Kansas 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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Kansas Telemedicine Policy

updated October 2019

Kansas Telemedicine Policy

Kansas implemented a parity law for telemedicine. However, even though the law establishes coverage parity, it permits the payers to establish their own reimbursement rules for telehealth services.

Learn more about Kansas’ state telemedicine policy below.

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Kansas passed its telemedicine parity law on May 12, 2018! The law requires private payers to cover telehealth services, but leaves it up to them to establish their reimbursement policies. The law also allows coverage for telehealth under the state Medicaid program.

  • Medicaid

    Kansas Medicaid defines telemedicine as “the use of communication equipment to link health care practitioners and patients in different locations. This technology is used by health care providers for many reasons, including increased cost efficiency, reduced transportation expenses, improved patient access to specialists and mental health providers, improved quality of care, and better communication among providers.” This broad definition leaves the door open for many different types of telehealth services. At this point, Kansas Medicaid reimburses for live video and home telehealth (remote patient monitoring) for certain medical conditions.

    Kansas Medicaid follows the traditional hub-and-spoke model, which requires patients to visit a spoke site (such as a rural health clinic) to access the telemedicine technology and consult with a provider at a distant site.

  • Type of Telemedicine Covered

    Kansas Medicaid currently covers live video telemedicine and home telehealth or remote patient monitoring. The program unfortunately does not reimburse for store-and-forward or patient interactions over phone, email or fax.

  • Covered Health Services

    Kansas Medicaid will reimburse for live video for the following services as long as the patient is present at an eligible originating site:

    • Office visits
    • Individual psychotherapy
    • Pharmacological management services

    Kansas also provides reimbursement for real-time home telehealth services used “to monitor the patient for significant changes in health status, provide timely assessment of chronic conditions, and other skilled nursing services.” Note that prior authorization is required. You can find an online copy of that form here!

  • Eligible Healthcare Providers

    Good News! Unlike most other states, Kansas does not have any state-wide regulations on which healthcare providers can bill for telemedicine.

  • Online Prescriptions

    Telemedicine providers in Kansas must have a pre-existing relationship with the patient to write a prescription. Physicians cannot write prescriptions solely based on an  e-questionnaire, or e-consult, or telephone consult.

    However, this may be updated soon. Kansas’ new law requires the state to establish rules for the prescribing of drugs, including controlled substances, via telemedicine by the end of 2018.

  • Informed Patient Consent

    Kansas Medicaid does require written patient consent for telehealth home services. We recommend this as a best practice anyway! 

  • Cross-State Telemedicine Licensing

    Kansas is part of the Interstate Medical Licensure Compact, which helps expedite the medical licensing process across state lines. This process makes it easier for out-of-state healthcare providers to provide telehealth services to Kansas patients.

  • Restrictions on Locations

    Kansas Medicaid states that patients must be present at an originating site, but does not specify what sites qualify as an originating site.

  • Reimbursement Rates

    Kansas Medicaid reimburses telemedicine services according to the current physician fee schedule amount for that medical service. So Kansas medicaid reimbursement rates for a telemedicine service should be the same as the comparable in-person medical service.

  • Billing Codes

    For a full list of the billing codes for telemedicine services, see the telemedicine section of the Kansas Medicaid Manual.  Note that you’ll use each relevant CPT E&M code along with a GT modifier and a place of service (POS) – 02 Telemedicine code.

  • 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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