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                                                                                 Center for Connected Health Policy

           Connecticut


           Medicaid Program:  Medical Assistance Program

           Program Administrator:  Connecticut Dept. of Social Services

           Regional Telehealth Resource Center:
           Northeast Telehealth Resource Center
           11 Parkwood Drive
           Augusta, ME 04330
           (207) 622-7566 / (800) 379-2021
           www.netrc.org


            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

            Definition of telemedicine/telehealth
            “Telemedicine means the use of interactive audio,   No reference found.
            interactive video or interactive data communication in
            the delivery of medical advice, diagnosis, care or
            treatment…Telemedicine does not include the use of
            facsimile or audio-only telephone.”

            Source: CT Public Act No. 12-109 (2012); HB 5483.
            Live Video Reimbursement
            No reference found.                                Connecticut’s Medical Assistance Program will not pay
                                                               for information or services provided to a client by a
                                                               provider electronically or over the telephone.

                                                               Source: CT Provider Manual. Physicians and Psychiatrists. Sec.
                                                               17b-262-342.  Pg. 9, Aug, 2013 and CT Provider Manual.
                                                               Psychologists. Sec. 17b-262-472.  Pg. 7.

                                                               Exception:
                                                                   • Case management behavioral health services for
                                                                    clients age eighteen and under.

                                                               Source: CT Provider Manual.  Behavioral Health. Sec. 17b-262-
                                                               918. Pg. 6.
            Store and Forward Reimbursement
            No reference found.                                No reference found.

            Remote Patient Monitoring Reimbursement
            No reference found.                                No reference found.
            Email/Phone/FAX

            There is no reimbursement for telephone or FAX.    The department shall not pay for information or services
                                                               provided to a client over the telephone.
            Source: CT Public Act No. 12-109 (2012); HB 5483.
                                                               Source: CT Provider Manual. Clinic. Sec. 17b-262-823. Ch. 8, pg.
                                                               20.
            Online Prescribing

            No reference found.                                No reference found.

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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

            Consent
            No reference found.                                No reference found.

            Location
            No reference found.                                No reference found.
            Cross-State Licensing

            Department of Public Health may establish a process of  No reference found.
            accepting an applicant’s license from another state and
            may issue that applicant a license to practice medicine
            in the state without examination, if certain conditions are
            met.

            Source: CT General Statutes Sec. 20-12 (2012).
            Private Payers

            No reference found.                                No reference found.
            Site/Transmission Fee

            No reference found.                                No reference found.
            Miscellaneous


           Comments:    In 2012, a new law allowed the Commissioner of Social Services to establish a demonstration
                         project to offer telemedicine as a Medicaid-covered service at Federally Qualified Health Centers.
                         The Commission is considering design options for a pilot.

                         Connecticut Public Act No. 12-109 (2012); HB 5483.




































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