Page 64 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

• Chiropractic services;
• Care coordination services;
• Durable medical equipment, medical supplies,
hearing aids, or oxygen;
• Optical or optometric services;
• Podiatric services;
• Services billed by school corporations;
• Physical or speech therapy services;
• Transportation services;
• Services provided under a Medicaid waiver.

Source: IN Admin. Code, Title 405, 5-38-4 (2012) & IN Health
Coverage Programs Provider Manual, Chapter 8, Billing
Instructions, p. 139-40 (Jun. 5, 2014).
Store and Forward Reimbursement
(see Medicaid column) Indiana Medicaid will not reimburse for store and forward
services.

Source: IN Admin. Code, Title 405, 5-38-4 (2012).

However, there is reimbursement for store and forward
technology to facilitate other reimbursable services.
Separate reimbursement of the spoke-site payment is not
provided for this technology.

Source: IN Health Coverage Programs Provider Manual, Chapter 8,
Billing Instructions, p 139, (Jun. 5, 2014).
Remote Patient Monitoring Reimbursement

(see Medicaid column) Indiana Code requires Medicaid to reimburse providers
who are licensed as a home health agency for telehealth
services.

Source: IN Code, 12-15-5-11.

Indiana Medicaid will reimburse providers for telehealth
services provided as home health services.

Must have one of the following conditions:
• Chronic obstructive pulmonary disease
• Congestive heart failure
• Diabetes

Must initially have two or more of the following events
related to one of the conditions listed above within the
previous twelve months:
• Emergency room visit
• Inpatient hospital stay

A licensed registered nurse must perform the reading of
transmitted health information.

Source: IN Admin Code, Title 405, 5-16-3.1.

Indiana Medicaid considers telemedicine as “not a

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