Page 186 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: WA Admin. Code Sec. 182-531-1730.
Live Video Reimbursement

No reference found. Yes, for patients with fee-for-service coverage.

Eligible services:

• Consultations;
• Office or other outpatient visits;
• Psychiatric intake and assessment;
• Individual psychotherapy;
• Visit for drug monitoring

Eligible Providers at the Distant Site are:

• Physicians (including Psychiatrists); and
• Advanced Registered Nurse Practitioners

Source: WA State Health Care Authority, Medicaid Provider
Guide, Physician-Related Svcs./Health Care Professional Svcs., p.
47-48 (Jan. 1, 2015).

Patients must be present and participate in the visit.

For patients with managed care plan coverage,
telehealth services will not be reimbursed separately. All
services must be arranged and provided by primary care
providers. It is not mandatory that the plan pay for
telehealth services.

Source: WA State Health Care Authority, Medicaid Provider
Guide, Physician-Related Svcs./Health Care Professional Svcs., p.
46 (Jan. 1, 2015).

New Rule (Now Effective, Expires 4/31/15) – Applied
Behavioral Analysis
Telemedicine can be used to provide these services:
• Program supervision when the client is present;
and
• Family training, which does not require the
client’s presence.

Source: WA Admin. Code Sec. 182-531A-1200.
Store and Forward Reimbursement
No reference found. No reference found.

Remote Patient Monitoring Reimbursement
(see Medicaid column) Home health monitoring is not covered as telemedicine.

Source: WA State Health Care Authority, Medicaid Provider
Guide, Physician-Related Svcs./Health Care Professional Svcs., p.
45 (Jan. 1, 2015).

The Medicaid agency covers the delivery of home health
services through telemedicine.

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