Vermont 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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Vermont Telemedicine Policy

updated October 2019

Vermont Telemedicine Policy

The Green Mountain State has had a telehealth parity law since 2012, which even includes coverage under state employee health plans. In 2017, the state expanded this coverage further, by removing previous restrictions on the patient’s location at the time of care. Now Vermont patients can receive virtual care from their own homes!

Read on to find out more about telehealth policy in Vermont.

State Policy Overview

Medicaid
Private Payers
Parity
  • Parity Laws

    Vermont’s parity law was enacted in 2012! Private payers (including state employee health plans) and Medicaid are required to cover live video telemedicine. Additionally, the law passed in 2017 got rid of the restrictions on patient location at the time of the visit.

  • Medicaid

    Vermont Medicaid covers “clinically appropriate services” delivered through telemedicine and pays at the same rate as in-person services. The program does not recognize store-and-forward technologies as telemedicine, but does cover live video and home telemonitoring.

  • Type of Telemedicine Covered

    Live video telemedicine is required to be covered under Vermont’s parity law. Additionally, Vermont Medicaid will reimburse for remote patient monitoring for congestive heart failure.

  • Covered Health Services

    Vermont Medicaid pays for live video for any “clinically appropriate” medical service. The program also covers remote patient monitoring for those with congestive heart failure.

    Vermont’s parity law doesn’t state which medical conditions are required to be covered through live video. However, the law does say that it allows, but does not require, coverage by payers for teledermatology and teleophthalmology.

  • Eligible Healthcare Providers

    As long as you’re a Medicaid-enrolled provider, you should be able to practice telemedicine. Vermont law does not restrict which healthcare providers can practice telemedicine.

  • Online Prescriptions

    Prescriptions can be based off a live video telemedicine consult as long as providers follow the same care guidelines as in-person care.

  • Informed Patient Consent

    Vermont law requires providers to get a patient’s informed consent to do a telemedicine visit.

  • Cross-State Telemedicine Licensing

    Vermont recently decided to join the Interstate Medical Licensure Compact, which makes it easier for out-of-state telemedicine providers to practice in the state. Vermont is still in the process of implementing this.

  • Restrictions on Locations

    While Vermont used to limit where patients could receive virtual care (health facilities), recent legislation has removed these restrictions! Patients can now receive telemedicine services from their homes.

  • Reimbursement Rates

    Reimbursement rates are equal for telemedicine and in-person services.

  • Billing Codes

    When billing Medicaid for the telemedicine service, simply use the relevant HCPCS code, along with the GT (telemedicine) modifier and the 02 place of service code. See your Medicaid Manual for more details.

  • 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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