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State Telehealth Laws and Reimbursement Program Policies

2019

The updated Fall 2019 version of “State Telehealth Laws and Reimbursement Policies” from PHI's Center for Connected Health Policy (CCHP) offers policymakers, health advocates, and other interested health care professionals a detailed compendium of state telehealth laws, regulations and Medicaid policies. The report also includes an executive summary, which summarizes CCHP’s findings along with an “At a Glance” Infographic and Chart that highlights key data points from the report. CCHP’s online interactive map tool has also been updated with all of the newest information from this update.

Visit CCHP’s website to download an infographic of the key findings or a full PDF version of State Telehealth Laws and Reimbursement Policies Report, or use CCHP’s interactive state policy map to conduct specific searches. 

This round of updates to CCHP’s “State Telehealth Laws and Reimbursement Policies ” report revealed that States continue to refine and expand their telehealth reimbursement policies though they are not treated across the board in the same manner as in-person delivered services. Limitations in regards to reimbursable modality, services and location of the patient continue to be seen. Although each state’s laws, regulations, and Medicaid program policies differ significantly, certain trends are evident. Live video Medicaid reimbursement, for example, continues to far exceed reimbursement for store-and-forward and remote patient monitoring (RPM). Reimbursement for RPM and store-and-forward continue to be limited.

Help spread the word with a tweet: See @CCHPCA's guide to #telehealth-related policies, laws & regulations for all 50 states & DC: http://bit.ly/StateTelehealth @phidotorg


 

FALL 2019 highlights
  • State Telehealth and Reimbursement Policies: At A Glance

    Download a copy of the infographic here.

  • Fifty states and Washington, DC provide reimbursement for some form of live video in Medicaid fee-for-service.
  • Fourteen states provide reimbursement for store-and-forward. Four additional jurisdictions (HI, MS, NH, and NJ) have laws requiring Medicaid reimburse for store-and-forward but as of the creation of this edition, yet to have any official Medicaid policy indicating this is occurring.
  • Twenty-two state Medicaid programs provide reimbursement for remote patient monitoring (RPM). As is the case for store-and-forward, two Medicaid programs (HI and NJ) have laws requiring Medicaid reimburse for RPM but at the time this report was written, did not have any official Medicaid policy.
  • Twenty-three states limit the type of facility that can serve as an originating site.
  • Thirty-four state Medicaid programs offer a transmission or facility fee when telehealth is used.
  • Forty states and DC currently have a law that governs private payer telehealth reimbursement policy. Although Georgia passed a private payer law, it does not become effective until Jan. 1, 2020.  

Visit CCHP’s website to download an infographic of the key findings or a full PDF version of State Telehealth Laws and Reimbursement Policies Report, or use CCHP’s interactive state policy map to conduct specific searches.