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                                                                                 Center for Connected Health Policy

           North Dakota


           Medicaid Program: North Dakota Medicaid

           Medicaid Program Administrator:  North Dakota 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

            North Dakota uses federal definitions for "internet" and   No reference found.
            "practice of telemedicine" set in the Ryan Haight Online
            Pharmacy Consumer Protection Act of 2008.

            Source: ND Century Code, Sec. 19-02.1-15.1.

            “Telemedicine means the practice of medicine by a
            practitioner, other than a pharmacist, who is at a location
            remote from the patient, and is communicating with the
            patient, or health care professional who is treating the
            patient, using a telecommunications system.”

            Source: Ryan Haight Online Pharmacy Consumer Protection Act
            of 2008 [Pub. L. 110-425; 21 U.S.C. 802-803].
            Live Video Reimbursement
            North Dakota’s Worker Compensation Act provides    North Dakota Medicaid will reimburse for live video
            reimbursement for live video.                      services as long as the patient is present during the
                                                               service.
            Eligible services:
                                                               Source: ND Dept. of Human Svcs., General Information For
               •   Office or other outpatient visits;          Providers, Medicaid and Other Medical Assistance Programs, p.
                                                               129 (Apr. 2012).
               •   New evaluation visits and established
                   management visits;                          Both originating-site and distant-site physicians may bill
               •   Individual psychotherapy visits;            for services. There is no separate reimbursement for
               •   Pharmacologic management visits.            supplies.

            The patient must be present and participate in the   Source: ND Dept. of Human Svcs., General Information For
            appointment.                                       Providers, Medicaid and Other Medical Assistance Programs, p.
                                                               129 (April 2012).
            The professional fee is equal to comparable in-person
            services.                                          There is reimbursement for long-distance charges
                                                               required for out-of-network sites.
            Source: ND Admin. Code 92-01-02-34.
                                                               Source: ND Dept. of Human Svcs., General Information For
                                                               Providers, Medicaid and Other Medical Assistance Programs, p.
                                                               129 (April 2012).

                                                               Eligible services:


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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

                                                                   •   New and established Office and other outpatient
                                                                       E/M services
                                                                   •   Psychiatric diagnostic evaluation
                                                                   •   Individual psychotherapy
                                                                   •   Pharmacologic management
                                                                   •   Speech Therapy, individual
                                                                   •   Initial inpatient telehealth consultation

                                                               Reimbursement is made only to the distant practitioner
                                                               during the telemedicine session.  No reimbursement is
                                                               allowed to the originating site practitioner if he/she solely
                                                               presents the patient to the distant site practitioner.

                                                               Requires a medical professional, such as a nurse, to be
                                                               present during the telehealth service; and to ensure a
                                                               connection has been established with the distant
                                                               physician.

                                                               Out of state requests for telemedicine services require
                                                               prior authorization.

                                                               Source: Medicaid Medical Policy.  North Dakota Department of
                                                               Human Services: Policy Number NDMP-2012-0007. Telemedicine
                                                               Services. (Aug. 1, 2012).

                                                               Indian Health Services
                                                               Reimbursement for telemedicine is on the same basis
                                                               as those provided for face-to-face contact.

                                                               Source: ND MMIS Web Portal.  Indian Health Services. April 2014.
                                                               Accessed Jan. 14, 2015.
            Store and Forward Reimbursement

            No reference found.                                North Dakota Medicaid does not reimburse for store and
                                                               forward.

                                                               Source: ND Dept. of Human Svcs., General Information For
                                                               Providers, Medicaid and Other Medical Assistance Programs, p.
                                                               129 (April 2012).
            Remote Patient Monitoring Reimbursement

            No reference found.                                No reference found.
            Email/Phone/FAX
            No reference found.                                No reference found for email.
                                                               No reimbursement for telephone.
                                                               No reference found for FAX.

                                                               Source: ND Dept. of Human Svcs., General Information For
                                                               Providers, Medicaid and Other Medical Assistance Programs, p.
                                                               126 (April 2012).

            Online Prescribing
            A valid prescription via e-prescribing means a     No reference found.
            prescription has been issued for a legitimate medical
            purpose, in the usual course of professional practice, by


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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

            a practitioner who has first conducted an in-person
            medical evaluation of the patient.

            Source: ND Centennial Code, Sec. 19-02.1-15.1.
            Consent

            No reference found.                                No reference found.

            Location
            No reference found.                                The distant site must be a sufficient distance from the
                                                               originating site to provide services to patients who do
                                                               not have readily available access to such specialized
                                                               services allowed/reimbursed by ND Medicaid via
                                                               telemedicine.

                                                               Source: Medicaid Medical Policy.  North Dakota Department of
                                                               Human Services: Policy Number NDMP-2012-0007. Telemedicine
                                                               Services. (Aug. 1, 2012).
            Cross-State Licensing
            The ND Medical Board may engage in reciprocal      No reference found.
            licensing agreements with out-of-state licensing
            agencies, but is not required to do so.

            Source: ND Century Code Sec. 43-17-21 (2012).
            Private Payers

            No reference found.                                No reference found.
            Site/Transmission Fee
            Under the Worker’s Compensation Act, the originating   There is no originating site or transmission fee.
            sites may receive a facility fee, not to exceed $20.
                                                               Source: Medicaid Medical Policy.  North Dakota Department of
            Source: ND Admin. Code 92-01-02-34.                Human Services: Policy Number NDMP-2012-0007. Telemedicine
                                                               Services. (Aug. 1, 2012).
            Miscellaneous


























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