Massachusetts 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

MassHealth

Massachusetts
Medicaid Program: MassHealth

Program Administrator: MA Dept. of Health and Human Services

Regional Telehealth Resource Center:

Northeast Telehealth Resource Center
11 Parkwood Drive

Augusta, ME 04330
(800) 379-2021
www.netrc.org

STATE LAW/REGULATIONS MEDICAID PROGRAM

Definition of telemedicine/telehealth

“Telemedicine as it pertains to the delivery of health care No reference found.
services, shall mean the use of interactive audio, video
or other electronic media for the purpose of diagnosis,
consultation or treatment. ‘Telemedicine’ shall not
include the use of audio-only telephone, facsimile
machine or e-mail.”
Source: Annotated Laws of MA. Chapter 175, Sec. 47BB.

Live Video Reimbursement

Private payers may provide coverage of telemedicine No reference found.
services (subject to contract terms and conditions),
which includes live video.
(See “Private Payers” section).
Source: MA Session Laws: Acts of 2012. Chapter 224, S.B. 2400.

Store and Forward Reimbursement

No reference found. No reference found.

Remote Patient Monitoring Reimbursement

No reference found. In the FY 2014 State Budget, MA appropriates funds for
the reimbursement of telehealth remote patient
monitoring provided by home health agencies as a
service to clients reimbursable through Medicaid, as
long as it is for short term reimbursement.
Source: MA EOHHS and MassHealth. 4000-300.

Email/Phone/FAX Restrictions

No Reimbursement for email. No reference found.
No reimbursement for telephone.
No reimbursement for FAX.
Source: MA Session Laws: Acts of 2012. Chapter 224, S.B. 2400.

Online Prescribing

© 2017 Public Health Institute Center for Connected Health Policy

STATE LAW/REGULATIONS MEDICAID PROGRAM

Prior to any e-prescribing, there must be a physician- No reference found.
patient relationship that conforms to certain minimum
norms and standards of care, which includes taking a
medical history and conducting an appropriate exam.
Source: “Internet Prescribing,” MA Board of Registration in
Medicine. Dec. 17, 2003. (Accessed Jul. 2015).

Consent

No reference found. No reference found.

Location

No reference found. No reference found.

Cross-State Licensing

No reference found. No reference found.

Private Payers

Private payers may provide coverage of telemedicine No reference found.
services, subject to contract terms and conditions, and
must be consistent with coverage for health care
services provided through in-person consultations.
Source: MA Session Laws: Acts of 2012. Chapter 224, S.B. 2400.

Site/Transmission Fee

No reference found. No reference found.

Miscellaneous

COMMENTS: The 2016 MA State Budget requires the health policy commission to implement a one year regional pilot program to further the development and utilization of telemedicine in the commonwealth.

Source: MA Bill H 3650 (2015).

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