Page 106 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia

Center for Connected Health Policy

Missouri

Medicaid Program: HealthNet

Program Administrator: Missouri Dept. of Social Services

Regional Telehealth Resource Center:
Heartland Telehealth Resource Center
3901 Rainbow Blvd MS 1048
Kansas City, KS 66160
(877) 643-4872
heartlandtrc.org

STATE LAW/REGULATIONS MEDICAID PROGRAM

Definition of telemedicine/telehealth
“Telehealth, the use of medical information exchanged “Telehealth means the use of medical information
from one site to another via electronic communications exchanged from one (1) site to another via electronic
to improve the health status of a patient.” communications to improve the health status of a
patient. Telehealth means the practice of health care
Source: MO Revised Statutes § 208.670 (2012). delivery, evaluation, diagnosis, consultation, or
treatment using the transfer of medical data, audio
Relating to Stroke Centers visual, or data communications that are performed over
“Telemedicine-the use of medical information two (2) or more locations between providers who are
exchanged from one (1) site to another via electronic physically separated from the patient or from each
communications to improve patient's health status. A other.”
neurology specialist will assist the physician in the
center in rendering a diagnosis. This may involve a Source: MO Code of State Regulation, Title 13, 70-3.190 (2010).
patient "seeing" a specialist over a live, remote consult
or the transmission of diagnostic images and/or video Telehealth Services are medical services provided
along with patient data to the specialist.” through advanced telecommunications technology from
one location to another. Medical information is
Source: MO Code of State Regulation Title 19, 30-40.710. exchanged in real-time communication from an
originating site, where the participant is located, to a
distant site, where the provider is located, allowing them
to interact as if they are having a face-to-face, hands-on
session.

Source: MO HealthNet, Provider Manual, Behavioral Services,
Section 13, p. 53 (Oct. 23, 2013) & Physician Services, Section 13,
p. 121 (Apr. 14, 2014).
Live Video Reimbursement
Missouri Consolidated Health Care Plan (State HealthNet will reimburse for live video for medically
employees and retirees health plan) necessary services.
Telehealth services are covered on the same basis that
the service would be covered when it is delivered in Eligible providers:
person. • Physicians;
• Advanced registered nurse practitioners,
Source: MO Consolidated State Reg. 22:10-3.057. including nurse practitioners with a mental
health specialty;
(also see Medicaid column) • Psychologists.

Telehealth services are limited to:
• Consultation made to confirm a diagnosis;

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