Page 194 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia
P. 194
Center for Connected Health Policy
Wisconsin
Medicaid Program: Forward Health
Medicaid Program Administrator: Wisconsin Dept. of Health Services
Regional Telehealth Resource Center:
Great Plains Telehealth Resource and Assistance Center
University of Minnesota/Institute for Health Informatics
330 Diehl Hall
505 Essex Street S.E.
Minneapolis, MN 55455
(888) 239-7092
www.gptrac.org
STATE LAW/REGULATIONS MEDICAID PROGRAM
Definition of telemedicine/telehealth
"Telehealth" is a service provided from a remote location “Telemedicine services (also known as "Telehealth") are
using a combination of interactive video, audio, and services provided from a remote location using a
externally acquired images through a networking combination of interactive video, audio, and externally
environment between an individual at an originating site acquired images through a networking environment
and a provider at a remote location with the service between a member (i.e., the originating site) and a
being of sufficient audio and visual fidelity and clarity as Medicaid-enrolled provider at a remote location (i.e.,
to be functionally equivalent to face-to-face contact. distant site). The services must be of sufficient audio
"Telehealth" does not include telephone conversations and visual fidelity and clarity as to be functionally
or Internet-based communications between providers or equivalent to a face-to-face contact. Telemedicine
between providers and individuals. services do not include telephone conversations or
Internet-based communication between providers or
Source: Wisconsin Statute 49.45 (29w). between providers and members.
Source: WI Forward Health, Covered and non-covered services,
Physician, (accessed Jan. 21, 2015).
emedicine&adv=Y>
Live Video Reimbursement
(see Medicaid column) Forward Health will reimburse for medical and
mental/behavioral health services via live video.
Eligible services:
• Office or other outpatient services;
• Office or other outpatient consults;
• Initial inpatient consults;
• Outpatient mental health services;
• Health and behavior assessment/intervention;
• End stage renal disease-related services;
• Outpatient substance abuse services.
Eligible providers:
• Physicians and physician clinics;
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