Report: State Telehealth Laws and Reimbursement Program Policies
The updated Spring 2020 version of “State Telehealth Laws and Reimbursement Policies” from PHI's Center for Connected Health Policy offers policymakers, health advocates and other interested health care professionals a detailed compendium of state telehealth laws, regulations and Medicaid policies.
The updated Spring 2020 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.
Please note: Since the research was conducted for this report in February 2020, the COVID-19 emergency has imposed many temporary waivers, exceptions and changes to telehealth policy across the nation. Those changes, while significant, in most cases do not reflect a permanent shift in a state’s telehealth policy, and are only in effect through the duration of the emergency. Therefore, those COVID-19 specific policy changes are not reflected in this report.
Visit CCHP’s website to download the ‘At A Glance” infographic of the key findings and the full PDF version of State Telehealth Laws and Reimbursement Policies Report, or use CCHP’s interactive state policy map to conduct specific searches.
Spring 2020 Telehealth Policy Trends
The report revealed that as of February 2020, states continued to refine and expand their telehealth reimbursement policies. While reimbursement for live video and remote patient monitoring remained relatively steady since Fall 2019, there was an increase of three states now reimbursing for the store-and-forward telehealth modality. Another common modification of telehealth policy came in the form of broadening the types of providers eligible to deliver telehealth services. The issue of federally qualified health centers and/or rural health clinics being an eligible distant site provider was also one of the most notable policy changes from CCHP’s Fall 2019 edition, with eight states clarifying that FQHCs and/or RHCs qualify as distant sites. However, not all Medicaid programs allow these entities to receive their prospective payment system (PPS) rate or all-inclusive rate (AIR).
Key findings include:
- Fifty states and Washington DC provide reimbursement for some form of live video in Medicaid fee-for-service.
- Sixteen state Medicaid programs reimburse for store-and-forward. However, 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-three state Medicaid programs provide reimbursement for 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. A law in D.C. requiring Medicaid provide reimbursement for store-and-forward and remote patient monitoring, was made contingent on being funded under an approved budget and financial plan. As of February 2020, neither have been funded. Kentucky Medicaid is also required to create an RPM pilot, but CCHP has not seen any evidence that the pilot has been established.
- Ten state Medicaid programs (Alaska, Arizona, Maryland, Minnesota, Missouri, New York, Oregon, Texas, Virginia and Washington) reimburse for all three, although certain limitations apply.
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.
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Originally published by PHI's Center for Connected Health Policy