Page 26 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
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50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
L. Informed Consent
We measured components of state Medicaid policies that apply more stringent requirements for
telemedicine as opposed to in-person services. States were evaluated based on requirements for
written or verbal informed consent, or unspecified methods of informed consent before a
telemedicine encounter can be performed.
Scale – Medicaid: Informed
Consent
A 4 points
B 3 points
C 2 points
F ≤ 1 point
Figure 15
Of the 23 states with informed consent requirements, 16 states have such requirements imposed
by their state Medical Board (Figure 15). Although Connecticut has no telemedicine coverage
under Medicaid, its Medical Board does not require informed consent which sounds promising
for future consideration of telemedicine coverage. However, Rhode Island’s Medical Board
requires informed consent when using e-mails and text based communications.
M. Telepresenter
We measured components of state Medicaid policies that apply more stringent requirements for
telemedicine as opposed to in-person services. States were evaluated based on requirements for
a telepresenter or health care provider on the premises during a telemedicine encounter.
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American Telemedicine Association
2015
