Page 153 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia

Center for Connected Health Policy

Pennsylvania

Medicaid Program: Pennsylvania Medical Assistance Program (MA)

Medicaid Program Administrator: Department of Public Welfare

Regional Telehealth Resource Center:
PO Box 800711
Charlottesville, VA 22908-0711
(434) 906-4960 / (855) MATRC4U
www.matrc.org

STATE LAW/REGULATIONS MEDICAID PROGRAM
Definition of telemedicine/telehealth

No reference found. Telemedicine is the use of real-time interactive
telecommunications technology that includes, at a
minimum, audio and video equipment as a mode of
delivering consultation services.

Source: PA Department of Public Welfare, Medical Assistance
Bulletin 09-12-31,31-12-31, 33-12-30, May 23, 2012.
Live Video Reimbursement

No reference found. Pennsylvania Medicaid will reimburse for live video for
specialty consultations.

Eligible Providers (fee for service):
• Physicians
• Certified registered nurse practitioners
• Certified nurse midwives

Providers under a managed care system should contact
the appropriate managed care organization.

Source: PA Department of Public Welfare, Medical Assistance
Bulletin 09-12-31, 31-12-31, 33-12-30, May 23, 2012.

Telepsychiatry Services
PA Medicaid will reimburse licensed psychiatrists and
licensed psychologists for telepsychiatry outpatient
services including:
• Psychiatric diagnostic evaluations
• Psychological Evaluations
• Pharmacological management
• Consultations (with patient/family)
• Psychotherapy

Providers must have documented endorsement to
deliver mental services through telepsych from the
county mental health program and the HealthChoices
Behavioral Health Managed Care Organization, and this
endorsement must be submitted to the PA Office of
Mental Health and Substance Abuse Services regional
office for final approval.

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