Medicaid Policies


Memorandum: Medicaid Med-QUEST Division Telehealth Policy Update (May 2, 2017)

The tele-health law (Act 226, SLH 2016) can now be implemented by the QUEST integration health plans and Medicaid FFS providers.

Billing and coding information is located in the FFS 17-01A Attachment A PDF.

Senate Bill 2395: Relating to Telehealth (July 7, 2016)

Senate Bill 2395, signed into law on July 7, 2016 as Act 226(16):

  • Requires the State’s Medicaid Managed Care and Fee-for-Service programs to cover services provided through telehealth;
  • Specifies that any telehealth services provided shall be consistent with all federal and state privacy, security, and confidentiality laws;
  • Specifies medical professional liability insurance policy requirements with regard to telehealth coverage;
  • Clarifies that reimbursement for services provided through telehealth shall be equivalent to reimbursement for the same services provided via face-to-face contact between a health care provider and a patient;
  • Requires written disclosure of coverages and benefits associated with telehealth services;
  • Ensures that telehealth encompasses store and forward technologies, remote monitoring, live consultation, and mobile health;
  • Ensures that telehealth is covered when originating in a patient’s home and other non-medical environments;
  • Clarifies requirements for physicians and out-of-state physicians to establish a physician-patient relationship via telehealth;
  • Ensures that reimbursement requirements for telehealth services apply to all health benefits plans under chapter 87A, Hawaii Revised Statutes; and
  • Makes other conforming amendments related to telehealth for clarity.