Page 108 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia
P. 108
Center for Connected Health Policy
STATE LAW/REGULATIONS MEDICAID PROGRAM
nursing services under a collaborative practice
arrangement may provide those services outside of the • Physician or other health care provider office;
geographic proximity requirements (stipulated in the • Hospital;
written agreement with the collaborating physician) • Critical Access Hospital;
when provided in a health professional shortage area. • Rural Health Clinic;
• Federally Qualified Health Center;
Source: MO Revised Statutes § 335.175.1 (sunsets Jan. 1, 2020).
• Missouri state habilitation center or regional
office;
• Community mental health center;
• Missouri state mental health facility;
• Missouri state facility;
Source: MO HealthNet, Provider Manual, Behavioral Services,
Section 13, p. 54 (Oct. 23, 2013) & Physician Services, Section 13,
p. 121 (Apr. 14, 2014).
Cross-State Licensing
No reference found. No reference found.
Private Payers
Payers are required to provide coverage for services No reference found.
through telehealth, if the same service could have been
provided through face to face diagnosis, consultation or
treatment.
Source: MO Revised Statutes § 376.1900.1
Site/Transmission Fee
Services related to pregnangy Originating sites are eligible to receive a facility fee;
Payers are not required to reimburse telehealth distant sites are not eligible. The cost of an optional
providers for site origination fees or costs for the telepresenter is included in the facility fee.
provision of telehealth.
Source: MO Code of State Regulations, Title 13, 70 3.190 (May 31,
Source: MO Revised Statutes § 376.1900.1 2011) & Physician Services, Section 13, p. 121 (Apr. 14, 2014).
.
Missouri Consolidated Health Care Plan (State
employees and retirees health plan)
Telehealth site origination fees or costs for the provision
of telehealth services are not covered.
Source: MO Consolidated State Reg. 22:10-3.060.
Miscellaneous
3
