Idaho 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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Idaho Telemedicine Policy

updated October 2019

Idaho State Telemedicine Policy

Check out our comprehensive guide to Idaho’s telemedicine policy!

Idaho may be the Gem State, but it needs more polish to shine in telemedicine access and availability. There is no private payer parity law in place and there has not been any legislative activity on this front in the last two years. Keep an eye on Idaho in the coming years to track progress on telehealth policy.

Ready to find out more about Idaho’s telemedicine policy? Read our state guide below!

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Idaho does not currently have a private payer parity law, and hasn’t proposed any legislation for parity in the last several years. However, this doesn’t mean you won’t get paid for telemedicine!

    While a telemedicine parity law would require all private payers in the state to reimburse for telemedicine, many payers will still cover it anyway. Check with your payers to see how they cover telehealth services.

  • Medicaid

    Idaho’s Medicaid program defines telehealth as “health care services provided by a provider to a participant through the use of electronic communications, information technology, synchronous interaction between a provider at a distant site and a patient at an originating site.” This means the state’s Medicaid will cover live video telemedicine for a range of medical services, but does not reimburse for remote patient monitoring or store-and-forward.

  • Type of Telemedicine Covered

    Idaho Medicaid reimburses for live-video telemedicine, but not store-and-forward or remote patient monitoring.

  • Covered Health Services

    Idaho Medicaid covers live-video telemedicine for a range of mental health, primary care, therapy, and developmental disability services. More specifically, the program allows the following services via telehealth:

    • Primary care
    • Specialty services
    • Psychotherapy with evaluation and management
    • Psychiatric diagnostic interview
    • Pharmacological management
    • Therapeutic consultation and crisis intervention
    • Interpretive services

  • Eligible Healthcare Providers

    The following healthcare providers can bill for telemedicine through Idaho Medicaid:

    • Physician
    • Nurse practitioner
    • Physician assistant
    • Nurse-midwife
    • Clinical nurse specialist
    • Clinical psychologist
    • Physical, Occupation, Speech therapists
    • Early Intervention Specialist

  • Online Prescriptions

    In Idaho, providers can prescribe medication via telemedicine to established patients. The state does prohibit prescription of any drugs for abortion.

  • Informed Patient Consent

    The patient’s written informed consent is required to do a telemedicine visit.

  • Cross-State Telemedicine Licensing

    Exciting news! Idaho has recently joined the Interstate Medical Licensure Compact, which supports expedited medical licensing for providers across state lines. 

  • Restrictions on Locations

    Idaho Medicaid does not have any current stated requirements on patient location at the time of the visit.

  • Billing Codes

    Telehealth services should be billed with the relevant HCPCS code and the GT modifier to mark it as telehealth. For details on billing Medicaid, see Idaho’s Telehealth 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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