The fourth edition of CCHP’s State Telehealth Laws and Reimbursement Policies Report is now available! CCHP’s report is the most comprehensive report on state telehealth laws, regulations and Medicaid policies available and contains the most current and up to date information for all 50 states and the District of Columbia. The report found that as many states are beginning to expand telehealth reimbursement, others continue to restrict and place limitations on telehealth delivered services. Live video Medicaid reimbursement continues to far exceed reimbursement for store-and-forward and remote patient monitoring (RPM). In fact, the number of states offering any form of reimbursement for live video, store-and-forward or RPM services has remained stagnant since July 2015 (although there has been a shift in the particular states offering reimbursement for these modalities). These diverging policy directions are indicative of the vast difference in telehealth policies throughout the nation.
- Just as last year, forty-seven states and Washington DC provide reimbursement for some form of live video in Medicaid fee-for-service. While Iowa’s Medicaid program clarified that they do provide reimbursement for live video, Utah’s telemedicine policy cannot be found, eliminating the state from those that provide reimbursement and keeping the number of states that provide telemedicine reimbursement consistent with last year.
- Oklahoma’s Medicaid program no longer provides reimbursement for store and forward delivered services, while Washington’s Medicaid program now does. Therefore, states reimbursing for store and forward remains at nine states. States that only provide reimbursement for teleradiology were not counted in this number.
- There has been no change since July 2015 in state Medicaid programs offering reimbursement for RPM, continuing at sixteen states.
- 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. For example, Idaho eliminated such a policy since our July 2015 update of this report, however New Hampshire added this restriction.
- The practice of limiting the type of facility that can serve as an originating site is becoming more common with eight states adding specific facility lists for originating sites since July 2015, making a total of 23 states with this restriction.
- Thirty state Medicaid programs offer a transmission or facility fee when telehealth is used (an increase of one state from July 2015).
- Thirty-three jurisdictions have laws that govern private payer telehealth reimbursement policies (an increase of four states from July 2015).