Page 24 50 State Telemedicine Gaps Analysis Coverage and Reimbursement

50 State Telemedicine Gaps Analysis: Coverage & Reimbursement

We measured components of state Medicaid policies that broaden or restrict the types of
providers allowed to perform the telemedicine encounter, restrictions on patient or provider
settings, and coverage for telerehabilitation services.

Scale – Medicaid:
Rehabilitation Services
A 6+ points
B 4-5 points
C 2-3 points
F ≤ 1 points

Only 37 states were analyzed, scored and ranked for this indicator. Thirteen states and D.C. do
not cover rehabilitation services for their Medicaid recipients. Although state policies vary in
scope and application, 14 states are known to reimburse for telerehabilitative services in their
Medicaid plans. Of those, eight states rank the highest with telemedicine coverage for therapy
services (Figure 13).

Figure 13

Further, of the 25 states that cover home telemedicine, only Alaska, Arizona, Delaware,
Kentucky, Maine, Nebraska, New Mexico, and Tennessee reimburse for telerehabilitative
services within the home health benefit, even though the same services are covered when
provided in-person.

K. Home Health Services

One well-proven form of telemedicine is remote patient monitoring. Remote patient monitoring
may include two-way video consultations with a health provider, ongoing remote measurement

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American Telemedicine Association
2015