Page 169 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

• Licensed clinical social worker
• Psychologist
• Licensed psychological associate
• Provisionally licensed psychologist
• Licensed dietician

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

Eligible originating sites (Telecommunication):
• Established medical site
• State mental health facility
• State supported living center

Source: TX Medicaid Telecommunication Services Handbook. P. 9
(Jan. 2015).

Telemedicine eligible originating (patient) site providers:

• Physicians;
• Physician assistants;
• Nurse practitioners;
• Clinical nurse specialists;
• Outpatient providers

Source: TX Admin Code. Title 1, Sec. 355.7001 and TX Medicaid
Telecommunication Services Handbook, pg. 9(Jan. 2015).

Telehealth eligible originating site providers:
• An individual who is licensed or certified in Texas
to perform health care services
• A qualified mental health professional

A telepresenter is required at the originating site for both
telemedicine and telehealth.

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

More than one medically necessary telemedicine or
telehealth service may be reimbursed for the same date
and same place of service if the services are billed by
providers of different specialties.

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

There is distant-site physician reimbursement for
assessment and evaluation office visit if:

• A health professional under the physician’s
supervision is present with the patient for the
visit;
• The medical condition, illness, or injury for which
the patient is receiving the service is not likely,
within a reasonable degree of medical certainty,

3