Page 51 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: HI Revised Statutes § 453-1.3 (SB 2469).

"Telehealth" means the use of telecommunications, as
that term is defined in section 269-1, including but not
limited to real-time video conferencing-based
communication, secure interactive and non-interactive
web-based communication, and secure asynchronous
information exchange, to transmit patient medical
information, including diagnostic-quality digital images
and laboratory results for medical interpretation and
diagnosis, for the purpose of delivering enhanced health
care services and information to parties separated by
distance. Standard telephone contacts, facsimile
transmissions, or email texts, in combination or by
themselves, do not constitute a telehealth service for the
purposes of this paragraph.

Source: HI Revised Statutes § 466J-6 & 453-2 (SB 2469).

Live Video Reimbursement
Hawaii requires coverage of telehealth services Hawaii Quest will reimburse for live video, as long as it
equivalent to reimbursement for the same services “includes audio and video equipment, permitting real-
provided via-face-to-face contact. time consultation among the patient, consulting
practitioner and referring practitioner.”
The patient must be accompanied by a treating health
care provider at the time telehealth services are Source: Code of HI Rules 17-1737 (2012).
provided (except in the case of behavioral health
services).

Source: HI Revised Statutes § 431:10A-116.3 (2012).

(See Medicaid column & “Private Payers” Section)

Store and Forward Reimbursement
Based upon the definition of “telehealth” (which includes Hawaii Quest requires the patient to be “present and
secure asynchronous information exchange) in the state participating in the telehealth visit” therefore excluding
insurance law, store and forward may be covered. store and forward from reimbursement.

Source: HI Revised Statutes § 431:10A-116.3 (2012). Source: Code of HI Rules 17-1737 (2012).

(also see Medicaid column)

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

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

Source: HI Revised Statutes § 431:10A-116.3 (2012). Source: Code of HI Rules 17-1737 (2012).

(also see Medicaid column)
Online Prescribing

Prescribing providers must have a provider-patient No reference found.

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