Page 95 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia

Center for Connected Health Policy

Michigan

Medicaid Program: Michigan Medicaid

Program Administrator: Michigan Dept. of Community Health

Regional Telehealth Resource Center:
Upper Midwest Telehealth Resource Center
2901 Ohio Boulevard, Ste. 110
Terre Haute, IN 47803
(855) 283-3734 ext. 232
www.umtrc.org

STATE LAW/REGULATIONS MEDICAID PROGRAM
Definition of telemedicine/telehealth

”Telemedicine means the use of an electronic media to “Telemedicine is the use of telecommunication
link patients with health care professionals in different technology to connect a patient with a health care
locations. To be considered telemedicine, the health professional in a different location.”
care professional must be able to examine the patient
via a real-time, interactive audio or video, or both, Source: MI Dept. of Community Health, Medicaid Provider
telecommunications system, and the patient must be Manual, p. 1466 (Jan. 1, 2015) & MI Department of Community
Health Bulletin Telemedicine. Aug. 30, 2013.
able to interact with the off-site health care professional
at the time the services are provided.”

Source: MI Compiled Law Svcs. Sec. 500.3476 (2012).
Live Video Reimbursement
Michigan law states that “contracts shall not require Michigan Medicaid reimburses for the following services
face-to-face contact between a health care professional categories via live video:
and a patient for services appropriately provided through
telemedicine”, which includes live video. • Inpatient Consults;
• Office or other outpatient consults
Source: MI Compiled Law Services Sec. 500.3476 (2012). • Office or other outpatient services

(See “Private Payers” section). • Psychiatric diagnostic procedures
• Subsequent hospital care
• Telehealth
• Training services, diabetes
• Pharmacological management;
• End stage renal disease (ESRD) related
services. However, there must be at least one
in-person visit per month, by a physician, nurse
practitioner, or physician’s assistant, to examine
the vascular site for ESRD services.
• Behavior change intervention, individual
• Behavior health and/or substance abuse
treatment services
• Education service, telehealth
• Nursing facility subsequent care

The initial visit for nursing facility services must be face-
to-face.

Where face-to-face visits are required, telemedicine
services may be used in addition to the required face-to-

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