Page 168 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

Source: TX Medicaid Telecommunication Services Handbook, pg.
7-8, (Jan. 2015).

"Telemedicine medical service" means a health care
service that is initiated by a physician or provided by a
health professional acting under physician delegation and
supervision, that is provided for purposes of patient
assessment by a health professional, diagnosis or
consultation by a physician, or treatment, or for the
transfer of medical data, and that requires the use of
advanced telecommunications technology, other than
telephone or facsimile technology, including:

• Compressed digital interactive video, audio, or
data transmission;
• Clinical data transmission using computer
imaging by way of still-image capture and store
and forward; and
• Other technology that facilitates access to health
care services or medical specialty expertise.

Source: TX Government Code, Sec. 531.001.

Home telemonitoring is “a health service that requires
scheduled remote monitoring of data related to patient’s
health and transmission of the data to a licensed home
health agency or a hospital”.

Source: TX Government Code, Sec. 531.001.
Live Video Reimbursement

(see Medicaid column) Texas Medicaid reimburses for live video for the following
services:

• Consultations;
• Office or other outpatient visits;
• Psychiatric diagnostic interviews;
• Pharmacologic management;
• Psychotherapy
• Data transmission

Source: TX Admin. Code, Title 1, Sec. 354.1432 & TX Govt. Code
Sec. 531.0216.

Telemedicine eligible distant site providers:
• Physician
• Certified Nutrition Specialist
• Nurse Practitioner
• Physician Assistant
• Certified Nurse Midwife

Source: TX Medicaid Telecommunication Services Handbook, pg.
8, (Jan. 2015).

Telehealth eligible distant site providers
• Licensed professional counselors
• Licensed marriage and family therapist

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