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Florida Telehealth State Laws & Reimbursement Policies

Medicaid Telehealth Reimbursement

Summary

FL Medicaid reimburses for real time interactive telemedicine according to administrative code, but Medicaid Manuals only indicate reimbursement in Community Behavioral Health Services. No reference was found in regards to reimbursement for store-and-forward or remote patient monitoring.

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Definitions

Telemedicine is “the use of telecommunication and information technology to provide clinical care to individuals at a distance, and to transmit the information needed to provide that care.”

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Live Video

Policy
Some telemedicine services reimbursed in the Community Behavioral Health Services, per the Fee Schedule.

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Eligible Services/Specialties
Some telemedicine services reimbursed in the Community Behavioral Health Services, per the Fee Schedule.

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Eligible Providers
Telemedicine is available for use by all providers of Florida Medicaid services that are enrolled in or registered with the Florida Medicaid program and who are licensed within their scope of practice to perform the service.

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Eligible Sites
Geographic Limits
Facility/Transmission Fee

Store-and-Forward

Policy
Eligible Services/Specialties
Geographic Limits
Transmission Fee

Remote Patient Monitoring

Policy
Conditions
Provider Limitations
Other Restrictions

Email/Phone/Fax

No reimbursement for telephone, chart review, electronic mail messages or facsimile transmissions.

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Consent

Out of State Providers

Miscellaneous

Click for a list of miscellaneous requirements.

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Private Payer Laws

Definitions

Requirements

Parity

Professional Regulation/Health & Safety

Definitions

“Telemedicine means the practice of medicine by a licensed Florida physician or physician assistant where patient care, treatment, or services are provided through the use of medical information exchanged from one site to another via electronic communications. Telemedicine shall not include the provision of health care services only through an audio only telephone, email messages, text messages, facsimile transmission, U.S. Mail or other parcel service, or any combination thereof.”

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Consent

Online Prescribing

Controlled substances shall not be prescribed through the use of telemedicine, except for the treatment of psychiatric disorders. Exception: physicians can order controlled substances through the use of telemedicine for patients hospitalized in a facility licensed pursuant to Ch. 395, F.S.

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Cross State Licensing

Member of the Nurses Licensure Compact.

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Miscellaneous

Click for a list of miscellaneous requirements.

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Source: Center for Connected Health Policy
https://www.cchpca.org