Louisiana Telehealth Laws & Reimbursement Policies

Louisiana Telehealth Laws

Medicaid Telehealth Reimbursement

Summary

Live video telemedicine is covered for distant site providers enrolled in Louisiana Medicaid. There is no reimbursement for the originating site.

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Definitions

“Telemedicine is the use of medical information exchanges from one site to another via electronic communications to improve a recipient’s health. Electronic communication means the use of interactive telecommunications equipment that includes, at a minimum, audio and video equipment permitting two-way, real time interactive communication between the patient at the originating site, and the physician or practitioner at the distant site.”

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Live Video

Policy
Louisiana Medicaid reimburses the distant site for services provided via telemedicine.

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Eligible Services/Specialties
Louisiana Medicaid reimburses for “services provided via an interactive audio and video telecommunications system.”

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Eligible Providers
The distant site provider must be enrolled as a Louisiana Medicaid provider to receive reimbursement for covered services.

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Eligible Sites
Geographic Limits
Facility/Transmission Fee
Louisiana Medicaid only reimburses the distant site provider.

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Store-and-Forward

Policy
Louisiana Medicaid will not provide reimbursement for store-and-forward based upon the definition of “telemedicine” which describes telemedicine as including “audio and video equipment permitting two-way, real time interactive communication” therefore excluding store-and-forward.

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Eligible Services/Specialties
Geographic Limits
Transmission Fee

Remote Patient Monitoring

Policy
Click for a list of specific policies for remote patient monitoring.

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Conditions
Health status monitoring: May be beneficial to individuals with congestive heart failure, diabetes or pulmonary disease.

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Provider Limitations
Click for a list of provider limitations.

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Other Restrictions
Click for a list of additional restrictions.

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Email/Phone/Fax

Consent

Out of State Providers

Miscellaneous

The recipient’s record at both the originating and distant site should reflect that the service was provided using telemedicine.

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Private Payer Laws

Definitions

Requirements

Reimbursement must be made to the originating site physician if he/she is physically present during the exam and interact with the distant-site physician.

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Parity

Originating-site physician fees shall be at least 75 percent of the normal fee for an intermediate office visit.

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Professional Regulation/Health & Safety

Definitions

Click for a list of professional board definitions.

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Consent

Physicians must inform telemedicine patients of the relationship between the physician and patient, and the role of any other health care provider with respect to management of the patient. The patient may decline to receive telemedicine services and withdraw from such care at any time.

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Online Prescribing

Click for a list of online prescribing requirements.

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Cross State Licensing

A telemedicine license may be issued to out-of-state physicians, as long as they hold a full and unrestricted license in another state or U.S. territory.

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Miscellaneous

Click for a list of professional board telehealth-specific regulations.

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

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