Kentucky 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

Kentucky Medicaid

Kentucky

Medicaid Program: Kentucky Medicaid

Program Administrator: Kansas Dept. of Health and Environment

Regional Telehealth Resource Center:

Heartland Telehealth Resource Center
3901 Rainbow Blvd MS 1048

Kansas City, KS 66160
(877) 643-4872
heartlandtrc.org

STATE LAW/REGULATIONS MEDICAID PROGRAM

Definition of telemedicine/telehealth

No reference found. “Telemedicine is the use of communication equipment to
link health care practitioners and patients in different
locations. This technology is used by health care
providers for many reasons, including increased cost
efficiency, reduced transportation expenses, improved
patient access to specialists and mental health
providers, improved quality of care, and better
communication among providers.”
Source: KS Dept. of Health and Environment, Kansas Medical
Assistance Program, Provider Manual, General Benefits, p. 2-25
(May 2017). (Accessed Oct. 2017).

Live Video Reimbursement

No reference found. Kansas Medicaid will reimburse for live video, for the
following services:
Office visits;
Individual psychotherapy;
Pharmacological management services.
The consulting expert must bill with the GT modifier and
02 place of service code. Patient must be present at
originating site.
See manual for list of acceptable CPT codes.
Source: KS Dept. of Health and Environment, Kansas Medical
Assistance Program, Provider Manual, General Benefits, p. 2-25
(May 2017). (Accessed Oct. 2017).

Store and Forward Reimbursement

No reference found. Kansas Medicaid requires the patient to be present at
the originating site indicating store and forward will not
be reimbursed.
Source: KS Dept. of Health and Environment, Kansas Medical
Assistance Program, Provider Manual, General Benefits, p. 2-25
(May 2017). (Accessed Oct. 2017).

© 2017 Public Health Institute Center for Connected Health Policy

STATE LAW/REGULATIONS MEDICAID PROGRAM

Remote Patient Monitoring Reimbursement

No reference found. Kansas Medicaid will reimburse for home telehealth.
The policy states:
“Home telehealth uses real-time, interactive,
audio/video telecommunication equipment to monitor
patients in the home setting, as opposed to a nurse
visiting the home.
This technology may be used to monitor the patient for
significant changes in health status, provide timely
assessment of chronic conditions, and provide other
skilled nursing services.
Services must be provided by a registered nurse or
licensed practical nurse. Agencies may bill skilled
nursing services on the same date of service as
telehealth services.”
Providers must submit literature to the fiscal agent’s
Provider Enrollment team pertaining to the
telecommunication equipment the agency has chosen
that will allow thorough physical assessments such as:
assessment of edema, rashes, bruising, skin conditions,
and other significant changes in health status.
Providers are eligible for reimbursement of home
telehealth services that meet the following criteria:
Prescribed by a physician;
Considered medically necessary;
Signed beneficiary consent for telehealth
services;
Skilled nursing service;
Does not exceed two visits per week for non-
Home and Community Based Services patients.
Prior authorization required.
Source: Dept. of Health and Environment, Kansas Medical
Assistance Program, Provider Manual, Home Health, p. 8-29 (May
2017). (Accessed Oct. 2017).

Email/Phone/FAX

No reference found. No reimbursement for email.
No reimbursement for telephone.
No reimbursement for FAX.
Source: KS Dept. of Health and Environment, Kansas Medical
Assistance Program, Provider Manual, General Benefits, p. 2-25
(May 2017). (Accessed Oct. 2017).

Online Prescribing

Physicians must have a pre-existing patient-prescriber No reference found.
relationship. Physicians are prohibited from prescribing

© 2017 Public Health Institute Center for Connected Health Policy

STATE LAW/REGULATIONS MEDICAID PROGRAM

drugs on the basis of an internet-based questionnaire or
consult, or telephone consult.
Source: KS Admin. Regs., Sec. 68-2-20 (2012).

Consent

No reference found. Written consent for telehealth home services is required.

Source: KS Dept. of Health and Environment, Kansas Medical
Assistance Program, Provider Manual, Home Health Agency, p.
67 (May 2017) (Accessed Oct. 2017).

Location

No reference found. No reference found.

Cross-State Licensing

Iowa adopted the Federation of State Medical Board No reference found.
(FSMB)’s model language for an interstate medical
licensure compact.
Source: House Bill 2615 – 2015.

Private Payers

No reference found. No reference found.

Site/Transmission Fee

No reference found. The originating site may bill code Q3014 for the
originating site fee.
Source: KS Dept. of Health and Environment, Kansas Medical
Assistance Program, Provider Manual, General Benefits, p. 2-25
(May 2017). (Accessed Oct. 2017).

Miscellaneous

KMAP no longer recognizes CPT Codes 99241-99245
and 99251-99255.
See manual for instructions on circumstances when the
primary payer continues to recognize these codes.
Source: KS Dept. of Health and Environment, Kansas Medical
Assistance Program, Provider Manual, Home Health Agency, p.
67 (May 2017) (Accessed Oct. 2017).

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