Minnesota 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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Minnesota Telemedicine Policy

update October 2019

Telemedicine in Minnesota: Policies

When it comes to telemedicine policy, Minnesota is ahead of the curve in many respects. Its 2015 telehealth parity law mandates reimbursement of telemedicine for private payers and state employee health plans, including dental plans. Minnesota also requires coverage for store-and-forward telemedicine, in contrast to many other states.

Read on to find out more about Minnesota’s telemedicine policy!

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Minnesota’s telehealth parity law was signed in May 2015. Telemedicine laws in Minnesota require private insurers and state employee health plans to provide the same coverage for telemedicine as in-person visits.

  • Medicaid

    Minnesota’s Medicaid program covers a range of medical services via live video, store-and-forward, and home health monitoring telemedicine. However, there are a few requirements and restrictions. Telehealth providers need to complete a Provider Assurance Statement for Telemedicine form in order to get reimbursed. Medicaid patients are also limited to three e-consults per week.

  • Type of Telemedicine Covered

    Minnesota’s Medical Assistance Program reimburses for live video and store-and-forward health services. Remote monitoring and other telehealth or “telehomecare” services may also be covered under the Elderly Waiver and Alternative Care programs.

  • Covered Health Services

    Minnesota Medicaid covers a range of medical services over telehealth, including:

    • Consultations
    • Telehealth consults: emergency department or initial inpatient care
    • Subsequent hospital care services with the limitation of one telemedicine visit every 30 days per eligible provider
    • Subsequent nursing facility care services with the limitation of one telemedicine visit every 30 days
    • End-stage renal disease services
    • Individual and group medical nutrition therapy
    • Individual and group diabetes self-management training with a minimum of one hour of in-person instruction to be furnished in the initial year training period to ensure effective injection training
    • Smoking cessation
    • Alcohol and substance abuse (other than tobacco) structured assessment and intervention services
    • Teledentistry
    • Teleradiology

  • Eligible Healthcare Providers

    According to the Minnesota Medicaid Manual, healthcare providers eligible to practice telemedicine are:

    • Physician
    • Nurse practitioner
    • Physician assistant
    • Nurse midwife
    • Clinical nurse specialist
    • Registered dietitian or nutrition professional
    • Clinical psychologist
    • Clinical social worker
    • Dentist, dental hygienist, dental therapist, advanced dental therapist
    • Mental health professional, when following requirements and services limitations
    • Pharmacist
    • Certified genetic counselor
    • Podiatrist
    • Speech therapist
    • Therapist
    • Occupational therapist
    • Audiologist
    • Public health nursing organization

  • Online Prescriptions

    A prescription or drug order is not valid unless it can be established that the prescription or order was based on a documented patient evaluation, including an examination, adequate to establish a diagnosis and identify underlying conditions and contraindications to treatment.

    This includes the referring provider performing an in-person examination and a consultant issuing the prescription when providing services by telemedicine.

  • Informed Patient Consent

    Minnesota does not require informed patient consent for telemedicine.

  • Cross-State Telemedicine Licensing

    Minnesota is part of the Interstate Medical Licensure Compact which helps expedite the medical licensing process across state lines. Minnesota law also allows physicians licensed in other states to virtually treat Minnesota-based patients, as long as their license has never been revoked or restricted and they agree not to open a practice in Minnesota. 

  • Restrictions on Locations

    Many state Medicaid programs restrict where a patient can be located during the telemedicine visit for the service to be reimbursable. While Minnesota’s Medicaid program does have a list of appropriate originating (patient) sites, the patient’s home is included!

    Here’s the full list:

    • Office of physician or practitioner
    • Hospital (inpatient or outpatient)
    • Critical access hospital (CAH)
    • Rural health clinic (RHC) and Federally Qualified Health Center (FQHC)
    • Hospital-based or CAH-based renal dialysis center (including satellites)
    • Skilled nursing facility (SNF)
    • End-stage renal disease (ESRD) facilities
    • Community mental health center
    • Dental clinic
    • Residential facilities, such as a group home and assisted living, shelter or group housing
    • Home (a licensed or certified health care provider may need to be present to facilitate the delivery of telemedicine services provided in a private home)
    • School

  • Reimbursement Rates

    Minnesota state law requires telemedicine consults to be reimbursed at the same rate as in-person services, by private payers and Medicaid! 

  • 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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