Page 159 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

• The medical care is individualized, specific, and
consistent with symptoms or confirmed
diagnosis of the illness or injury under
treatment, and not in excess of the beneficiary’s
need;
• The medical care can be safely furnished, and
no equally effective and more conservative or
less costly treatment is available statewide.

Source: SC Health and Human Svcs. Dept. Physicians Provider
Manual, p. 180-182 (Jan. 1, 2015).

These community mental health services are ineligible:

• Injectables;
• Nursing services;
• Crisis intervention
• Individual, family, group and multiple family
psychotherapy
• Psychological testing which require “hands-on”
encounters;
• Mental health assessment by non-physician;
and
• Service Plan Development.

Source: SC Health and Human Svcs. Dept. Community Mental
Health Services Provider Manual, p. 115 (Jan. 1, 2015).

Distant site eligible, reimbursed providers:

• Physicians;
• Nurse practitioners.

Source: SC Health and Human Svcs. Dept. Physicians Provider
Manual, p. 169 (Jan. 1, 2015).
Store and Forward Reimbursement
No reference found. South Carolina Medicaid will not reimburse for store and
forward due to the requirement that the beneficiary must
be present and participating in the visit.

Source: SC Health and Human Svcs. Dept. Physicians Provider
Manual, p. 180-181 (Jan. 1, 2015).
Remote Patient Monitoring Reimbursement

No reference found. Please see “Comments” section below.
Email/Phone/FAX
No reference found. No reimbursement for email.
No reimbursement for telephone.
No reimbursement for FAX.

Source: SC Health and Human Svcs. Dept. Physicians Provider
Manual, p. 182-183 (Jan. 1, 2015).

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