New Jersey 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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New Jersey Telemedicine Policy

updated October 2019

New Jersey Telemedicine Policy

New Jersey is one of the most recent states to adopt a telemedicine parity law! This new legislation requires that private insurance companies pay for telehealth services at similar rates to in-person medical care. That’s great news for anyone interested in expanding telemedicine in the state of New Jersey.

Read more details about New Jersey telemedicine policy below.

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    New Jersey’s parity law went into effect in July 2017. This updated law requires expanded telehealth coverage by commercial health plans, state employee health insurance and Medicaid. However, the state is still working on getting these regulations implemented. Check with your payers and Medicaid program for their updated policies. 

  • Medicaid

    While the recently passed parity law requires New Jersey Medicaid to cover telemedicine services, the state Medicaid program is still working on establishing its guidelines and policies. Currently, the Medicaid guidelines only reflect instructions for the old coverage of telepsychiatry services. Contact your Medicaid program for the most up-to-date information.

  • Type of Telemedicine Covered

    New Jersey requires coverage for telemedicine, which the law defines as “the delivery of a health care service using electronic communications, information technology, or other electronic or technological means to bridge the gap between a health care provider who is located at a distant site and a patient who is located at an originating site.”

  • Covered Health Services

    New Jersey’s law does not say exactly which services are and are not covered. However, it does state that the standard of care must be equal to in-person care.

    Medicaid covers telepsychiatry for intake evaluations, periodic psychiatric evaluations, medication management and/or psychotherapy sessions for clients of any age.

  • Eligible Healthcare Providers

    Currently, New Jersey state law and Medicaid guidelines do not restrict which healthcare providers can practice telemedicine.

  • Online Prescriptions

    The only limitations New Jersey puts on prescribing via telemedicine is for treatment with Schedule II drugs. In order to prescribe Schedule II controlled substances, the healthcare provider must initially do an in-person exam, along with a follow-up in-person exam every three months.

  • Informed Patient Consent

    New Jersey does not require patient informed consent for telehealth services. Medicaid used to require informed consent for telepsychiatry, but may have changed these requirements since the new parity law passed.

  • Cross-State Telemedicine Licensing

    New Jersey requires that the provider be licensed in the state. Unfortunately, New Jersey is not yet part of the Interstate Medical Licensure Compact, which helps out-of-state providers get licensed across state lines.  

  • Restrictions on Locations

    Currently, New Jersey does not have any restrictions on where the patient has to be during the telehealth visit or service.

  • Reimbursement Rates

    New Jersey requires private payers and Medicaid to reimburse telemedicine services at the same rate as in-person services.

  • 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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