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Medicaid Billing for Speech-Language Therapy Conducted Via Telepractice in Montana

Great news — Montana Medicaid will reimburse for speech-language therapy services conducted via telemedicine.

In June, 2014, the Montana State Administrative Rule (ARMS) added the Provision of Telepractice Services (24.222.904) to state that “the provision of speech-language pathology or audiology services in this state through telepractice, regardless of the physical location of the speech-language pathologist or audiologist, constitutes the practice of speech-language pathology or audiology, and is subject to state licensure requirements and regulation by the board.”

For Medicaid billing, the correct way to code for this service is to append a modifier of “GQ” to the covered code to show it was done as telehealth. This modifier is informational only and does not affect payment in any way; the code will still pay the same.

If you have questions or would like further information, please contact Cameron Kilberg, Director of Government Affairs at PresenceLearning by email at or by phone at 571-214-8611.

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