Page 20 50 State Telemedicine Gaps Analysis Coverage and Reimbursement

50 State Telemedicine Gaps Analysis: Coverage & Reimbursement

Scale – Medicaid: Eligible
Providers
A 25+ points
B 17-24 points
C 9-16 points
F ≤ 8 points

Fifteen states and D.C. do not specify the type of health care provider allowed to provide
telemedicine as a condition of payment (Figure 10).

Figure 10

Other interesting trends include Alaska, California, and Illinois which cover services when
provided by a podiatrist. Alaska, California, and Kentucky cover services when provided by a
chiropractor. California and Kentucky are the only states to specify coverage for services when
provided by an optometrist. Although CMS has issued guidance clarifying their position on
coverage for services related to autism spectrum disorder, only New Mexico, Oklahoma, and
Washington specify coverage for telemedicine when provided by behavioral analysts. This trend
is unique because these specialists are critical for the treatment of autism spectrum disorders.
New Mexico, Oklahoma, Virginia, West Virginia, and Wyoming specify coverage for
telemedicine when provided by a substance abuse or addiction specialist.

Nineteen states ranked the lowest with failing (F) scores for authorizing less than nine health
provider types. Florida, Idaho, Iowa, and Montana ranked the lowest with coverage for
physicians only.

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American Telemedicine Association
2015