Page 172 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

Providers must be enrolled and approved as home
telemonitoring services providers.

The home health agency must maintain extensive
documentation in the patient’s medical record.

Source: TX Admin Code. Title 1, Sec. 354.1434 & TX Medicaid
Telecommunication Services Handbook, pg. 12, (Jan. 2015).
Email/Phone/FAX

For speech-language pathology and audiology, no No reimbursement for email.
reimbursement for correspondence only, e.g., mail, No reimbursement for telephone.
email, or FAX, although they may be adjuncts to tele- No reimbursement for FAX.
practice. No reimbursement for chart review.

Source: TX Admin. Code, Title 22, Sec. 741.214. Source: TX Medicaid Telecommunication Services Handbook, pg.
8, (Jan. 2015).
Online Prescribing
Treatment and consultation recommendations made in No reference found.
an online setting, including issuing a prescription via
electronic means, will be held to the same standards of
appropriate practice as those in traditional in-person
clinical settings.

Online or telephone evaluations solely by questionnaire
are prohibited.

Source: TX Admin. Code, Title 22, Sec. 174.8.

Adopted Emergency Rule (Now Effective, Expires
5/20/15)
A physician-patient relationship (needed to prescribe
any dangerous drug or controlled substance) requires
either an in-person exam or the patient to be located at
an Established Medical Site.

Source: TX Admin. Code, Title 22, Part 9, Ch. 190 (Injunction
filed).
Consent
Consent required prior to telemedicine or telehealth No reference found.
services.

Either originating or distant site health professionals
shall obtain this consent.

Source: TX Occupational Code Sec. 111.002.
Location
(see Medicaid column) Telemedicine/Telehealth eligible originating (patient)
sites:

• An established medical site
• A mental health facility

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