Page 170 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia
P. 170
Center for Connected Health Policy
STATE LAW/REGULATIONS MEDICAID PROGRAM
to undergo material deterioration within the 30-
day period following the visit.
Source: TX Govt. Code Sec. 531.0217.
Provider reimbursement must be the same as in-person
services.
Source: TX Admin. Code, Title 1 Sec. 355.7001.
Telemedicine services are not required if an in-person
consultation with a physician is reasonably available
where the patient resides or works.
Telemedicine providers must make a good-faith effort to
identify and coordinate with existing providers, to
preserve and protect existing health care systems and
medical relationships in an area.
With patient consent, the primary care provider must be
notified of the telemedicine medical service for the
purpose of sharing medical information.
Source: TX Govt. Code Sec. 531.0217.
Before receiving a telehealth service, the patient must
receive an in-person evaluation for the same diagnosis or
condition, with the exception of mental health conditions.
For continued services through telehealth, a patient must
receive an in-person evaluation at least once during the
previous 12 months.
Source: TX Admin. Code, Title 1, Sec. 354.1432 & TX Medicaid
Telecommunication Services Handbook, pg. 9 (Jan. 2015).
Store and Forward Reimbursement
(see Medicaid column) TX Medicaid Manual states that telemedicine and
telehealth services only “involve direct face-to-face
interactive video communication between the client and
the distant-site provider.”
Source: TX Medicaid Telecommunication Services Handbook, pg.
7, (Jan. 2015).
TX Government Code includes a definition of
“Telemedicine Medical Service” and “Telehealth Services”
which encompasses Store and Forward, stating that it
includes “clinical data transmission using computer
imaging by way of still-image capture and store and
forward”.
Source: TX Government Code, Sec. 531.001.
Remote Patient Monitoring Reimbursement
No reference found. Texas Medicaid will reimburse for home telemonitoring
in the same manner as their other professional services
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