Page 65 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

telephone transmitter for transtelephonic monitoring.”

Source: IN Admin. Code, Title 405, 5-38-1 (2012).
Email/Phone/FAX
No reference found for email. No reference found for email.
No reimbursement for telephone. No reimbursement for telephone.
No reference found for FAX. No reference found for FAX.

Source: IN Admin. Code, Title 405, 5-38-1 (2012). Source: IN Health Coverage Programs Provider Manual, Chapter 8,
Billing Instructions, p. 139 (Jun. 5, 2014).
Online Prescribing

A documented patient evaluation, including history No reference found.
and physical evaluation adequate to establish
diagnoses and identify underlying conditions or
contraindications to the treatment recommended or
provided, must be obtained prior to issuing e-
prescriptions.

Source: IN Admin. Code, Title 844, 5-3-2 (2012).

Indiana has established a pilot program to provide
telehealth services to patients in Indiana without the
establishment of an in person patient-physician
relationship. The pilot includes the issuance of
prescription when medically necessary, with the
exception of controlled substances.

Source: IN Code, 25-22.5-14.
Consent

No reference found. The spoke site must obtain patient consent. The consent
must be maintained at the hub and spoke sites.

Source: IN Health Coverage Programs Provider Manual, Chapter 8,
Billing Instructions, p. 141 (Jun. 5, 2014).
Location

The patient must be physically present at the spoke Indiana Code requires the amendment of the Medicaid
site and participate in the visit. state plan (by Dec. 1, 2013) to eliminate the current twenty
mile distance restriction.
Source: IN Admin. Code, Title 405, 5-38-4 (2012).
Source: IN Code, 12-15-5-11.

There is reimbursement for telemedicine services only
when the hub and spoke sites are greater than 20 miles
apart.

Source: IN Health Coverage Programs Provider Manual, Chapter 8,
Billing Instructions, p. 140 (Jun. 5, 2014).

Reimbursement for telemedicine services is available to
the following providers regardless of the distance between
the provider and recipient:
• Federally Qualified Health Centers
• Rural Health Clinics

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