Pennsylvania 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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Pennsylvania Telemedicine Policy

updated October 2019

Pennsylvania Telemedicine Policy

There are two big pieces of pending legislation in Pennsylvania that could change the way telemedicine happens there. One is the state’s parity law, which would secure greater reimbursement security for telehealth providers!

The other bill concerns the Interstate Medical Licensure Compact, which would help physicians and patients in Pennsylvania have greater cross-state access. We’ll keep up with these bills, so check this page regularly for updates!

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Pennsylvania doesn’t have an active parity law yet, but one has been proposed.

    A telemedicine parity law requires private payers to reimburse telemedicine services in the same way as in-person services. If Pennsylvania’s law is passed, providers will have more support to practice telemedicine!

    However, many private payers will still include coverage for telehealth in their policies even if it isn’t mandated by state law. Check with your private insurance companies on their policies.

  • Medicaid

    Pennsylvania’s Medicaid program defines telemedicine as the use of real-time interactive telecommunications technology that includes, at a minimum, audio and video equipment as a mode of delivering consultation services. Based on this definition, Medicaid will only reimburse for live video telemedicine.

  • Type of Telemedicine Covered

    Pennsylvania Medicaid will reimburse for live video only, and specifically for specialty consultations.

  • Covered Health Services

    Medicaid will reimburse for specialty consultations. Additionally, Pennsylvania Medicaid will reimburse licensed psychiatrists and licensed psychologists for telepsychiatry outpatient services, including:

    • Psychiatric diagnostic evaluations
    • Psychological Evaluations
    • Pharmacological management
    • Consultations (with patient/family)
    • Psychotherapy

  • Eligible Healthcare Providers

    Pennsylvania Medicaid will only reimburse certain healthcare providers for telemedicine services:

    • Physicians
    • Certified registered nurse practitioners
    • Certified nurse midwives
    • Psychiatrists and psychologists

  • Online Prescriptions

    Pennsylvania does not currently have any regulations concerning prescribing medications via telehealth. 

  • Informed Patient Consent

    Pennsylvania’s Medicaid program requires telemedicine-specific informed consent only for telepsychiatry services.

  • Cross-State Telemedicine Licensing

    While Pennsylvania has not yet joined the Interstate Medical Licensure Compact, the state has proposed legislation to consider it. This compact helps out-of-state providers get licensed in Pennsylvania through an expedited process.

    However, Pennsylvania does issue extraterritorial telemedicine licenses to physicians living in a neighboring state, under certain circumstances.

  • 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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