Connecticut Telemedicine Policy, Simplified.

Healthcare legislation is complicated. Let’s clarify a few things.

We strive to keep this information updated and current. It is intended to be an informative guide, and not a comprehensive legal resource. Always consult with your local team of experts and administrators.

Sign Up To Be Notified of Updates In Your State

Connecticut Telemedicine Information

Connecticut Telemedicine Policy

In 2016, Connecticut enacted a telehealth parity law for Medicaid and a modernized network adequacy law. Check out our comprehensive guide to Connecticut’s telemedicine policy!

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Connecticut’s parity law allow for telemedicine coverage by private insurance, Medicaid, and State Employees Health Plans.

  • Medicaid

    Connecticut state law requires Medicaid to cover telehealth services “for categories of health care services that the commissioner determines are clinically appropriate to be provided through telehealth, cost effective for the state and likely to expand access to services for whom accessing healthcare poses an undue hardship.” More specifically, Connecticut Medicaid says the program will reimburse Federally Qualified Health Centers, outpatient office settings, outpatient hospital settings and clinic settings for electronic consults for specialty care.

  • Type of Telemedicine Covered

    State Medicaid will not reimburse for telemedicine visits done over video, although some private payers might. Additionally, there’s currently no coverage for store-and-forward, remote patient monitoring, or other electronic communication (like email, phone or fax).

    Communications must take place between two approved, medically authorized locations.

  • Covered Health Services

    At this time, it’s a bit unclear exactly which medical services Connecticut Medicaid will cover via telemedicine. State law simply says that CT Medicaid is “required to provide coverage for telehealth services for categories of health care services that the commissioner determines are clinically appropriate.” Contact your Medicaid agency for more information.

  • Eligible Healthcare Providers

    Case management behavioral health services for clients age eighteen and under is the only service allowed.

  • Online Prescriptions

    As of July 1, 2018, Connecticut now allows healthcare providers to prescribe certain controlled substances via telemedicine for psychiatric disabilities or substance use disorder. 

  • Informed Patient Consent

    Connecticut requires providers to tell patients the limits of the telehealth platform, get patient consent, and then share record of the encounter with the patient’s PCP.

  • Cross-State Telemedicine Licensing

    The Connecticut Department of Public Health may establish a process of accepting an applicant’s license from another state and may issue that applicant a license to practice medicine in the state without examination if certain conditions are met.

  • Restrictions on Locations

    Telehealth transmissions must take place between two authorized care facilities.

  • Reimbursement Rates

    According to Connecticut’s parity law, individual and group health insurance policies should cover telemedicine services on the same basis as the comparable in-person services. Check with your private payers for more details.

  • Helpful Resources

    We used the sites below to gather information for this guide. Check them out for more details on your state’s policy!

Additional resources to help you get started.

Grow your system, profitably. See why
the largest systems in the US choose eVisit.