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CCHP: Updated 50 State Telehealth Laws & Reimbursement Policies Report: FALL 2019

Published Tuesday, October 22, 2019
by Center for Connected Health Policy

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. 

RECENT FINDINGS

CCHP’s most recent fifty-state survey of state telehealth laws and Medicaid program policies was completed in September 2019. The full PDF report is available, as is an interactive map of existing and pending telehealth-related policies by state. Below are some key findings:

  • Fifty states and Washington, DC provide reimbursement for some form of live video in Medicaid fee-for-service.  
  • Fourteen states provide reimbursement for store-and-forward.  Four additional jurisdictions (HI, MS, NH, and NJ) have laws requiring Medicaid reimburse for store-and-forward but as of the creation of this edition, yet to have any official Medicaid policy indicating this is occurring. 
  • Twenty-two state Medicaid programs provide reimbursement for remote patient monitoring (RPM).  As is the case for store-and-forward, two Medicaid programs (HI and NJ) have laws requiring Medicaid reimburse for RPM but at the time this report was written, did not have any official Medicaid policy.
  • Twenty-three states limit the type of facility that can serve as an originating site.  
  • Thirty-four state Medicaid programs offer a transmission or facility fee when telehealth is used. 
  • Forty states and DC currently have a law that governs private payer telehealth reimbursement policy.  Although Georgia passed a private payer law, it does not become effective until Jan. 1, 2020

CCHP has created an easy to read infographic/fact sheet summarizing these most recent findings. They are both available for download in the resources section of CCHP's website.

CONSTANTLY UPDATING POLICIES

Due to the dynamic nature of state telehealth policy, CCHP offers an interactive policy map with the most recent telehealth-related policy information. The information within the map and the PDF report is updated twice annually.