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                                                                                 Center for Connected Health Policy

           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
           (207) 622-7566 / (800) 379-2021
           www.netrc.org

           Recent Policy Developments:
           Massachusetts passed SB 2400 in 2012, which requires the MA Division of Insurance and Board of Registration in
           Medicine to review out-of-state physician issues and develop recommendations for legislation to permit use of out-
           of-state physicians for telemedicine.


            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 Advanced Legislative Service. Chapter 224, S.B. 2400
            (2012).
            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 reimbursement for telephone.  No reference to email


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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

            No reimbursement for telephone.                    or fax found.
            No reimbursement for FAX.
                                                               Source:  Acute Outpatient Hospital Manual Transmittal Letter
            Source: MA Advanced Legislative Service. Chapter 224, S.B. 2400   AOH-31.  December 2013.
            (2012).
            Online Prescribing

            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.
            http://www.mass.gov/eohhs/docs/borim/policies-
            guidelines/policy-03-06.pdf
            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 Advanced Legislative Service. Chapter 224, S.B. 2400
            (2012).
            Site/Transmission Fee
            No reference found.                                No reference found.

            Miscellaneous























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