New York 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.

Sign Up To Be Notified of Updates In Your State

New York Telemedicine Information

updated October 2019

New York Telemedicine Policy

New York became the twenty-second state to require private insurance companies to cover telehealth services when New York Governor Andrew Cuomo signed the state’s telehealth parity law, which went into effect Jan. 1, 2016. This law also authorized the New York Medicaid agency to increase coverage and reimbursement of telemedicine.  Read on to find out more about New York’s telehealth policies.

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    In December 2014, New York passed its telehealth parity law, which authorized coverage for telehealth services by private insurance, Medicaid, and state employee health plans. However, the law does not mandate coverage for store-and-forward and remote patient monitoring telehealth. 

  • Medicaid

    New York’s Medicaid agency covers fee-for-service telehealth via live video, store-and-forward, and remote patient monitoring solutions. However, the state does limit which healthcare providers can practice telehealth and the location of the patient at the time of service.

    Additionally, Medicaid managed care plans can choose whether to cover telehealth.

  • Type of Telemedicine Covered

    New York Medicaid reimburses live video telemedicine when used to deliver medically necessary care for patients in eligible locations (see Locations section below). Medicaid is also authorized to cover store-and-forward and remote patient monitoring solutions.

  • Covered Health Services

    Under New York’s parity law, private health plans cannot exclude coverage for any telemedicine service that would be covered if deliver in-person.  

    New York Medicaid reimburses for medically necessary services over live video, and specialty care such as dermatology and ophthalmology for store-and-forward telehealth.

  • Eligible Healthcare Providers

    New York Medicaid has a long list of healthcare providers who can practice telemedicine:

    • Physician specialists, including psychiatrists
    • Diabetes Educators
    • Asthma Educators
    • Psychologists
    • Dentists
    • Psychiatric Nurse Practitioners
    • Genetic Counselors
    • Clinical Social Workers
    • Physician
    • Physician assistant
    • Nurse practitioner
    • Registered professional nurse
    • Podiatrist
    • Optometrist
    • Speech language pathologist or audiologist
    • Midwife
    • Hospital
    • Home care services agency
    • Hospice
    • Or any other provider as determined by the Commissioner

  • Online Prescriptions

    New York does not currently have any restrictions for prescribing medication via telehealth.

  • Informed Patient Consent

    New York only states that telemedicine-specific informed patient consent is required for telepsychiatry.

  • Cross-State Telemedicine Licensing

    New York recently introduced legislation to join the Interstate Medical Licensure Compact, which makes the medical licensing process easier for out-of-state telemedicine providers. Check back for updates!

  • Restrictions on Locations

    New York law states that eligible originating sites (location of the patient) for care via telemedicine are:

    • Hospitals and Hospice care
    • Facilities for mental health care, including a psychiatric center, development center, institute, clinic, ward, institution or building
    • Physician offices
    • Schools and child day care centers
    • Adult care facility
    • Patient’s home

  • 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.

Grow your system, profitably. See why
the largest systems in the US choose eVisit.