Alabama Telehealth State Laws & Reimbursement Policies
Medicaid Telehealth Reimbursement
Alabama Medicaid reimburses for live video under some circumstances. The Agency will not reimburse providers for origination site or transmission fees. They make no reference to store-and-forward reimbursement, but the program reimburses for In-Home Monitoring through the Patient’s 1st program for diabetes and Chronic Heart failure, although it’s not considered to fall under the telemedicine program.
All physicians with an Alabama license, enrolled as a provider with the Alabama Medicaid Agency, regardless of location, are eligible to participate in the Telemedicine Program to provide medically necessary telemedicine services to Alabama Medicaid eligible recipients.
For rehabilitative services, the originating site must be located in Alabama. The distant site may be located outside of Alabama as long as the physician has an Alabama license and is enrolled as an Alabama Medicaid provider.
Remote Patient Monitoring
Alabama Medicaid will reimburse remote patient monitoring through the In Home Monitoring Program. The program is a joint effort between the Agency, the University of Alabama and the Alabama Department of Public Health (ADPH). Must be referred to the Patient’s 1st program by any source including a physician, Patient 1st care coordinator, patient care network, patient or caregiver, the Health Department, hospitals, home health agencies or community based organizations.
The Alabama Department of Public Health (ADPH) Nurse Care Manager evaluates the patient, provides any needed equipment such as a scale, glucometer, blood pressure cuff and phone with a speaker.
Physician must obtain prior consent from the recipient before services are rendered, this will count as part of each recipient’s benefit limit of 14 annual physician office visits currently allowed.
Out of State Providers
Professional Regulation/Health & Safety
The Alabama Board of Medical Examiners holds the position that, when prescribing medications to an individual, the prescriber, when possible, should personally examine the patient. Prescribing medications for patients the physician has not personally examined may be suitable for certain circumstances, including telemedicine.
Cross State Licensing
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