Wyoming 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

Wyoming Medicaid

Wyoming

Program Name: Wyoming Medicaid

Administrator: Office of Equality Care, under the Wyoming Dept. of Health.

Regional Telehealth Resource Center: Northwest Regional Telehealth Resource Center 2900 12th Ave. N., Ste. 30W
Billings, MT 59101
(888) 662-5601
www.nrtrc.org

STATE LAW/REGULATIONS MEDICAID PROGRAM
Definition of telemedicine/telehealth
“Telemedicine means the practice of medicine by electronic communication or other means from a physician in a location to a patient in another location, with or without an intervening health care provider.”

Source: WY Statutes Sec. 33-26-102.

“Occ upat ional therapy telehealth means the provision of occupational therapy services across a distance, using telecommunications technology for the evaluation, intervention or consultation without requiring the occupational therapist and recipient to be physically located in the same place.”

Source: WY Statutes Sec. 33-40-102. “Telehealth is the use of an electronic media to link beneficiaries with health professionals in different locations.” This means that the patient must be able to see and interact with the off-site physician at the time services are providedvia telehealth technology.
Source: WY Dept of PubTic Hearth Insurance , Medicaid, CMS 15()()
ICD-10, p. 108 (Revised Apr. 1, 2011).
Live Video Reimbursement
No reference found. Reimbursement is made for exams performed via a real­ time interactive audio and video telecommunications system. The patient must be able to see and interact with the off-site practitioner during the exam. A medical professional is not required to be present with the client at the originating site unless medically indicated.

Eligible providers:

⦁ Physicians;
⦁ Advanced practice nurses with a specialty of psychiatry/mental health;
⦁ Physician’s assistant (billed under the supervising physician);
⦁ Psychologists and neuropsychologists;
⦁ Mental health professionals (LCSW, LPC, LMFT, LAT).
⦁ Speech therapist

Provisionally licensed mental health professionals cannot bill Medicaid directly, but must provide services through a supervising provider.

STATE LAW/REGULATIONS MEDICAID PROGRAM

For end-stage renal disease-related services, there must be at least one in-person exam per month of the vascular access site.

Quality assurance/improvement activities relative to telehealth delivered services need to be identified, documented and monitored. An evaluation process must also be instituted.

Progress notes should indicate the visit took place via teleconference.

Source: WY Dept of Public Health Insurance, Medicaid, CMS 1500 ICD-10, p. 108-111 {Apr. 1, 2017). {Accessed Mar. 2017).
Store and Forward Reimbursement
No reference found. Wyoming Medicaid states that reimbursement is made for exams performed via a real-time interactive audio and video.

Source: WY Dept of Public Health Insurance, Medicaid, CMS 1500 ICD-10, p. 109 {Apr. 1, 2017). {Accessed Mar. 2017).
Remote Patient Monitoring Reimbursement
No reference found. No reference found.
Email/Phone/FAX
No reference found. No reimbursement for email.
No reimbursement for telephone. No reimbursement for FAX.

Source: WY Dept of Public Health Insurance, Medicaid, CMS 1500 ICD-10, p. 109 {Apr. 1, 2017). {Accessed Mar. 2017).
Online Prescribing
Prescribing a controlled substance through the Internet, World Wide Web or any similar proprietary or common carrier electronic system without a documented physician-patient relationship is subject to review, discipline and consequences to license.

Source: WY Statutes Annotated Sec. 33-26-402 (2012). No reference found.
Consent
Written or oral consent required for physical therapy.

Source: Code of WY Rules 006-062-001 (2012). If the patient and/or legal guardian indicate at any point that he/she wants to stop using the technology, the service should cease immediately and an alternative appointment set up.

Source: WY Dept of Public Health Insurance, Medicaid, CMS 1500 ICD-10, p. 107 {Apr. 1, 2017). {Accessed Mar. 2017).
Location
No reference found. Eligible originating sites:

STATE LAW/REGULATIONS MEDICAID PROGRAM
⦁ Hospitals;
⦁ Physician or practitioner offices (includes medical clinics);
⦁ Psychologists or neuropsychologists offices;
⦁ Community mental health or substance abuse treatment centers (CMHC/SATC);
⦁ Advanced practice nurses with specialty of psychiatry/mental health offices;
⦁ Office of a Licensed Mental Health Professional;
⦁ Federally Qualified Health Centers;
⦁ Rural Health Clinics;
⦁ Skilled nursing facilities;
⦁ Indian Health Services Clinics;
⦁ Hospital-based or Critical Access Hospital- based renal dialysis centers (including
satellites).
⦁ Development Center
A medical professional is not required to be present at the originating site, unless medically indicated.

Each site is able to bill their own services as long as they are an enrolled Medicaid provider (includes out-of-state Medicaid providers).

Source: WY Dept of Public Health Insurance, Medicaid, CMS 1500 ICD-10, p. 108-111 {Apr. 1, 2017). (Accessed Mar. 2017).
Cross-State Licensing
WY adopted the Federation of State Medical Board (FSMB)’s model language for an interstate medical licensure compact.

Source: WY House Bill 107 (2015); WY Statute 33-26-701-703. No reference found.
Private Payers
No reference found. No reference found.
Site/Transmission Fee
No reference found. Yes, for originating site fees.
No reimbursement for transmission fees.

Source: WY Dept of Public Health Insurance, Medicaid, CMS 1500 ICD-10, p. 109 (Apr. 1, 2017). (Accessed Mar. 2017).
Miscellaneous
Recentll! Passed Legislation
Boards have power to adopt telehealth/telemedicine definitions applicable to their regulated profession and standards for the practice of telemedicine/telehealth.

Source: WY Code 33-1-303 (HB 164- 2017). No reimbursement for patient attendants who instruct the patient on the use of equipment or supervises/monitors a patient during the telehealth encounter.

No reimbursement for consults between health professionals.

STATE LAW/REGULATIONS MEDICAID PROGRAM
Source: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 ICD-10, p. 109 (Apr. 1, 2017). (Accessed Mar. 2017).

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