States Requiring Insurance Reimbursement for Telehealth & Telemedicine

Below are the individual states in the U.S. that require some form of reimbursement for services provided by telehealth (usually for services delivered via video teleconferencing or “VTC”):

  1. Maine
  2. Oregon
  3. California
  4. Colorado
  5. Georgia (complications)
  6. Hawaii
  7. Kansas
  8. Kentucky
  9. Louisiana
  10. Texas (Medicaid)
  11. Oklahoma
  12. Virginia
  13. New Hampshire
  14. Maryland
  15. Michigan
  16. Massachusetts
  17. Arizona
  18. Montana
  19. New Mexico
  20. Mississippi
  21. Idaho
  22. Kentucky (Medicaid)
  23. Missouri

As reported by mHIMSS, American Telemedicine Association has been tracking new legislation. They have identified these states as having initiated similar telehealth legislation since January 2013:

  • The District of Columbia has seen legislation filed by Councilwoman Mary Cheh that would require private health insurers and Medicaid to cover healthcare services via telemedicine, which is defined as “the delivery of healthcare services through the use of interactive audio, video or other electronic media used for the purpose of diagnosis, consultation or treatment.”
  • In Connecticut, State Sen. Joseph Crisco Jr. has filed a bill that would require health insurers to cover services provider through “telecommunications technology.”
  • In Florida, State Rep. Mia Jones has introduced a bill that would require insurers, including Medicaid, to provider coverage for telemedicine, extend Medicaid coverage for telemedicine to homecare services, provide coverage under the state plan or a waiver for home health services provided to eligible people with chronic conditions, and create a framework to allow for consults with practitioners and professionals in other states.
  • In South Carolina, State Sens. Raymond Cleary III, Bradley Hutto and Greg Hembree have filed a bill that would require individual or group health maintenance organizations to cover telemedicine services. BlueCross BlueShield of South Carolina and BlueChoice HealthPlan of South Carolina announced in August of 2013 that they will begin to pay claims for some telemedicine services.
  • In Indiana, State Sen. Vaneta Becker has filed a bill seeking to require Medicaid to reimburse certified home health agencies, federally qualified health centers and rural health clinics for telehealth services.
  • In Nebraska, State Sens. Amanda McGill, Brad Ashford and Annette Dubas have filed a bill that would authorize telehealth services for public school students. In addition, State Sen. Colby Coash has filed a bill that would require health insurers to cover the screening, diagnosis and treatment of autism in those under 21 years of age, as well as authorizing behavioral health treatment through telehealth. And State Sen. Peter Pirsch has filed a bill that would create a Telehealth Behavioral Services Program for youths involved in juvenile justice programs.

Forty-four states reimburse for telehealth-provided services under their Medicaid plans.For information about best practices for Medicaid, see ATA Best Practice – Telemental and Behavioral Health.

For more state-specific informaiton about telehealth reimbursement, see the ATA’s Wiki pages:

Other Resources

What Can You Do Today?

  1. Sign the petition sponsored by the American Telemedicine Association. Regardless of your discipline, your signature is important. Take a minute and sign today.
  2. Start getting your required training now. Register for our TeleMental Health Certificate Training Program, and learn from the convenience of your desktop or portable device. Available for 50 Continuing Education units CEs. All materials are up-to-date; integrated into a systemmatic, highly organized, fully text-based approach, augmented by key audio and video segments. See full coursework details, 100% money-back guarantee — and payment plan here.

Marlene M. Maheu, Ph.D.’s blog

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