Delaware 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.

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Delaware Telemedicine Policy

updated October 2019

Delaware Telemedicine Policy

Delaware is steadily improving when it comes to their telemedicine policies. The state passed a parity law in March of 2018 which requires private payers to reimburse telemedicine visits at the same rate as in-person visits.

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Delaware passed a telemedicine parity law in March of 2018 that requires private payers to reimburse live video telemedicine the same way as in-person visits.

  • Medicaid

    Delaware’s Medicaid program defines telemedicine as “the use of medical or behavioral health info exchanged by an electronic interactive (two-way, real time) telecommunications system intended to improve the patient’s health.” This means that the program covers live video telemedicine, but not store-and-forward.

  • Type of Telemedicine Covered

    Private payers and Delaware’s Medicaid program cover live video telemedicine.

  • Covered Health Services

    Delaware Medicaid reimburses all telemedicine services covered under the Medicaid State Plan for regular in-person services.

  • Eligible Healthcare Providers

    • Physician
    • Nurse practitioner
    • Physician assistant (under the physician’s supervision)
    • Nurse midwife
    • Psychologist
    • Clinical social worker
    • Professional Counselor of Mental Health
    • Speech Language Therapists
    • Audiologists

  • Online Prescriptions

    Delaware law prohibits providers from prescribing medication without a prior patient-provider relationship. If there is an established relation, providers can prescribe medication, including controlled substances.

  • Informed Patient Consent

    Delaware providers need to get a patient’s informed consent in order to establish a doctor-patient relationship over telemedicine. 

  • Cross-State Telemedicine Licensing

    Delaware is not currently part of the Interstate Medical Licensure Compact, an effort to make practicing across state lines easier.

  • Restrictions on Locations

    Many state Medicaid programs require patients to be at an eligible originating (host) site. In Delaware’s case, the patient’s home, day program, or similar alternative qualifies as an appropriate place for the telemedicine visit. 

  • Reimbursement Rates

    Delaware requires private payers to cover telemedicine services at the same rate as in-person services.

  • Billing Codes

    When billing for telemedicine, use the appropriate CPT/HCPCS procedural code and add a GT modifier (to indicate the service occurred via interactive audio and video telecommunication system).

    Want more details? Check out the Delaware State Medicaid Manual.

  • 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.

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