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                                                                                 Center for Connected Health Policy

           Minnesota


           Medicaid Program:  Medical Assistance (MA)

           Program Administrator: MN Dept. of Human Services

           Regional Telehealth Resource Center:
           Great Plains Telehealth Resource and Assistance Center
           University of Minnesota/Institute for Health Informatics
           330 Diehl Hall
           505 Essex Street S.E.
           Minneapolis, MN 55455
           (888) 239-7092
           www.gptrac.org


            STATE LAW/REGULATIONS                              MEDICAID PROGRAM
            Definition of telemedicine/telehealth

            No reference found.                                “Telemedicine” is “the use of telecommunications to
                                                               furnish medical information and services. Telemedicine
                                                               consultations must be made via two-way, interactive
                                                               video or store-and-forward technology.”

                                                               Source: MN Dept. of Human Services, Provider Manual, Physician
                                                               and Professional Services, As revised Jan. 13, 2015.
            Live Video Reimbursement

            (see Medicaid column)                              Minnesota’s Medical Assistance program reimburses
                                                               live video for fee-for-service programs.

                                                               Prepaid health plans may choose whether to cover
                                                               telemedicine services.

                                                               Eligible “spoke” providers:

                                                                   •   Physician
                                                                   •   Nurse practitioner
                                                                   •   Clinical nurse specialist
                                                                   •   Physician Assistant
                                                                   •   Certified nurse midwife
                                                                   •   Podiatrist or
                                                                   •   Mental Health professional

                                                               Eligible “hub” site provider:
                                                                   •   Must be a specialist.

                                                               Source: MN Dept. of Human Svcs., Provider Manual, Physician
                                                               and Professional Services, As revised Jan. 13, 2015.

                                                               Source (Mental Health): MN Dept. of Human Svcs., Provider
                                                               Manual, Telemedicine Delivery of Mental Health Services, Sept.
                                                               26, 2012 (accessed Jan. 13, 2015).

                                                               Telemedicine consults are limited to three per calendar
                                                               week per patient.


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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

                                                               Payment is made to both the consulting physician and
                                                               the referring physician if the referring physician is
                                                               present during the consult.

                                                               The patient record must include a written opinion from
                                                               the consulting physician.

                                                               Source: MN Dept. of Human Services, Provider Manual, Physician
                                                               and Professional Svcs.  As revised Jan. 13, 2015.

                                                               Telemedicine consults shall be paid at the same rate as
                                                               in-person services.

                                                               Minnesota Source: MN Statute Sec. 256B.0625

                                                               Other services that can be provided through
                                                               telemedicine:
                                                                   •   Children’s therapeutic supports services
                                                                   •   Occupational therapy
                                                                   •   Physical therapy
                                                                   •   Speech-language pathology

                                                               Source: MN Dept. of Human Svcs., Provider Manual,
                                                               Individualized Education Program Svcs. Oct. 1, 2014 (Accessed
                                                               on Jan. 13, 2015) & Provider Manual, Rehabilitative Services. As
                                                               revised Aug. 13, 2014 (accessed on Jan. 13, 2015).
                                                               http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAM
                                                               IC_CONVERSION&RevisionSelectionMethod=LatestReleased&dD
                                                               ocName=id_008951

                                                               Non-covered Services
                                                                   •   Teledentistry
                                                                   •   Telemedicine for alcohol and drug abuse
                                                                       services

                                                               Source (dental): MN Dept. of Human Svcs., Provider Manual,
                                                               Dental Svcs. Oct. 28, 2013 (Accessed on Jan. 13, 2015).
                                                                 Source (Alcohol and drug abuse): MN Dept. of Human Svcs.,

                                                               Provider Manual, Alcohol and Drug Abuse Svcs. Sept. 11, 2014
                                                               (Accessed on Jan. 13, 2015).
            Store and Forward Reimbursement
            (see Medicaid column)                              Minnesota’s Medical Assistance program reimburses for
                                                               services delivered through store and forward
                                                               technology.

                                                               Source: MN Dept. of Human Svcs., Provider Manual, Physician
                                                               and Professional Svcs.  As revised Jan. 13, 2015.

                                                               Store and forward technology includes telemedicine
                                                               consults that do not occur in real time, and that do not
                                                               require a face-to-face encounter with the patient for all
                                                               or any part of the consult.

                                                               Source: MN Statute Sec. 256B.0625 (2012).
            Remote Patient Monitoring Reimbursement



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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

            No reference found.                                 There is reimbursement for “telehomecare” under
                                                                Elderly Waiver (EW) and Alternative Care (AC)
                                                                programs.

                                                                Source: MN Dept. of Human Svcs., Provider Manual, Elderly
                                                                Waiver (EW) and Alternative Care (AC) Program, As revised Oct.
                                                                28, 2014 (Accessed Jan. 13, 2015).

                                                                Reimbursement is for skilled nurse visits only.

                                                                Telehomecare is defined as the use of
                                                                telecommunications technology by a home health care
                                                                professional to deliver home health care services within
                                                                the professional’s scope of practice to a recipient
                                                                located at a site other than the site where the
                                                                practitioner is located.

                                                                Source: MN Dept. of Human Svcs., Provider Manual, Home Care
                                                                Svcs., As revised Aug. 16, 2010 (Accessed Jan. 13, 2015).

            Email/Phone/FAX
            No reference found.                                “A communication between two physicians that consists
                                                               solely of a telephone conversation is not a telemedicine
                                                               consultation.”

                                                               Source: MN Statute Sec. 256B.0625 (2012).

                                                               Case management for Child Welfare Case Management
                                                               services is covered through telephone.

                                                               Source: MN Dept. of Human Svcs., Provider Manual, Child
                                                               Welfare Case Management Services, As revised Dec. 30, 2009.
                                                               http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAM
                                                               IC_CONVERSION&RevisionSelectionMethod=LatestReleased&dD
                                                               ocName=id_008999
            Online Prescribing
             A prescription or drug order is not valid unless it can be  No reference found.
             established that the prescription or order was based on
             a documented patient evaluation, including an
             examination, adequate to establish a diagnosis and
             identify underlying conditions and contraindications to
             treatment.

             This includes the referring provider performing an in-
             person examination and a consultant issuing the
             prescription when providing services by telemedicine.

             Source: MN Statute Sec. 151.37(2012).
            Consent

            No reference found.                                No reference found.
            Location

            No reference found.                                Consults performed by providers who are not located in
                                                               Minnesota and contiguous counties require prior
                                                               authorization by the Medicaid program.


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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM


                                                               Source: MN Dept. of Human Svcs., Provider Manual, Physician
                                                               and Professional Svcs., As revised Jan. 13, 2015.
            Cross-State Licensing

            A physician licensed in another state can provide   No reference found.
            telemedicine services to a patient in Minnesota if their
            license has never been revoked or restricted in any
            state, they agree to not open an office in Minnesota and
            they register with the state’s board.

            Source: MN Statute Sec. 147.032(1)
            Private Payers
            No reference found.                                No reference found.
            Site/Transmission Fee

            No reference found.                                No reference found.
            Miscellaneous

                                                               The Chemical Dependency Continuum of Care Pilot
                                                               Project is to include telehealth services to address
                                                               barriers to services.

                                                               Source: MN Statute 254B.14 Sec. 13












































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