Page 187 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

Services are provided for clients who have been
diagnosed with an unstable condition, and who may be
at risk for hospitalization or a more costly level of care.

Coverage is limited to one telemedicine interaction, per
patient, per day, based on the ordering licensed
practitioner's care plan.

Eligible services:

• Assessment and monitoring of clinical data
including, but not limited to, vital signs, pain
levels and other biometric measures specified in
the plan of care;
• Assessment of response to previous changes in
the plan of care;
• Detection of condition changes based on the
telemedicine encounter that may indicate the
need for a change in the plan of care.
• Implementation of a management plan

Source: WA Admin. Code Sec. 182-551-2125 & WA State Health
Care Authority, Medicaid Provider Guide, Home Health Svcs.
(Acute Care Svcs.), p. 20-26 (Jul. 1, 2014).

Must be provided by a Registered Nurse or Licensed
Practical Nurse.

The Medicaid agency does not require prior
authorization for the delivery of home health services
through telemedicine.

Source: WA State Health Care Authority, Medicaid Provider
Guide, Home Health Svcs. (Acute Care Svcs.), p. 22 (Jul. 1, 2014).

Email/Phone/FAX
No reference found. No reimbursement for email.
No reimbursement for telephone.
No reimbursement for FAX.

Source: WA State Health Care Authority, Medicaid Provider Guide,
Physician-Related Svcs./Health Care Professional Svcs., p. 63(Jan.
1, 2015).
Online Prescribing
The WA Medical Quality Assurance Commission has No reference found.
issued guidelines on the use of the Internet in medical
practices. A guideline does not have the force of law,
but can be considered by the Commission to be the
standard of practice in the state.

A documented patient evaluation, including history and
physical evaluation adequate to establish diagnoses and
identify underlying conditions and/or contra-indications
to the treatment recommended/provided, must be
obtained prior to providing treatment, including issuing

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