Wyoming 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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Wyoming Telemedicine Policy

updated October 2019

Wyoming Telemedicine Policy

Like many other states, Wyoming is getting closer every day to better coverage for telemedicine. Without a telemedicine parity law in place, there’s no mandate for private payers to reimburse for telemedicine services, although many still do. However, Wyoming Medicaid is one of the few states to offer coverage for specialty telemedicine services for substance abuse. Plus, Wyoming has adopted legislation to join the Interstate Medical Licensure Compact! The compact makes it easier for out-of-state telehealth providers to practice in Wyoming.

Read on to find out more about telemedicine policy in Wyoming!

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Since Wyoming has no parity law, there is no guarantee that private payers will cover telemedicine services. However, many companies find telemedicine very valuable and are adding coverage to their policies. Check with your payers! 

  • Medicaid

    The Wyoming Medicaid Program offers reimbursement for exams performed via a real-time interactive audio and video system. The patient must be able to see and interact with the off-site practitioner during the exam. Currently, Wyoming Medicaid doesn’t consider store-and-forward technologies as meeting their definition of telehealth.

  • Type of Telemedicine Covered

    Wyoming Medicaid will cover some medical services performed over live video, but not through remote patient monitoring or store-and-forward solutions.

  • Covered Health Services

    Along with primary care and mental health, Wyoming’s Medicaid program covers telehealth services for substance abuse and addiction, nutrition patient education, and speech therapy. For more details, refer to the telemedicine section of your Medicaid manual.

  • Eligible Healthcare Providers

    The following healthcare providers are allowed to bill Medicaid for telehealth services:

    • Physicians
    • Advanced practice nurses with a specialty of psychiatry/mental health
    • Physician’s assistant (billed under the supervising physician
    • Psychologists and neuropsychologists
    • Mental health professionals (LCSW, LPC, LMFT, LAT)
    • Speech therapists

  • Online Prescriptions

    Wyoming law states that in order to prescribe following a telemedicine visit, the provider and patient must have an established relationship. 

  • Informed Patient Consent

    Wyoming providers are required to get a patient’s consent for telehealth if they are billing through Medicaid.

  • Cross-State Telemedicine Licensing

    Great news! Wyoming is part of the Interstate Medical Licensure Compact. The compact makes it easier to practice telehealth across state lines by expediting the medical licensing process.

  • Restrictions on Locations

    Wyoming Medicaid places some restrictions on where patients can receive their virtual care. However, the patient’s home is included on that list!

    Here’s the full list of eligible patient locations:

    • Hospitals
    • Physician or practitioner offices (includes medical clinics)
    • Psychologists or neuropsychologists
    • Community mental health or substance abuse treatment centers (CMHC/SATC)
    • Advanced practice nurses with specialty of psychiatry/mental health offices
    • Office of a licensed mental health professional
    • Federally Qualified Health Centers
    • Rural Health Clinics
    • Skilled nursing facilities
    • Indian Health Services Clinics
    • Hospital-based or Critical Access Hospital-based renal dialysis centers (including satellites)
    • Development Center
    • Family Planning Clinics
    • Public Health Offices
    • Client’s Home

  • Reimbursement Rates

    Under Medicaid, reimbursement for telemedicine services is equivalent to the same services rendered in-person.

  • Billing Codes

    Wyoming Medicaid uses similar billing guidelines as many other state programs; simply use the HCPCS for the comparable in-person service along with the GT (telemedicine) modifier. For more details, see the telemedicine section of your Medicaid Manual.

    Here’s a list of some of the included CPT/HCPCS codes:

    • Consultations: 99241 – 99255
    • Office or other outpatient visits: 99201 – 99215
    • Individual psychotherapy: 90832-90838
    • Psychiatric diagnostic interview examination: 90791-90792
    • Individual medical nutrition therapy: G0270

  • 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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