Page 90 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: MD Department of Health and Mental Hygiene, Maryland
Value Options, Provider Alert. Telemental Health. July 12, 2011 p.
2.
Store and Forward Reimbursement

No reimbursement based upon definition of Maryland Medicaid does not cover store and forward.
“telemedicine” which describes telemedicine as
“interactive”. Source: MD Department of Health and Mental Hygiene, Maryland
Medicaid 2014 Telemedicine Provider Manual. September 2014, p.
6 & Code of Maryland Admin. Regs. Sec. 10.09.49.11.
Source: MD Insurance Code Annotated Sec. 15-139 (2012).

The department may provide reimbursement for Providers of health care services delivered through
services delivered through store and forward telemedicine must use video and audio transmission
technology. with less than a 300 millisecond delay.

Source: Health General Code 15-105.2. Source: Code of Maryland Admin. Regs. Sec. 10.09.49.08.
Remote Patient Monitoring Reimbursement

The department may provide reimbursement for No reimbursement for home health monitoring services.
services delivered through remote patient monitoring
technology. Source: MD Department of Health and Mental Hygiene, Maryland
Medicaid 2013 Telemedicine Provider Manual. September 2014, p.
Source: Health General Code 15-105.2. 6 & Code of Maryland Admin. Regs. Sec. 10.09.49.11.
http://www.dsd.state.md.us/comar/getfile.aspx?file=10.09.49.11.ht
m.
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: MD Insurance Code Annotated Sec. 15-139 (2012) & Source: MD Department of Health and Mental Hygiene, Maryland
Health General Code 15-105.2. Medicaid 2013 Telemedicine Provider Manual. September 2014, p.
6 Code of Maryland Admin. Regs. Sec. 10.09.49.11.
Online Prescribing

A physician-patient relationship can be established No reference found.
through real time auditory communications or real-time
visual and auditory communications.

Source: Code of Maryland Admin. Regs. Sec. 10.32.05.02
Consent

Telehealth providers must inform patients and Consent is required unless there is an emergency.
consultants of the following:
Source: MD Department of Health and Mental Hygiene, Maryland
• The inability to have direct, physical contact with Medicaid 2013 Telemedicine Provider Manual. September 2014, p.
5 & Code of Maryland Admin. Regs. Sec. 10.09.49.06.
the patient is a primary difference between http://www.dsd.state.md.us/comar/getfile.aspx?file=10.09.49.06.ht
telehealth and direct in-person service delivery; m
• The knowledge, experiences, and qualifications
of the consultant providing data and information
to the provider of the telehealth services need
not be completely known to and understood by
the provider;
• The quality of transmitted data may affect the
quality of services provided by the provider;
• That changes in the environment and test

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