CCHP’s comprehensive assessment and compendium of state Medicaid telehealth policies and laws covers all fifty states and the District of Columbia.
CCHP’s annual State Telehealth Laws and Reimbursement Policies report offers the nation’s most current summary guide of Medicaid provider manuals, applicable state laws, and telehealth-related regulations for all fifty states and the District of Columbia. This report serves as a vital resource for policymakers, health care professionals, and health advocates on how each state defines, governs, and regulates technology-enabled health care, noting policy trends across eleven key categories.
Fifty States, Fifty Approaches
Remarkably, no two states are alike in how telehealth is treated despite some similarities in the language used. For example, some states have incorporated telehealth-related policies into law, while other states address issues in their Medicaid program guidelines. In some cases, CCHP discovered policy inconsistencies within a single state. This variability creates a confusing environment for those who use (or intend to use) telehealth, especially health systems that provide health care services in several states.
As of March 2017:
- 48 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.
- 13 states provide reimbursement for store-and-forward. 1 state, Nevada, has been added since August 2016.
- 22 state Medicaid programs provide reimbursement for remote patient monitoring (RPM). The 3 states that added RPM since August 2016 include Arizona, Nebraska and Virginia. Most states with RPM policies restrict reimbursement to home health agencies, and limit it to patients with specific clinical conditions.
- 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. 6 states currently have some form of a geographic restriction.
- The practice of limiting the type of facility that can serve as an originating site decreased slightly since August 2016 to 23 states (down from 25).
- 31 state Medicaid programs offer a transmission or facility fee when telehealth is used. This number is up one since CCHP’s August 2016 update.
- The number of states with private payer laws has remained constant since August 2016, with 35 jurisdictions having laws addressing private payer reimbursement for telehealth.