Facility Fee

FQHCs are listed as an originating site eligible for a facility fee.

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

RHCs and FQHCs may bill the Telehealth originating site facility fee on a RHC or FQHC claim under revenue code 0780 and HCPCS code Q3014. Telehealth services are the only services billed on FQHC claims that are subject to the Part B deductible. Additionally, a FQHC payment code and qualifying visit HCPCS code are not required when the only service reported on the claim is for Telehealth services. RHCs and FQHCs are not authorized to serve as distant practitioners for Telehealth services.

For more information on Telehealth services please see Pub 100-04, chapter 12, section 190: http://www.cms.gov/Regulations-andGuidance/Guidance/Manuals/Downloads/clm104c12.pdf

SOURCE:  CMS, Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Claims Processing Manual Ch. 9, Update, Jun 7, 2023, pg. 36 (Accessed Jul. 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).

See: Federal Medicare Live Video Facility/Transmission Fee

Effective April 1, 2020, Medicaid pays an origination site facility fee of $20.00. The origination fee will be limited to one per date of service per recipient and may be billed by all of the providers listed above under Origination Sites (Section 112.2).

No origination site facility fee will be paid for an origination site not listed above. To receive the origination site facility fee, the following must be included on a CMS-1500 or UB-04 claim:

• FQHCs: Q3014 (independent of the encounter rate)

Note: If a Medicaid-enrolled provider performs another medically necessary service(s), the provider may bill for the covered service(s) in addition to providing his/her facility as an origination site and be eligible for reimbursement for the origination site facility fee and the other medically necessary service(s).

A recipient’s home should not be considered an origination site entitled to receive an origination site fee

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

No facility fee for any entities.

See: AK Medicaid Live Video, Facility Transmission Fee

CCHP has found no evidence that AZ Medicaid reimburses a telehealth facility/originating site fee for any telehealth entity.

See: AZ Medicaid Live Video Facility/Transmission Fee

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

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).

FQHCs are not eligible to bill an originating site fee or transmission charges. The costs of these services should be included in the PPS rate, as applicable.

SOURCE: CA Department of Health Care Services (DHCS).  Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHC) Manual. Mar. 2024. Pg. 13. (Accessed May 2025).

FQHCs are eligible for the originating site facility fee and may bill procedure code Q3014 (telemedicine originating site facility fee).

SOURCE: CO Department of Health Care Policy and Financing.  “Telemedicine Billing Manual” 5/25, (Accessed Jun. 2025).

See: CO Medicaid Live Video Facility/Transmission Fee

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There is a general prohibition on providers charging a facility fee for telehealth services.

See: CT Medicaid Live Video Facility/Transmission Fee.

A facility fee is covered for originating sites. Facility fees for the distant site are not covered. Only one facility fee is permitted per date, per member.

SOURCE: DE Medical Assistance Program. Practitioner Provider Specific Manual, 12/20/24. Sec. 16.6, pg. 80 & DE Adult Behavioral Health Service Certification and Reimbursement. Dec. 1, 2016. Sec. 1.8, p. 11. (Accessed May 2025).

DC Medicaid does not reimburse for a telemedicine transaction fee and/or facility fee.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.28, Department of Health Care Finance – Telemedicine Provider Guidance, Jan. 2023, pg. 6, Physicians Billing Manual.  DC Medicaid.  (Jan. 2024) Sec. 15.8. P. 54, Clinic Billing Manual, DC Medicaid (Sept. 2023), Sec. 15.8, P. 52. FQHC Billing Manual, DC Medicaid 15.6.2, P. 54. (Oct. 2023), Behavioral Health Billing Manual (Feb. 2024) 14.8, p. 71. Outpatient Hospital Billing Guide, 15.8.6, p. 75 (Sept. 2023), Inpatient Hospital Billing Guide, 11.8, p. 63 (Jan. 2024), Long-Term Care Billing Manual, 15.8, p. 54 (Sept. 2023) (Accessed Mar. 2024).

No Reference Found.

FQHCs serving as an originating site may be paid an originating site facility fee.  FQHCs may not bill for an originating site fee and distant site fee for a telehealth service on the same encounter.

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. 26 (Apr. 1, 2025). (Accessed Jun 2025).

No reference found.

No reference found.

Telehealth Billing Examples:

Example 1:

Originating Site – Encounter clinic

Bill the encounter HCPCS Code T1015 and HCPCS Code Q3014, along with any additional appropriate detail code(s). Maximum reimbursement will be the facility’s medical encounter rate.

Reimbursement will be the facility’s medical encounter rate

Distant Site – Encounter clinic

There is no billable service; the Originating Encounter clinic is responsible for payment to the Distant Encounter clinic provider

Example 2:

Originating Site – Encounter clinic

Bill the encounter HCPCS Code T1015 and HCPCS Code Q3014, along with any additional appropriate detail code(s). Maximum reimbursement will be the facility’s medical encounter rate.

Distant Site – Physician’s office/APN/Podiatrist’s Office

There is no billable service; the Originating Encounter clinic is responsible for payment to the Distant Encounter clinic provider

Example 3:

Originating Site – Physician’s office/APN/Podiatrist’s Office

Bill HCPCS Code Q3014

Distant Site – Encounter clinic

Bill the encounter HCPCS Code T1015 and any appropriate detail code(s) with modifier GT on the detail line(s); POS 02. Maximum reimbursement will be the facility’s medical encounter rate. The rendering provider’s name and NPI must also be reported on the claim.

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

“Facility Fee” means the reimbursement made to the following originating sites for the telehealth service:  physician’s office, podiatrist’s office, local health departments, community mental health centers, licensed hospital outpatient departments as defined in 89 Ill. Adm. Code 148.25(d) and substance abuse treatment centers licensed by the Department of Human Services-Division of Alcoholism and Substance Abuse (DASA).

A facility fee shall only be paid to providers as defined above. Clinics reimbursed under the prospective payment system shall only be eligible for a medical encounter as set forth in subsection (c)(3) of this Section.

SOURCE: IL Admin. Code Title 89, 140.403 (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).

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.

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

• Procedure code Q3014 – Telehealth originating site facility fee, billed with POS code 02 and modifier 95

Separate reimbursement for merely serving as the originating site is not available to FQHCs and RHCs. When the presence of a medical professional is not medically necessary at the originating site, neither the facility fee, as billed by HCPCS code Q3014, nor the facility-specific PPS rate is available, because the requirement of a valid encounter is not met. Pursuant to the Code of Federal Regulations 42 CFR 405.2463, an encounter is defined by the CMS as a face-to-face meeting between an eligible provider and a Medicaid member during which a medically necessary service is performed. Consistent with federal regulations, for an FQHC or RHC to receive reimbursement for services, including those for telehealth, the criteria of a valid encounter must be met.

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

Subject to the following criteria, reimbursement is available to FQHCs and RHCS when they are serving as either the distant site or the originating site for telehealth services.

SOURCE: IHCP Bulletin BT 202239 (May 19, 2022), p. 3. (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).

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 Facility/Transmission Fee

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 Revised Statute Sec. 205.559. (Accessed Jun. 2025).

See: Medicaid Live Video Facility/Transmission Fee

Louisiana Medicaid only reimburses the distant site provider.

SOURCE: LA Dept. of Health, Professional Svcs. Provider Manual, Chapter Five of the Medicaid Svcs. Manual, Section 5.1, p. 166 (As issued on 6/27/22). (Accessed Jun. 2025).

See: LA Medicaid Live Video Facility/Transmission Fee

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.

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 Facility/Transmission Fee

No explicit reference found.

See MD Medicaid Live Video Facility/Transmission fee:

Reimbursement does not include clinic facility fees unless the health care service is provided by a health care provider not authorized to bill a professional fee separately for the health care service.

SOURCE: MD Health General Code 15-141.2 (g)(3), (h). & Code of Maryland Admin. Regs. Sec. 10.09.49.07. (Accessed May 2025).

Providers may not bill MassHealth a facility claim for originating sites.

SOURCE: MassHealth All Provider Bulletin 379, Oct. 2023. (Accessed Apr. 2025).

See: MA Medicaid Live Video Facility/Transmission Fee

Allowable originating sites [includes FQHCs] are permitted to submit claims for the telehealth facility fee. This fee is intended to reimburse the provider for the expense of hosting the beneficiary at their location. To submit this code, the originating site must ensure the technology is functioning, the privacy of the beneficiary is secured, and that the information is shared confidentially

The telehealth facility fee does not qualify as a face-to-face visit and does not generate the PPS Payment.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 2205 & 2211, Apr. 1, 2025, (Accessed Apr. 2025).

To be reimbursed for the originating site facility fee, the originating site provider must bill the telehealth facility fee. MDHHS will reimburse the originating site provider the current Medicaid fee screen. Additional services provided at the originating site on the same date as the telemedicine service may be billed and reimbursed separately according to published policy.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 275, Apr. 1, 2025. (Accessed Apr. 2025).

See: MI Medicaid Live Video Facility/Transmission Fee

MN Medicaid does not reimburse a facility fee for any entity.

See: MN Medicaid Live Video Facility/Transmission Fee

The following providers are eligible to receive the originating site facility fee for telehealth services per transmission: …

• Federally Qualified Health Center (FQHC),

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

• The Division of Medicaid reimburses …  a fee per completed transmission for telehealth services provided by the RHC acting as an originating site provider. The FQHC may not bill for an encounter visit unless a separately identifiable service is performed. The originating site facility fee will be paid at the existing fee-for-service rate in effect as of January 1, 2021.

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

See: MS Medicaid Live Video Facility/Transmission Fee

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).

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).

See: MO Medicaid Live Video Facility/Transmission Fee

FQHCs listed as site eligible for originating site fee in Telemedicine manual.

FQHCs and RHCs can bill a telehealth originating site procedure code Q3014 if applicable.

SOURCE: MT Dept. of Public Health and Human Svcs., Medicaid and Medical Assistance Programs Manual, General Information for Providers, Telemedicine (Feb. 2020). (Accessed Jun. 2025).

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

• 0780 – Telehealth originating site

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

See: MT Medicaid Live Video Facility/Transmission Fee.

Telehealth transmission cost related to non-core services will be the lower of:

• The provider’s submitted charge; or
• The maximum allowable amount

The Department will pay for transmission costs for line charges when directly related to a covered telehealth service. The provider must be in compliance with the standards for real time, two-way interactive audiovisual transmissions (see 471 NAC 1-006).

SOURCE:  NE Admin. Code Title 471, Sec. 29-004.05A, Ch. 29, Manual Letter #11-2010, (Accessed Apr. 2025).

See: NE Medicaid Live Video Facility/Transmission Fee

In order to bill the Q3014 facility fee, an originating site must be enrolled as a Nevada Medicaid provider. Eligible sites include: …

• Federally Qualified Health Center (FQHC)

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

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.

See: NV Medicaid Live Video Facility/Transmission Fee

NH Medicaid complies with the Centers for Medicare and Medicaid Service requirements for telehealth. Based on the Medicare requirements, originating sites (including FQHCs) are eligible for a facility fee.

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

See: NH Medicaid Live Video Facility/Transmission Fee

All costs associated with the provision of telehealth services, including but not limited to the contracting of professional services and the telecommunication equipment, are the responsibility of the provider and are not directly reimbursable by NJFC.

No explicit reference to FQHCs.

SOURCE: NJ Division of Medical Assistance and Health Services. Newsletter Vol. 28, No. 17, Sept. 2018, p. 4 (Accessed May 2025).

See: NJ Medicaid Live Video Facility/Transmission Fee

No reference found.

Exceptions to current telehealth payment parity requirements are in place for certain costs, including facility fees in instances when such costs were not incurred in the provision of telehealth services because neither the originating nor the distant site occurring within the facility or clinic setting for Article 28 licensed facilities.

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).

See: NC Medicaid Live Video Facility/Transmission Fee

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

SOURCE: ND Medicaid, 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.

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

See: ND Medicaid Live Video Facility/Transmission Fee

No reference found

See: OH Medicaid Live Video Facility/Transmission Fee

No reference found

See: OK Medicaid Live Video Facility/Transmission Fee

OR Medicaid reimburses the facility fee code Q3014 however no explicit mention is made to whether or not FQHCs can be reimbursed for it.

See: OR Medicaid Live Video Facility/Transmission Fee

PA Medicaid reimburses a facility fee, however there isn’t an explicit indication of whether or not FQHCs are eligible for the fee.

See: PA Medicaid Live Video Facility/Transmission Fee

No reference found.

No Reference found

The referring site, also known as the originating site, is only eligible to receive a facility fee for telehealth services. Claims must be submitted with an appropriate HCPCS code (telehealth originating site facility fee). If a provider from the referring site performs a separately identifiable service for the beneficiary on the same day as telehealth, documentation for both services must be clearly and separately identified in the beneficiary’s medical record, and both services are eligible for full reimbursement.

SOURCE: SC Health and Human Svcs. Dept. Physicians Provider Manual, p. 215 (Mar. 2025). (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).

Telemedicine Originating Site Fee

Reimbursement for the telemedicine facility fee is limited to the amount listed on the Physician Services fee schedule.

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, p. 8 (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),

Enrolled dental providers, such as a dental office, FQHC/RHC, or IHS facility, are eligible to receive an originating site facility fee for acting as an originating site if the service being provided from the distant site is a covered teledentistry service. Other sites not listed may also serve as an originating site but are not eligible for an originating site facility fee reimbursement. Asynchronous services are not eligible for an originating site fee.

SOURCE: SD Medicaid Billing and Policy Manual, Teledentistry Services, p. 4-6, (Jun. 2023), (Accessed Apr. 2025).

See: SD Medicaid Live Video Facility/Transmission Fee

A health insurance entity shall reimburse an originating site hosting a patient as part of a telehealth encounter an originating site fee in accordance with the federal centers for medicare and medicaid services telehealth services rule 42 C.F.R. § 410.78 and at an amount established prior to August 20, 2020, by the federal centers for medicare and medicaid services.

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

See: TN Medicaid Live Video Facility/Transmission Fee

See: TX Medicaid Live Video Facility/Transmission Fee

UT Medicaid does not reimburse a facility fee.

See: UT Medicaid Live Video Facility/Transmission Fee

Originating site providers may be reimbursed a facility fee using Q3014. However, there is no explicit reference to whether or not FQHCs qualify for this fee.

See: VT Medicaid Live Video Facility/Transmission Fee

No reference found.

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.

In the event it is medically necessary for a Provider to be present at the originating site at the time a synchronous telehealth service is delivered, said Provider may bill an originating site fee (via procedure code Q3014). Does not explicitly state a FQHC is eligible to bill Q3014.

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

See: VA Medicaid Live Video Facility/Transmission Fee

FQHCs are authorized to serve as an originating site for telemedicine services. An originating site is the location of a client at the time the telemedicine service is being furnished through a telecommunications system. FQHCs that serve as an originating site for telemedicine services are eligible to receive an originating site facility fee if they meet the criteria found in HCA’s Telemedicine clinical policy and billing (see below). Originating site facility fees are not encounter eligible. Charges for the originating site facility fee may be included on a claim, but the originating site facility fee may not be included on the cost report.

SOURCE: WA HCA Medicaid Provider Guide, Federally Qualified Health Centers, p. 63 (Apr. 2025). (Accessed May 2025).

FQHCs are explicitly listed as an eligible originating site for the facility fee.

SOURCE: RCW 74.09.325; WA State Health Care Authority. Medicaid Provider Guide, Telemedicine Policy and Billing, p. 19 (Jan. 2025). (Accessed May 2025).

Originating sites that are enrolled with HCA to provide services to HCA clients and bill HCA may be paid a facility fee for infrastructure and client preparation. HCA does not pay an originating site facility fee to the client in any setting. Additionally, HCA does not pay an originating site facility fee in the following situations:

• Audio-only telemedicine
• Store and forward
• If the originating site is:
  • The client’s home
  • A hospital (inpatient services)
  • A skilled nursing facility o Any location receiving payment for the client’s room and board
  • The same entity as the distant site or if the provider is employed by the same entity as the distant site

FQHCs are instructed to bill for the fee using HCPCS code Q3014.

SOURCE: WA State Health Care Authority. Medicaid Provider Guide, Telemedicine Policy and Billing, p. 18-19 (Jan. 2025). (Accessed May 2025).

Enrolled FQHCs or RHCs that serve as an originating site for Telehealth services are paid an originating site facility fee.

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).

An originating site must bill the appropriate telehealth originating site code (Q3014) unless the originating site is the home of the member. However, facility fees are not covered.

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).

See: WI Medicaid Live Video Facility/Transmission Fee

Eligible sites that can bill Q3014 (originating site facility fee) include:

• Federally Qualified Health Center (FQHC)

When billing for the Originating Site facility fee, use procedure code Q3014. A separate or distinct progress note is not required to bill Q3014. Validation of service delivery would be confirmed by the accompanying practitioner’s claim with the GT or 95 modifier indicating the practitioner’s service was delivered via telehealth. Medicaid will reimburse the originating site Provider the lesser of charge or the current Medicaid fee.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, p. 134 & 137 (Apr. 1, 2025), & Institutional Provider Manual pg. 133 & 135.  (Apr. 1, 2025). (Accessed May 2025).

See: WY Medicaid Live Video Facility/Transmission Fee