Page 179 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia

Center for Connected Health Policy

Vermont

Medicaid Program: Vermont Medicaid

Medicaid Program Administrator: State Dept. of Vermont Health Access, under the Agency of Human Services.

Regional Telehealth Resource Center:
Northeast Telehealth Resource Center
11 Parkwood Drive
Augusta, ME 04330
(207) 622-7566 / (800) 379-2021
www.netrc.org

STATE LAW/REGULATIONS MEDICAID PROGRAM
Definition of telemedicine/telehealth
"Telemedicine means the delivery of health care Telemedicine is defined in Act 107 as “…the delivery of
services such as diagnosis, consultation, or treatment health care services…through the use of live interactive
through the use of live interactive audio and video over a audio and video over a secure connection that complies
secure connection that meets Health Insurance with the requirements the Health Insurance Portability
Portability and Accountability Act (HIPAA) requirements. and Accountability Act of 1996, Public Law 104-191.
Telemedicine does not include the use of audio-only Telemedicine does not include the use of audio-only
telephone, e-mail, or facsimile.” telephone, e-mail, or facsimile.”

Source: VT Statutes Annotated, Title 8 Sec. 4100k (2012). Source: Dept. of VT Health Access, Provider Manual, p. 116 (Jan.
1, 2015).
Live Video Reimbursement

Private payers must reimburse for live video. Live video is reimbursed.

Source: VT Statutes Annotated, Title 8 Sec. 4100k (2012). Originating site providers are required to document the
reason the service is being provided by telemedicine
(See “Private Payers” section) rather than in person.

Source: Dept. of VT Health Access, Provider Manual, p. 118 (Jan.
1, 2015).
Store and Forward Reimbursement

Allows, but doesn’t require, reimbursement for tele- No reimbursement for tele-ophthalmology or tele-
ophthalmology and tele-dermatology. dermatology; no reference to other store and forward
technologies.
Allows payers to require the distant site provider to
document the reason the services are being provided by Source: Dept. of VT Health Access, Provider Manual, p. 118 (Jan.
store and forward. 1, 2015).

Source: VT Statutes Annotated, Title 8 Sec. 4100k (2012).
Remote Patient Monitoring Reimbursement
VT Medicaid is required to cover home telemonitoring Home telemonitoring is a Medicaid benefit.
services performed by home health agencies or other
qualified providers for beneficiaries who have serious or Qualified providers are home health agencies enrolled
chronic medical conditions. with Vermont Medicaid.

Source: VT Statutes Annotated, Title 33 Sec. 1901k). The following healthcare professionals can review data:
• Registered nurse

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