Page 131 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia
P. 131
Center for Connected Health Policy
STATE LAW/REGULATIONS MEDICAID PROGRAM
health care services by means of real time two-way
electronic audio visual communications, including the
application of secure video conferencing or store and
forward technology to provide or support healthcare
delivery, which facilitate the assessment, diagnosis,
consultation, delivery, which facilitate the assessment,
diagnosis, consultation, treatment, education, care
management and self management of a patient’s’ health
care while such patient is at the originating site and the
health provider is at a distant site.
Source: NY SB 7852 (2014).
Live Video Reimbursement
New Reimbursement Policy added by SB 7852 New York Medicaid will reimburse for live video services
(currently not enforced)* for medically necessary services provided to patients in:
Medicaid shall not exclude from the payment of medical
assistance funds the provision of medical care through • Hospitals (emergency room, outpatient
telemedicine services. department, Inpatient) established under
Article 28 of the New York Public Health Law;
Source: NY SB 7852 (2014). • Diagnostic and Treatment Centers (D&TCs)
established under Article 28 of the New York
Public Health Law;
• FQHCs that have "opted into" NY Medicaid
Ambulatory Patient Groups (APG);
• Non-FQHC School Based Health Centers
(SBHCs).
Providers who may deliver telemedicine services
include:
• Physician specialists, including psychiatrists;
• Certified Diabetes Educators (CDEs);
• Certified Asthma Educators (CAEs or A-ECs).
Source: NY Dept. of Health, 2011 DOH Medicaid Updates, Volume
27
Store and Forward Reimbursement
New Reimbursement Policy added by SB 7852 Store and forward is not reimbursed.
(currently not enforced)*
Telemedicine does include the use of store and forward Source: NY Dept. of Health, 2011 DOH Medicaid Updates, Volume
technologies. 27
Source: NY SB 7852 (2014).
Remote Patient Monitoring Reimbursement
New Reimbursement Policy added by SB 7852 See notes.
(currently not enforced)*
Medicaid will, at a minimum, provide payment for
telehealth services as specified under Sec. 3614 of
2