Hawaii 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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Hawaii Telemedicine Policy

updated October 2019

Hawaii Telemedicine Policy

Hawaii has been keen to adopt telemedicine, especially since the Aloha State has an ongoing physician shortage. In 2016, Hawaii’s governor amended the state’s private payer parity laws, ensuring the same reimbursement for telemedicine as for in-person services and expanding the list of eligible telehealth providers.

Ready to find out more about Hawaii’s telemedicine policy? Keep on reading!

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Since Hawaii amended its telemedicine parity law, private payers are now required to reimburse telemedicine on the same basis as in-person services. The amendment also expanded the list of eligible health care providers who can provide telemedicine.

  • Medicaid

    Hawaii Medicaid is required to cover live video, store-and-forward and remote patient monitoring telehealth services. Plus, Hawaii state law requires these services to be reimbursed in the same manner as comparable services provided in-person (for both Medicaid and private payers!).

  • Type of Telemedicine Covered

    In Hawaii, private payers and Medicaid are required to cover live-video, remote patient monitoring, and store-and-forward telemedicine. Also, under Medicare, Hawaii is one of only two states that allows Medicare coverage of store-and-forward telehealth services.

  • Covered Health Services

    The following health services are covered in Hawaii:

    • Inpatient hospital services
    • Outpatient hospital services
    • Rural health center (including Federally-Qualified Health Center) services
    • Other laboratory and x-ray services
    • Family Practice and Pediatric Nurse Practitioners’ services
    • Nursing facility (NF) services and home health services
    • Early and periodic screening, diagnosis and treatment (EPSDT) for individuals under 21
    • Family planning services and supplies Physician services and medical and surgical services of a dentist
    • Nurse-Midwife services

  • Eligible Healthcare Providers

    Hawaii Medicaid does not have any restrictions on which healthcare providers can bill for telemedicine.

  • Online Prescriptions

    Hawaii healthcare providers can only ePrescribe when there is an established doctor-patient relationship. However, a doctor-patient relationship can be established through telemedicine if the patient was referred by another healthcare provider who conducted an in-person consultation.

  • Informed Patient Consent

    Hawaii does not currently have any regulations around getting informed patient consent prior to the telemedicine visit.

  • Cross-State Telemedicine Licensing

    You must have a medical license in Hawaii to be covered for telehealth services reimbursed by Medicaid. Hawaii is not yet part of the Interstate Medical Licensure Compact to expedite medical licensing across state lines. However, Hawaii allows out-of-state radiologists to provide medical services in the state. that 

  • Restrictions on Locations

    Hawaii is transitioning away from requiring patients to be at a specific location (originating site) during their telemedicine visit. While the state still officially uses the typical list of Medicaid originating sites (FQHCs, Hospitals, Rural clinics, etc), a recent state plan amendment was approved to remove these geographic and originating site requirements. Stay updated on Hawaii’s location restrictions.

  • Reimbursement Rates

    Hawaii requires private payers and Medicaid to reimburse for telehealth the same as face to face services.

    Billing Codes:

    To bill for telemedicine services, use the relevant CPT/HCPCS code and add the GT modifier to document that it was a telemedicine visit.

  • Helpful Resources

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

    The Center for Connected Health Hawaii PDF

Additional resources to help you get started.

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