletin 2020-09. P. 5, March 2020. (Accessed May 2025).

FQHCs are listed as eligible originating medical facility sites in the Behavioral Health manual. Generally, according to the Practitioner manual as well, an originating site refers to where the Medicaid patient is located at the time the service is being furnished, and an approved originating site may include the DMAP member’s place of residence, day program, or alternate location in which the member is physically present and telehealth can be effectively utilized.

SOURCE: DE Medical Assistance Program. Practitioner Provider Specific Manual, 12/20/24. Ch. 16.2.5, pg. 74 & Adult Behavioral Health Service Certification and Reimbursement. Dec. 1, 2016. Sec. 1. 8. pg. 11 & 12. (Accessed May 2025).

FQHCs are considered an eligible originating site.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.7,  Department of Health Care Finance – Telemedicine Provider Guidance, Jan. 2023, pg. 3. Physicians Billing Manual.  DC Medicaid.  (Jan. 2024) Sec. 15.3. P. 52, Clinic Billing Manual, DC Medicaid (Sept. 2023), Sec. 15.3, P. 50. FQHC Billing Manual, DC Medicaid 15.3, P. 52. (Oct. 2023), Behavioral Health Billing Manual (Feb. 2024) 14.3, p. 69. Outpatient Hospital Billing Guide, 15.8.3, p. 74 (Sept. 2023), Inpatient Hospital Billing Guide, 11.3, p. 61 (Jan. 2024), Long-Term Care Billing Manual, 15.3, p. 52 (Sept. 2023) (Accessed Mar. 2024).

No Reference Found.

Yes – FQHCs and RHCs may serve as an originating site for telehealth services, which is the location of an eligible Medicare beneficiary or enrolled Medicaid member at the time the service being furnished via a telecommunications system occurs.

SOURCE:  Georgia Department of Community Health, Division of Medicaid, Telehealth Guidance, p. 17 (Apr. 1, 2025).  Georgia Department of Community Health, Division of Medicaid, Federally Qualified Health Center Services and Rural Health Clinic Services, p. 27 (Apr. 1, 2025). (Accessed Jun 2025).

Until December 31, 2024, Federally Qualified Health Center (FQHC) behavioral health providers may be located at a non-HRSA approved site or satellite within the United States and the United States’ territories. If the FQHC provider is prescribing controlled substances, they must be located in the State of Hawai’i.

The location where the patient is located, whether accompanied or not by a health care provider, at the time services are provided by a health care provider through telehealth, including but not limited to a health care provider’s office, hospital, critical access hospital, rural health clinic, federally qualified health center, a patient’s home, and other nonmedical environments such as schoolbased health centers, university-based health centers, or the work location of the patient. The originating site includes a patient’s residence. The U.S. Department of Health and Human Services Office for Civil Rights expects that patients should not receive telehealth services in public or semi-public settings, absent patient consent or exigent circumstances.

SOURCE: Med-QUEST Memo QI-2338/FFS 23-22/CCS-2311.  (Accessed Jun. 2025).

Originating site means the location where the patient is located, whether accompanied or not by a health care provider, at the time services are provided by a health care provider through telehealth, including but not limited to a health care provider’s office, hospital, critical access hospital, rural health clinic, federally qualified health center, a patient’s home, and other non-medical environments such as school-based health centers, university-based health centers, or the work location of the patient.

SOURCE: HI Revised Statues Section 346-59.1(g). (Accessed Jun. 2025).

Teledentistry

Clinics that qualify for FQHC Prospective Payment System (PPS) reimbursement may submit telehealth claims using PPS reimbursement, as long as both the patient and dentist were each physically located at separate eligible FQHC/RHC sites during the encounter and the diagnosis. (Form 5b service sites registered with Med-QUEST as a Medicaid location and issued a HRSA Notice of Award identifying the specific service location address). Refer to Provider Memo QI-2338/ FFS 23-22. The first lines of these claims should be D9999 or D0140.

Claims for patients that were located at “public health settings” not federally registered as a FQHC or RHC service site are not eligible for PPS reimbursement.

SOURCE: HI Med-QUEST Medicaid Provider Manual Dental Benefits (May 2025), p. 40.  (Accessed Jun. 2025).

No reference found.

The Originating Site is the site where the patient is located. An encounter clinic serving as the Originating Site shall be reimbursed their medical encounter. The Originating Site encounter clinic must ensure and document that the Distant Site provider meets the Department’s requirements for telehealth and telepsychiatry services since the clinic is responsible for reimbursement to the Distant Site provider. For telemedicine services, a physician or other licensed health care professional must be present at all times with the patient at the Originating Site. For telepsychiatry services, a physician, licensed health care professional or other licensed clinician, mental health professional (MHP), or qualified mental health professional (QMHP), as defined in 59 IL Admin Code 132.25, must be present at all times with the patient at the Originating Site.

SOURCE: Handbook for Encounter Clinic Services. Ch. 200, pg. 17.  Aug. 2016. (Accessed Jun 2025).

When the originating site is an encounter rate clinic, the maximum reimbursement will be the facility’s encounter rate. The independent offices of a licensed clinical psychologist (LCP) or a licensed clinical social worker (LCSW) are not eligible to receive a facility fee as an Originating Site.

SOURCE: IL Dept. of Healthcare and Family Svcs., Handbook for Practitioners. Ch. A-200 Policy and Procedures, 220.5.7 p. 26, (June 2021),  (Accessed Jun 2025).

An encounter clinic serving as the originating site shall be reimbursed for its medical encounter as defined in Section 140.462.  The clinic is responsible for reimbursement to the distant site provider.

SOURCE: IL Administrative Code 89 140.403 (3). (Accessed Jun 2025).

See billing examples in appendix.

SOURCE: IL Dept of Healthcare and Family Services (Sept. 23, 2020). Encounter Clinic Services – Appendices.  (Accessed Jun 2025).

When an FQHC or RHC bills as an originating site (where the patient receiving telehealth is located), the claim must also include procedure code Q3014 – Telehealth originating site facility fee, billed with POS code 02 and modifier 95. To be eligible for reimbursement, it must be medically necessary for a medical professional to be present with the member, and the service provided must include all components of a valid encounter. See the Telehealth and Virtual Services module for more information.

SOURCE: Indiana Health Coverage Programs, Provider Reference Module, Federally Qualified Health Centers and Rural Health Clinics, p. 6 (May 7, 2024). (Accessed Jul 2025).

When the FQHC or RHC is the originating site (the location where the patient is physically located), the FQHC or RHC may be reimbursed if it is medically necessary for a medical professional to be present with the member, and the service provided includes all components of a valid encounter code. The claim must include the following:

• Encounter code T1015 (or D9999 for valid dental encounters), billed with POS code 02, 03, 04, 11, 12, 31, 32, 50 or 72
• Procedure code Q3014 – Telehealth originating site facility fee, billed with POS code 02 and modifier 95
• One or more appropriate procedure codes for the specific services rendered, billed with modifier 93 or 95, and a POS code of either 02 or 10, depending on the originating site/location of the patient

SOURCE:  Indiana Health Coverage Programs, Provider Reference Module, Telehealth and Virtual Services (Oct 30, 2024), p. 6. (Accessed Jul 2025).

When FQHCs and RHCs bill as an originating site, they must also include procedure code Q3014 – Telehealth originating site facility fee, billed with POS code 02 and modifier 95, on the claim.

SOURCE: IHCP Bulletin BT 202253 (July 14, 2022), p. 1. (Accessed Jul 2025).

FQHCs may serve as originating sites.

See: IA Medicaid Live Video Eligible Sites

SOURCE:  Iowa Dep. of Human Services.  Informational Letter No. 2103-MC-FFS. (Feb. 20, 2020). (Accessed Apr. 2025).

Telemedicine – Note: Refer to Section 2720 of the General Benefits Fee-for-Service Provider Manual for complete details regarding Telemedicine.

SOURCE: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, FQHC/RHC, 8-14 (4/25), (Accessed Jun 2025).

See: KS Medicaid Live Video Eligible Sites

For rural health clinics, federally qualified health centers, and federally qualified health center look-alikes, reimbursement for covered telehealth services and telehealth consultations shall:

• To the extent permitted under federal law, include an originating site fee in an amount equal to that which is permitted under 42 U.S.C. sec. 1395m for Medicare-participating providers if the Medicaid beneficiary who received the telehealth service or telehealth consultation was physically located at the rural health clinic, federally qualified health center, or federally qualified health center look-alike at the time of service or consultation delivery and the provider of the telehealth service or telehealth consultation is not employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike.

SOURCE: KY Statute Sec. 205.559. (Accessed Jun. 2025).

Rural health clinics, federally qualified health centers, and federally qualified health center look-alikes shall be reimbursed as an originating site in an amount equal to that which is permitted under 42 U.S.C. sec. 1395m for Medicare-participating providers, if the insured was physically located at the rural health clinic, federally qualified health center, or federally qualified health center look-alike at the time of service or consultation delivery and the provider of the telehealth service or telehealth consultation is not employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike.

SOURCE: KY Revised Statute Sec. 304.17A-138. (Accessed Jun. 2025).

See: KY Medicaid Live Video Eligible Sites.

LA Medicaid does not have an explicit list of eligible originating sites. They only state that a site should be coded either with POS 02 (places other than the home) or POS 10 (beneficiary’s home).  Note that they do not reimburse an originating site fee.

SOURCE: LA Dept. of Health, Informational Bulletin 20-1. (May 20, 2022). (Accessed Jun. 2025).

See: LA Medicaid Live Video Eligible Sites

When an FQHC or RHC serves as the Originating (Member) Site, the Originating Facility Fee is paid separately from the center or clinic all-inclusive rate.

The Health Care Providers at the Receiving and Originating Sites may be part of the same organization. A Health Care Provider at the Originating (Member) Site may bill MaineCare and receive payment for Telehealth Services if the service is provided by a Treating Provider who is under a contractual arrangement with the Originating (Member) Site.

SOURCE: MaineCare Benefits Manual, Telehealth, 10-144 Ch. 101, Ch. 1, Sec. 4., p. 12. (Nov. 6, 2023). (Accessed May 2025).

Also see: ME Medicaid Live Video Eligible Sites

SOURCE: MD Medicaid Synchronous Telehealth Policy Guide, p. 1, 7. (May 15, 2025); COMAR Sec. 10.09.49.04. (Accessed May 2025).

FQHCs and RHCs may be approved as an originating site for TMH health service delivery.

SOURCE: Code of Maryland Admin. Regs. Sec. 10.21.30.05. (Accessed May 2025).

No reference found.

See: MA Medicaid Live Video Eligible Sites.

An FQHC can be either an originating or distant site for telemedicine services.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 801, Apr. 1, 2025, (Accessed Apr. 2025).

Tribal Health Centers

A THC can be either an originating or distant site for telemedicine services.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 2257, Apr. 1, 2025, (Accessed Apr. 2025).

Authorized originating sites:

• Federally Qualified Health Center (FQHC)

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 2201, Apr. 1, 2025, (Accessed Apr. 2025).

See: MI Medicaid Live Video Eligible Sites.

Rehabilitation Services

Eligible originating sites:

• Rural health clinic (RHC) and Federally Qualified Health Center (FQHC)

SOURCE: MN Dept. of Human Svcs., Provider Manual, Rehabilitation Svcs. May 29, 2025. (Accessed Jun. 2025).

The Division of Medicaid covers telehealth services at the following locations:

• Federally Qualified Health Center (FQHC)

SOURCE: MS Admin. Code Title 23, Part 225, Rule. 1.3(B) (Accessed Apr. 2025).

An encounter for face-to-face telehealth services provided by the FQHC acting as a distant site provider. MS Medicaid reimburses a FQHC for both the distant and originating provider site when such services are appropriately provided by the FQHC.

SOURCE: MS Admin. Code Title 23, Part 211, Rule. 1.5. (Accessed Apr. 2025).

The division shall recognize federally qualified health centers (FQHCs), rural health clinics (RHCs) and community mental health centers (CMHCs) as both an originating and distant site provider for the purposes of telehealth reimbursement. The division is further authorized and directed to reimburse FQHCs, RHCs and CMHCs for both distant site and originating site services when such services are appropriately provided by the same organization.

SOURCE: MS Code Section 43-13-117. (Accessed Apr. 2025).

Providers delivering simultaneous distant and originating site services to a beneficiary are reimbursed: …

• Either the originating or distant site facility fees, not both, except for RHC, FQHC and CMHC when such services are appropriately provided by the same organization.

SOURCE: MS Admin. Code Title 23, Part 225, Rule. 1.5 (Accessed Apr. 2025).

Federally Qualified Health Centers

• FQHC providers must remove originating site charges and payments for telemedicine services from their year-end cost reports.

  FQHC providers must leave the Rendering Provider ID field (24j on CMS-1500) blank on their claims when billing the Q3014 originating site facility charge.

FQHC Cost Report

• The telemedicine charges and costs, including the depreciation cost for equipment, are not allowed on the FQHC cost report.
• FQHC providers must remove charges and payments for telemedicine services from their year-end cost reports.

See originating and distant site scenario examples in Reimbursement Scenarios document.

SOURCE: MO HealthNet Telemedicine Billing Presentation, (Accessed Apr. 2025).

RHCs and FQHCs are eligible to receive reimbursement for a facility fee for Telehealth services when operating as the originating site. Claims must be submitted with HCPCS code Q3014 (Telehealth originating site facility fee). Reimbursement will be made at the lesser of the actual charge or $14.75. FQHCs will be reimbursed at 92% of their billed charges up to a maximum payment of $14.75.

Effective for dates of service on or after January 1, 2016, FQHC providers must bill no more than $16.03 to receive the $14.75 reimbursement.  Claims will be subject to post payment review and those reimbursed more than $14.75 will be adjusted to recoup the difference.

FQHC providers must leave the Rendering Provider ID field (24j on CMS-1500) blank on their claims when billing the Q3014 originating site facility charge.

FQHCs must remove charges and payments for Telehealth services from their year-end cost reports.

SOURCE: Provider Bulletin Volume 38, No. 46, June 1, 2016, (Accessed Apr. 2025).

FQHC providers must leave the Rendering Provider ID field (24j on CMS-1500) blank on their claims when billing the Q3014 originating site facility charge. FQHC providers must also remove charges and payments for Telehealth services from their year-end cost reports.

SOURCE: Provider Bulletin Volume 39, No. 28, Nov. 9, 2016, (Accessed Apr. 2025).

See: MO Medicaid Live Video Eligible Sites.

FQHCs listed as eligible site in Telemedicine manual.

SOURCE: MT Dept. of Public Health and Human Svcs., Medicaid and Medical Assistance Programs Manual, General Information for Providers, Telemedicine (Feb. 2020). (Accessed Jun. 2024).

The following revenue codes are reimbursable when billed by an RHC or FQHC with a valid, allowable procedure code:

• 0780 – Telehealth originating site

The originating site is the physical location of the member receiving services, including a member’s home. Enrolled originating site providers should submit claims using Revenue code 780 with procedure code Q3014. This code is for reimbursement related to the use of a room and telecommunication equipment – note that when the member’s home is the originating site, no one can bill Q3014. The claim must include the diagnosis provided by the distance provider. Reimbursement is the OPPS fee schedule rate for Q3014. Refer to the Telemedicine chapter of the General Information for Providers Manual for more information on providing telehealth services.

SOURCE: MT Dept. of Public Health and Human Svcs., FQHC and RHC Provider Manual, Feb. 4, 2025, pg. 15 & 22, (Accessed Jun. 2025).

Not explicitly listed as originating site, although FQHCs are eligible for reimbursement of transmission costs.

See: NE Medicaid Live Video Eligible Sites.

Facilities that are eligible for encounter reimbursement (e.g. Indian Health (IH) programs, Federally Qualified Health Centers (FQHCs), Rural Health Centers (RHCs)) may bill for an encounter in lieu of an originating site facility fee, if the distant site is for ancillary services (i.e. consult with specialist). If the originating site and distant site are two different encounter sites, the originating site may only bill the telehealth facility fee, and the distant encounter site may bill the encounter code.

A provider is not eligible for payment as both the originating and distant site for the same patient, same date of service.

SOURCE: NV Dept. of Health and Human Svcs., Medicaid Services Manual, Telehealth Services Chapter 3400, Section 3403.1, (Nov. 28, 2023). (Accessed Jul. 2025).

An FQHC may bill for an encounter in lieu of an originating site facility fee, if the distant site is for ancillary services (i.e. consult with specialist). If, for example, the originating site and distant site are two different encounter sites, the originating encounter site must bill the telehealth originating Healthcare Common Procedural Coding System (HCPCS) code and the distant encounter site may bill the encounter code. Refer to MSM Chapter 3400 – Telehealth Services

SOURCE: Federally Qualified Health Center Manual, Chapter 2900 (pg. 1), 1/30/24 (Accessed Jul. 2025).

Eligible sites:

• Federally Qualified Health Center (FQHC)

SOURCE: Nevada Dept. of Health and Human Services Billing Guidelines Telehealth Billing Instructions, p. 1 (2/22/23) (Accessed Jul. 2025).

A licensed professional operating within the scope of their practice under state law may provide services via telehealth. Providers must follow guidelines set forth in MSM Chapter 3400 (Telehealth Services). ….

• Originating Site: The FQHC may bill for an encounter in lieu of an originating site facility fee, if the distant site is for ancillary services (i.e. consult with specialist). If the originating site and distant site are two different encounter sites, the originating site may only bill the telehealth facility fee (Q3014), and the distant encounter site may bill the encounter code.

SOURCE: NV Medicaid FQHC Billing Guidelines. 4/14/25. (Accessed Jul. 2025).

See: NV Medicaid Live Video Eligible Sites

Not explicitly listed as originating site, however there is no restriction on eligible originating site, according to statute.

SOURCE: NH Revised Statutes 167:4-d (Accessed Jul. 2025).

See: NH Medicaid Live Video Eligible Sites.

NJ statute prohibits NJ Medicaid from imposing restrictions on the location or setting of a distant site.

NJ Medicaid newsletters limits sites to independent clinics (which include FQHCs, mental health clinics, and outpatient hospital programs).

SOURCE: NJ Division of Medical Assistance and Health Services. Newsletter. Volume 28, No. 17, Sept. 2018. (Accessed May 2025).

See: NJ Medicaid Live Video Eligible Sites.

Telemedicine originating-site

The location of a MAP eligible recipient at the time the service is being furnished via an interactive telemedicine communications system. The origination-site can be any of the following medically warranted sites where services are furnished to a MAP eligible recipient.

• A federally qualified health center (as defined in section 1861 (aa)(4) of the Act).

SOURCE: NM Administrative Code 8.310.2.12 (M)(a). (Accessed Jun. 2025).

See: NM Medicaid Live Video Eligible Sites

When services are provided via telemedicine to a member located at a FQHC opting into APGs, the provider submits an APG claim for services provided. If the off-site provider delivering service is not employed or contracted by the facility, the provider submits APGs for CPT code “Q3014” as originating site fee. See Medicaid Comprehensive Guidance for further site and location billing scenarios.

SOURCE: NY Dept. of Health, Medicaid Update, Vol. 39, Number 3, February 2023, p. 8, 15-17. (Accessed Mar. 2024).

Hybrid Telehealth with Supporting Home Visit

FQHCs, FQHC-Lookalikes, and RHCs may utilize this hybrid model but shall not bill the home visit codes in table C.1.; FQHCs, FQHC-Lookalikes and RHCs may bill their core service code (T1015) and an originating site facility fee (Q3014) for hybrid model visits to reflect the additional cost of the delegated staff person attending the beneficiary’s home. To be reimbursed for the originating site facility fee, all of the following requirements must be met for each home visit:

• The assistance delivered in the home must be given by an appropriately trained delegated staff person.
• The fee must be billed for the same day that the home visit is conducted.
• HCPCS code Q3014 must be appended with the GT modifier and billed with a place of service ‘12’ to designate that the originating site was the home.
• The core service code (T1015) must be billed separately from the originating site facility fee code (Q3014)

SOURCE: NC Div. of Medical Assistance, Medicaid and Health Choice Manual, Clinical Coverage Policy No: 1H, Telehealth, Virtual Communications and Remote Patient Monitoring, Amended Feb. 15, 2025, (Accessed Jun. 2025).

Hybrid Telehealth with Supporting Home Visit: FQHCs and RHCs may bill their core service code (T1015, T1015-HI, or T1015-SC) and an originating site facility fee (Q3014) for hybrid model visits to reflect the additional cost of the delegated staff person attending the patient’s home. To be reimbursed for the originating site facility fee, all of the following requirements must be met for each home visit:

• The assistance delivered in the home must be given by an appropriately trained delegated staff person.
• The fee must be billed for the same day that the home visit is conducted.
• HCPCS code Q3014 must be appended with the GT modifier and billed with a place of service ‘12’ to designate that the originating site was the home.
• The core service code (T1015, T1015-HI or T1015-SC) must be billed as a separate claim from the originating site facility fee code (Q3014).

Telehealth claims, except for hybrid telehealth with supporting home visits, should be filed with the provider’s usual place of service code(s).

Hybrid telehealth with supporting home visits should be filed with Place of Service (POS) 12 (home).

SOURCE: NC Div. of Medical Assistance, Medicaid and Health Choice Manual, Clinical Coverage Policy No: 1D-4, Core Services Provided in Federally Qualified Health Centers and Rural Health Clinics, p. 18, Aug. 15, 2023. (Accessed Jun. 2025).

Medicaid Telehealth manual indicates there are no restrictions on originating sites.

See: NC Medicaid Live Video Eligible Sites

FQHCs and RHCs

Revenue code 0780 should only be reported along with Q3014 when the FQHC is the originating site.

When providing telehealth services to patients located in their homes or another facility, FQHCs and RHCs should continue to bill the revenue codes listed in the FQHC and RHC portions of this manual along with the CPT® or HCPCS code for the service rendered appended with modifier GT or 95.

Refer to the FQHC and RHC policies for the revenue codes to bill for the various services.

SOURCE: ND Div. of Medical Assistance, Telehealth, (May 2025), (Accessed Jun. 2025).

FQHCs and RHCs – Dentistry

Revenue code 0780 should only be reported along with Q3014 when the FQHC is the originating site. When providing teledentistry services to patients located in their homes or another facility, FQHCs and RHCs should continue to bill the revenue code listed below along with the CDT© code for the service rendered appended with modifier GT or 95.

Revenue Code 512: Dental Clinic.

SOURCE: North Dakota Human Services Dental Manual, Teledentistry, pg. 11-12(Jul. 2024), (Accessed Jun. 2025).

See: ND Medicaid Live Video Eligible Sites.

There is no limitation on the practitioner or patient site.

SOURCE: The Ohio Department of Medicaid.  Telehealth Billing Guide.  7/15/2022 (Updated Jan. 2025), p. 4.  (Accessed Jun. 2025).

See: OH Medicaid Live Video Eligible Sites.

Clinic Services

Telehealth and audio-only health service delivery requires either the provider or the member to be located at the freestanding clinic that is providing services pursuant to 42 Code of Federal Regulations (CFR) § 440.90. Refer to section Oklahoma Administrative Code (OAC) 317:30-3-27 for telehealth policy and OAC 317:30-3-27.1 for audio-only telecommunication policy.

SOURCE: OK Admin Code Sec. 317.30-5-575, (Accessed Jun. 2025).

See: OK Medicaid Live Video Eligible Sites.

OR Medicaid indicates patients should be in a community or health care setting but don’t make an explicit reference to FQHCs.

See: OR Medicaid Live Video Eligible Sites.

Not explicitly listed as originating site, however there is no restriction on eligible originating site, according to PA Dept. of Human Services Bulletin  99-23-08.

The originating site is where the beneficiary is located at the time the MA covered service is rendered to them via telehealth. The originating site can be, but is not limited to, the beneficiary’s home, a provider’s office, clinic, nursing facility, or other medical facility site. When the originating site is a provider’s office, clinic, nursing facility or other medical facility, staff at the originating site should be trained to assist beneficiaries with the use of the telehealth equipment and available to provide in-person clinical intervention, if needed. Providers should obtain the location of the beneficiary at the time each service is rendered via telehealth should there be a need for emergency medical services.

SOURCE: PA Department of Human Services, Medical Assistance  Bulletin 99-23-08 (Aug. 2, 2023), p. 4, (Accessed Apr. 2025).

See: PA Medicaid Live Video Eligible Sites.

No reference found.

RI Medicaid defines the originating site to be the patient’s location at the time healthcare services are provided by means of telemedicine and includes the patient’s home.  No explicit reference is made to FQHCs.

See: RI Medicaid Live Video Eligible Sites

FQHCs are covered referring sites – A referring site (also called the patient site) is the provider who has evaluated the beneficiary, determined the need for a consultation, and has arranged the services of the consulting provider for the purpose of consultation, diagnosis and/or treatment.

SOURCE: SC Health and Human Svcs. Dept. Physicians Provider Manual, p. 35 (May 2024). (Accessed Jun. 2025).

FQHCs may be eligible to receive reimbursement for a facility fee when operating as the referring site. Claims must be submitted with the HCPCS code for telehealth referring site facility fee. The FQHC cannot bill an encounter code when serving as the referring / originating site, nor can they bill for both an encounter and referring site on the same date of service. Billing for the referring site facility fee is not allowed when other services are performed on the same date of service.

SOURCE: SC Health and Human Svcs. Dept. FQHC Provider Manual, p. 23 (Apr. 2025). (Accessed Jun. 2025).

FQHC/RHCs are eligible to serve as an originating site for telemedicine services and may also provide distant site telemedicine services. An originating site is the physical location of the Medicaid recipient at the time the service is provided.

A claim for a telemedicine originating site fee should be billed under the FQHC/RHC’s NPI. As indicated above, payment is limited to the fee schedule amount.

SOURCE: SD Medicaid Billing and Policy Manual, FQHC and RHC Services, Jun. 2024, (Accessed Apr. 2025).

The following providers are eligible to be reimbursed a facility fee for serving as an originating site:

• Federally Qualified Health Center (FQHC)

SOURCE: SD Medicaid Billing and Policy Manual: Telemedicine, (Feb. 2025), (Accessed Apr. 2025),

See: SD Medicaid Live Video Originating Site

“Qualified site” means the office of a healthcare services provider, a hospital licensed under title 68, a facility recognized as a rural health clinic under federal Medicare regulations, a federally qualified health center, any facility licensed under title 33, or any other location deemed acceptable by the health insurance entity.

SOURCE: TN Code Annotated, Sec. 56-7-1002, (Accessed Apr. 2025).

“Qualified site” means the primary or satellite office of a healthcare services provider, a hospital licensed under title 68, a facility recognized as a rural health clinic under federal medicare regulations, a federally qualified health center, a facility licensed under title 33, or any other location deemed acceptable by the health insurance entity.

SOURCE: TN Code Annotated, Sec. 56-7-1003, (Accessed Apr. 2025).

Reimbursement and coverage must be provided for telehealth services and provider-based telemedicine without any distinction or consideration of the geographic location or any federal, state, or local designation, or classification of the geographic area where the patient is located.

SOURCE: TN Code Annotated, Title 56, Ch. 7, Part 1002, & Part 1003, (Accessed Apr. 2025).

See: TN Medicaid Live Video Eligible Sites.

FQHCs are eligible for a facility fee when they serve as the patient site, indicating that they are an eligible originating site for telemedicine/telehealth.

See: TX Medicaid Live Video Eligible Sites.

Not mentioned explicitly, however state does not have a specific originating site list.

See: UT Medicaid Live Video Eligible Sites

An originating site is defined as the location of the patient, whether or not accompanied by a health care provider, at the time services are provided by a health care provider through telemedicine, including a health care provider’s office, a hospital, or a health care facility, or the patient’s home or another nonmedical environment such as a school-based health center, a university-based health center or patient’s workplace.  However, there is no explicit reference to FQHCs.

See: VT Medicaid Live Video Eligible Sites.

No reference found.

The originating site is the location of the member at the time the service is rendered, or the site where the asynchronous store-and-forward service originates (i.e., where the data are collected). Examples of originating sites include: medical care facility; Provider’s outpatient office; the member’s residence or school; or other community location (e.g., place of employment).

Telehealth services may be included in a Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), or Indian Health Center (IHC) scope of practice, as approved by HRSA and the Commonwealth. If approved, these facilities may serve as the Provider or originating site and bill under the encounter rate. The encounter rate methodology for FQHCs and RHCs is described in 12VAC30-80-25; the encounter rate for IHCs (including Tribal clinics) is the All Inclusive Rate set by Indian Health Services.

SOURCE:  VA Dept. of Medical Assistance Svcs., Medicaid Provider Manual Supplement-Telehealth Services, (5/13/24) (Accessed Apr. 2025).

See: VA Medicaid Live Video Eligible Sites.

FQHCs are authorized to serve as an originating site for telemedicine services.

SOURCE: WAC 182-531-1730.(3); WA State Health Care Authority. Medicaid Provider Guide, Telemedicine Policy and Billing, p. 19 (Jan. 2025); Federally Qualified Health Centers, p. 63. (Apr. 2025). (Accessed May 2025).

Yes, FQHCs are listed as eligible originating medical facility sites.

SOURCE: WV Dept. of Health and Human Svcs. Medicaid Provider Manual, Chapter–519.17 Practitioner Services: Telehealth Services., p. 2 (Effective Jan. 1, 2022). (Accessed May 2025).

FQHCs or RHCs may serve as an originating site for Telehealth services, which is the location of the Medicaid member at the time the service is provided through a telecommunications system.

SOURCE: WV Dept. of Health and Human Svcs. Medicaid Provider Manual. Chapter 522.8 Federally Qualified Health Center and Rural Health Clinic Svcs. P. 9. (July 1, 2019). (Accessed May 2025).

For the purpose of this Online Handbook topic, FQHC refers to Tribal and Out-of-State FQHCs. This topic does not apply to Community Health Centers subject to PPS reimbursement.

FQHCs and RHCs may serve as originating site and distant site providers for telehealth services.

The originating site fee is not a FQHC or RHC reportable encounter on the cost report. Any reimbursement for the originating site fee must be reported as a deductive value on the cost report.

SOURCE: WI ForwardHealth Handbook, Originating and Distant Sites, Topic #22739, (Accessed Apr. 2025).

CHCs may serve as originating site and distant site providers for telehealth services.

CHCs should submit claims for originating site services on a professional claim form with HCPCS procedure code Q3014 (Telehealth originating site facility fee) and a POS code that represents where the member is located during the service. Modifier GT should not be included with procedure code Q3014 for originating site services to be considered under the PPS reimbursement method. ForwardHealth will not separately reimburse the CHC for originating site services because all costs for providing originating site services have already been incorporated into the PPS rates for CHCs. However, claims billed by CHCs for originating site services may be used for future rate setting purposes, and CHC costs associated with telehealth services may be reported for change in scope adjustment consideration.

SOURCE: WI ForwardHealth Handbook, Telehealth for Community Health Centers, Topic #21997, (Accessed Apr. 2025).

See WI Medicaid Live Video Eligible Sites.

The Originating Site or Spoke site is the location of an eligible Medicaid client at the time the service is being furnished via telecommunications system occurs.

Authorized originating sites: …

• Federally Qualified Health Centers

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, p. 134 (Apr. 1, 2025), WY Division of Healthcare Financing Tribal Provider Manual, 133 & 211, (Apr. 1, 2024) & Institutional Provider Manual pg. 133.  (Apr. 1 2025). (Accessed May 2025).