Page 29 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

Remote Patient Monitoring Reimbursement
No reference found. No reference found.

Email/Phone/FAX
No reference found. Medi-Cal does not reimburse for telephone calls,
electronic mail messages or facsimile transmissions.

Source: CA Department of Health Care Services. Medi-Cal Part 2
General Medicine Manual. Telehealth. Pg. 5. (Dec. 2013).
Online Prescribing

Providers are prohibited from prescribing or dispensing No reference found.
dangerous drugs or dangerous devices on the Internet
without an appropriate prior examination and medical
indication.

Source: CA Business & Professions Code Sec. 2242.1(a).
Consent

The originating site provider must obtain and document Provider must obtain oral consent from the patient and
verbal or written patient consent prior to service delivery. document it in the patient record.

CA Health & Safety Code Sec. 1374.13. Source: CA Department of Health Care Services. Medi-Cal Part 2
General Medicine Manual. Telehealth. Pg. 2. (Dec. 2013).
Occupational Therapy
Oral informed consent must be obtained by the
originating site prior to the use of telehealth to deliver
health services.

Source: CA Code of Regulations, Title 16, Div. 39, Art. 8, Sec.
4172.

Location
Health plans cannot limit the settings where services are The type of setting where services are provided is not
provided. Settings are still subject to contract terms and limited.
conditions.
Source: CA Department of Health Care Services. Medi-Cal Part 2
Source: CA Health & Safety Code Sec. 1374.13 (2012). General Medicine Manual. Telehealth. Pg. 1. (Dec. 2013).
Cross-State Licensing
No reference found. No reference found.
Private Payers

Private payers cannot require that in-person contact No reference found.
occur before payment is made for covered telehealth
services, subject to contract terms and conditions.

Source: CA Health & Safety Code Sec. 1374.13 (2012).
Site/Transmission Fee
No reference found. Medi-Cal will reimburse the originating site a facility
fees, and originating and distant site for live video
transmission costs.

Source: CA Department of Health Care Services. Medi-Cal Part 2

2