Page 91 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia
P. 91
Center for Connected Health Policy
STATE LAW/REGULATIONS MEDICAID PROGRAM
conditions could be impossible to make during
delivery of telehealth services;
Telehealth services may not be provided by
correspondence only.
Source: Code of MD Reg., 10.41.06.04 (2012).
Except when providing interpretive services, the
physician must obtain and document patient consent.
Source: Code of Maryland Admin. Regs. Sec. 10.32.05.06
Location
No reference found. Eligible originating sites:
• Free standing renal dialysis centers
• Federally Qualified Health Centers
• Hospitals, including EDs
• Local health departments
• Nursing facilities
• Physicians
• Nurse practitioners
• Nurse midwives
Originating sites must be approved. MD hospitals will
only be approved as originating sites if a specialist is not
available to provide timely consultation and diagnostic
evaluation.
Source: MD Department of Health and Mental Hygiene, Maryland
Medicaid 2013 Telemedicine Provider Manual. September 2014, p.
4 & Code of Maryland Admin. Regs. Sec. 10.09.49.07.
Distant site provider must be located within the State,
the District of Columbia, or a contiguous state.
Source: Code of Maryland Admin. Regs. Sec. 10.09.49.07.
Mental Health
Originating sites are limited to outpatient mental health
clinics (OMHC), hospitals and FQHCS in designated
rural geographic areas.
A distant site provider must be a psychiatrist with either
a Medicaid provider number or is a psychiatrist in an
FQHC or OMHC. The distant site must be in Maryland.
Source: MD Department of Health and Mental Hygiene, Maryland
Value Options, Provider Alert. Telemental Health. July 12, 2011 p.
1-2.
Cross-State Licensing
MD has exceptions to its MD-only licensed physicians Originating site providers can engage in agreements
for physicians practicing in the adjoining states of with distant site providers in Maryland, the District of
Delaware, Virginia, West Virginia, and Pennsylvania. Columbia, or a contiguous state for telemedicine
consultation services.
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