Page 19 50 State Telemedicine Gaps Analysis Coverage and Reimbursement

50 State Telemedicine Gaps Analysis: Coverage & Reimbursement

G. Eligible Providers

Most states allow physicians to perform telemedicine encounters within their scope of practice.

We measured components of state Medicaid policies that, for conditions of coverage and
payment, broaden or restrict the types of distant site providers allowed to perform the
telemedicine encounter. The following providers are observed as qualified health care
professionals for covered telemedicine-provided services:

 physician (MD and DO)
 podiatrist
 chiropractor
 optometrist
 genetic counselor
 dentist
 physician assistant (PA)
 nurse practitioner (NP)
 registered nurse
 licensed practical nurse
 certified nurse midwife
 clinical nurse specialist
 psychologist
 marriage and family therapist
 clinical social worker (CSW)
 clinical counselor
 behavioral analyst
 substance abuse/addictions specialist
 clinical therapist
 pharmacist
 physical therapist
 occupational therapist
 speech-language pathologist and audiologist
 registered dietitian/nutritional professional
 diabetes/asthma/nutrition educator
 home health aide
 home health agency (HHA)
 FQHC
 CAH
 RHC
 CMHC
 SNF.

Each state received two (2) points for designating a physician, and one (1) point for each
additional eligible provider authorized to provide covered telemedicine services. Those states
that did not specify an eligible provider were given the maximum score possible (35).
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American Telemedicine Association
2015