50 State Telehealth Laws & Reimbursement Policies

CCHP Releases 5th Edition of the 50 State Telehealth Laws and Reimbursement Policies Report

Telemedicine reimbursement can be very tricky and navigating the laws by state can be confusing. Learn about the latest telemedicine trends and see if you can now get reimbursed! The Center for Connected Health Policy's (CCHP) newly released report is the most comprehensive report on state telehealth laws, regulations and Medicaid policies.

Although each state’s laws, regulations, and Medicaid program policies differ significantly, certain trends are evident when examining the various policies.

Significant findings for this April 2017 update include:

  1. Forty-eight states and Washington, DC provide reimbursement for some form of live video in Medicaid fee-for-service.This has remained constant since CCHP’s August 2016 edition of this report.
  1. Thirteen states provide reimbursement for store-and-forward. One state, Nevada, has been added since August 2016.
  2. Twenty-two state Medicaid programs provide reimbursement for remote patient monitoring (RPM).
  3. Although the practice of restricting reimbursable telehealth services to rural or underserved areas, as is done in the Medicare program, is decreasing, some states continue to maintain this policy.
  4. The practice of limiting the type of facility that can serve as an originating site decreased slightly since August 2016 to twenty-three states.
  5. Thirty-one state Medicaid programs offer a transmission or facility fee when telehealth is used.
  6. The number of states with private payer laws has remained constant since August 2016, with thirty-five jurisdictions having laws addressing private payer reimbursement for telehealth.

View the full report here. Sign up for a free Doxy.me account today!

Courtney Larson

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