Alabama State Telehealth Laws and Reimbursement Policies

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Information Provided ByCenter for Connected Health Policy

© Public Health Institute/ Center for
Connected Health Policy 2019: http://cchpca.org

Alabama Medicaid

Program Administrator: Alabama Medicaid Agency

Regional Telehealth Resource Center:

Southeast Telehealth Resource Center
PO Box 1408

Waycross, GA 31501
(888) 138-7210
www.setrc.us

STATE LAW/REGULATIONS MEDICAID PROGRAM

Definition of telemedicine/telehealth

No reference found. There is no explicit definition of “telemedicine” given in

state Medicaid policy. However, the provider manual
states, “Services must be administered via an interactive
audio and video telecommunications system which
permits two-way communication between the distant site
physician and the origination site where the recipient is
located (this does not include a telephone conversation,
electronic mail message, or facsimile transmission
between the physician, recipient, or a consultation
between two physicians).”
Source: AL Medicaid Management Information System Provider
Manual, (28-17), (Oct. 2017).

Live Video Reimbursement

No reference found. Alabama Medicaid reimburses for live video for the
following services:
Consults;
Office or other outpatient visits;
Individual psychotherapy;
Psychiatric diagnostic services;
Neurobehavioral status exams.
However, for some specialties, special conditions or
circumstances must be present for reimbursement to
occur.
For all telemedicine services, an appropriately trained
staff member or employee familiar with the patient or the
treatment plan must be immediately available in person
to the patient.
Source: AL Medicaid Management Information System Provider
Manual, (28-17), (Oct. 2017) & AL Admin. Code r. 560-X-6-.14
(2011).

Store and Forward Reimbursement

No reference found. No reference found.

© 2017 Public Health Institute Center for Connected Health Policy

STATE LAW/REGULATIONS MEDICAID PROGRAM

Remote Patient Monitoring Reimbursement

No reference found. In Home Monitoring Program

Alabama Medicaid will reimburse remote patient
monitoring through the In Home Monitoring Program.
Patients with the following medical conditions may
register for the program:
Diabetes
Congestive Heart Failure
The Alabama Department of Public Health (ADPH) Nurse
Care Manager evaluates the patient, provides any
needed equipment such as a scale, glucometer, blood
pressure cuff and phone with a speaker.
Data transmission occurs through a secure telephone
call.
AL Medicaid Management Information System Provider Manual,
(39-32), (Oct. 2017).

Email/Phone/FAX

No reimbursement for telephone. No reimbursement for email.
No reference found for email or FAX. No reimbursement for telephone.
Source: AL Admin Code r. 560-X-6-.14 (2011). No reimbursement for FAX.

AL Medicaid Management Information System Provider Manual,
(28-17), (Oct. 2017).

Online Prescribing

No reference found. No reference found.

Consent

No reference found. A written informed consent is required prior to an initial
telemedicine service.
AL Medicaid Management Information System Provider Manual,
(28-17), (Oct. 2017).

Location

No reference found. Originating site must be located in Alabama. The distant
site may be located outside of Alabama as long as the
physician has an Alabama license and is enrolled as an
Alabama Medicaid provider.
For rehabilitative services, the originating site must be:
Physician’s office;
Hospital;
Critical Access Hospital;
Rural Health Clinic;
Federally Qualified Health Center;

© 2017 Public Health Institute Center for Connected Health Policy

STATE LAW/REGULATIONS MEDICAID PROGRAM

Community mental health center (to include co-

located sites with partnering agencies;
Public health department.
AL Medicaid Management Information System Provider Manual,
(105-12), (Oct. 2017).

Cross-State Licensing

“A special purpose license allowing practitioners Providers must have an Alabama license.
licensed in other states to practice across state lines
may be issued.” AL Medicaid Management Information System Provider Manual,
(28-17), (Oct. 2017).
Source: Code of AL Sec. 34-24-502 – 507 (2012).
AL passed legislation to be a part of the interstate
licensing compact
Source: AL Act 2015-197 (2015).

Private Payers

No reference found. No reference found.

Site/Transmission Fee

No reference found. No reimbursement for originating site or transmission
fees.
AL Medicaid Management Information System Provider Manual,
(28-17), (Oct. 2017).

Miscellaneous

The Alabama Board of Medical Examiners adopted new Effective for dates of service 1/16/2012 and thereafter,
rules to establish standards for telehealth medical all physicians with an Alabama license, enrolled as a
services. See “comments” section for additional details provider with the Alabama Medicaid Agency, regardless
not included in the categories above. of location, are eligible to participate in the Telemedicine
Program to provide medically necessary telemedicine
services to Alabama Medicaid eligible recipients. In
order to participate in the telemedicine program:
Physicians must be enrolled with Alabama Medicaid
with a specialty type of 931 (Telemedicine Service)
Physician must submit the telemedicine Service
Agreement/Certification form
Physician must obtain prior consent from the recipient
before services are rendered. This will count as part
of each recipient’s benefit limit of 14 annual physician
office visits currently allowed.
Source: AL Medicaid Management Information System Provider
Manual, (28-17), (Oct. 2017).

Comment:

Professional Board Telehealth-Specific Regulations

AL Board of Optometrists (Source: AL Admin Code 630-X-13-.02)

AL Board of Nursing (Source: AL Admin Code 610-X-6-.16).

© 2017 Public Health Institute Center for Connected Health Policy

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