Maryland 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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Maryland Telemedicine Policy

updated October 2019

Maryland Telemedicine Policy

With about 88% of general acute care hospitals already using telehealth, teleradiology, remote monitoring, diagnostic and image review, Maryland has made giant strides since passing its telehealth laws in 2012.

Although new Maryland telemedicine regulations that went into effect in October 2014 limit the location of patient setting and the allowable types of providers, Maryland is moving forward with innovation and expansion in telemedicine.

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

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Maryland’s private insurance parity law was enacted in 2012. Private payers in Maryland are required to cover telemedicine services the same way as in-person medical services.

  • Medicaid

    Maryland’s Medicaid program follows the traditional hub-and-spoke model of delivering telehealth services. In this care model, the patient goes to an eligible spoke or “originating site” to access the technology to consult with a healthcare provider at the hub or “distant site.” Maryland covers services provided via live video telehealth, but not store-and-forward or remote patient monitoring. In order to take advantage of Maryland Medicaid reimbursement, the patient needs to be at an originating site and have access to a telepresenter. For more details, see the Maryland Telehealth Provider Manual.

  • Type of Telemedicine Covered

    Maryland’s Medicaid program currently only reimburses live video interactions, although the Medicaid agency has the discretion to authorize coverage of RPM and store-and-forward on a case-by-case basis.

  • Covered Health Services

    According to Maryland’s Medicaid manual, the program will will reimburse for medically necessary somatic and behavioral health services delivered by an approved provider. Telehealth services have to follow the same restrictions and preauthorization rules as in-person services. 

  • Eligible Healthcare Providers

    Maryland Medicaid will reimburse the following provider types for telehealth:

    • A nurse midwife
    • A nurse practitioner
    • A psychiatric nurse practitioner
    • A physician
    • A physician assistant
    • A provider fluent in American Sign Language providing telehealth services to a deaf or hard of
      hearing participant
    • A community-based substance use disorder provider
    • An opioid treatment program
    • An outpatient mental health center
    • A Federally Qualified Health Center

    Medicaid also requires that healthcare providers to register as telehealth providers at this site.

  • Online Prescriptions

    Maryland does not have any regulations about e-prescribing based on a telemedicine consult. 

  • Informed Patient Consent

    Unless there’s an emergency, Maryland providers have to obtain and document a patient’s consent for telemedicine.

  • Provider-Patient Relationship

    Live video telemedicine can be used to establish a physician-patient relationship.

  • Cross-State Telemedicine Licensing

    Maryland recently passed legislation to join the Interstate Medical Licensure Compact, which helps to expedite medical licensing across state lines. Maryland also has exceptions to its Maryland-only licensed physicians’ rule for telemedicine. The Maryland Medicaid program allows physicians in the adjoining states of Delaware, Virginia, West Virginia, and Pennsylvania to provide telemedicine services to a patient in Maryland, as long as they have an agreement set with an eligible originating site in Maryland.

  • Restrictions on Locations

    Medicaid patients have to receive telehealth services while at an eligible originating site:

    • College or university student health or counseling office
    • Community-based substance use disorder provider
    • Deaf or hard of hearing participant’s home or any other secure location approved by the participant and provider
    • Elementary, middle, high or technical school with a supported nursing, counseling or medical office
    • Local health department
    • FQHC
    • Hospital, including emergency department
    • Nursing facility
    • Private office
    • Opioid treatment program
    • Outpatient mental health center
    • Renal dialysis center; or
    • Residential services site

    Effective October 1, 2015, Maryland Medicaid combined the Telemedicine and Telemental Health Programs and renamed them as the Telehealth Program. The Telehealth Program serves Medicaid participants regardless of geographic location within Maryland.

     Telehealth providers have to enroll in the Maryland Medical Assistance Program and register as an originating or distant site.

  • Reimbursement Rates

    Maryland’s telehealth parity law requires telemedicine services to be reimbursed at the same rate as in-person medical services. Hooray!

  • 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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