MedicaidApril 20, 2018 in
Medicaid Telemedicine Reimbursement
Medicaid reimbursement for telemedicine can vary widely from state-to-state.
Here’s a quick summary of the overall trends, and tips to navigate your own state’s Medicaid policies.
Almost all state Medicaid programs offer some sort of coverage for telemedicine, usually for live video. Some states reimburse for telemedicine with few restrictions, while others have more limited coverage.
A recent telemedicine policy report from the American Telemedicine Association (ATA) has an excellent, in-depth analysis of state Medicaid coverage for telemedicine.
Here are some of the key findings:
- 48 state Medicaid programs cover telemedicine
- 24 states cover telehealth for state employee plans
- 24 states and DC have no specific requirements for the patient location
- 25 states recognize the patient home as an originating site
- 82% of U.S. states cover telemedicine state-wide, with no restrictions on distance between provider and patient
- 15 states and DC don’t have limitations on which healthcare provider can do telemedicine
While the ATA report shows there’s still room for improvement, the nation is trending toward broader coverage for telemedicine.
As you’re researching your state Medical policies, also keep in mind that your state Medicaid handbook may not yet reflect the most recent policies passed. Some programs haven’t quite caught up yet to the flood of new telemedicine policy. That’s why it’s always best to contact your state Medicaid program and verify the telemedicine guidelines as you’re getting started.
Need some more help navigating your state Medicaid guidelines? No problem. Let’s drill down to the common requirements that many state Medicaid programs put on telemedicine coverage. Here’s a quick summary.