Page 128 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia

Center for Connected Health Policy

STATE LAW/REGULATIONS MEDICAID PROGRAM

exam is waived when a physical exam would
not normally be part of a typical physical face-
to-face encounter with the patient for the
services being provided.

Source: NM Statutes Annotated, 1978 Sec. 61-6-20(B).
Consent

No reference found. No reference found.
Location
No reference found. An interactive telehealth communication system must
include both interactive audio and video, and be
delivered on a real-time basis at both the originating and
distant sites.

The originating site can be any medically warranted site.

Source: NM Administrative Code 8.310.2.
Cross-State Licensing
NM issues telemedicine licenses to providers who hold a When the originating site is in New Mexico and the
full, unrestricted license in another state and has good distant site is outside New Mexico, the distant-site
moral character. provider at the distant site must be licensed in New
Mexico for telemedicine, or meet federal requirements
Source: NM Statutes Annotated, 1978 Sec. 61-6-11.1 (Sunset date for Indian Health Service or tribal contract facilities.
of July 1, 2016) and 16.10.2.11.
Source: NM Administrative Code 8.310.2.
Private Payers

Private payers are required to provide coverage for No reference found.
services delivered through telemedicine, consistent with
in-person coverage.

Source: NM Statute. 59A-22-49.3.
Site/Transmission Fee

Indian Health Services Reimbursement is made to the originating site for an
A telemedicine facility fee is paid. Both the originating interactive telehealth system fee at the lesser of the
and distant sites may be IHS or tribal facilities with two following:
different locations, or a distant site can be under
contract to the IHS or tribal facility. • Provider's billed charge;
• Maximum allowed by MAD for the specific
Source: NM Administrative Code 8.310.12.12. service or procedure.
• A telemedicine originating-site communication
fee is also covered if the eligible recipient was
present at and participated in the telemedicine
visit at the originating site.

Source: NM Administrative Code 8.310.2.

An originating site facility fee is not payable if
telemedicine is used to connect an employee or staff
member of a facility to the eligible recipient being seen
at the same facility.

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