Medicaid Telehealth Reimbursement
Definition of Telemedicine Louisiana
“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.”
Telemedicine Louisiana Definition
Live Video
Eligible Services/Specialties
Facility/Transmission Fee
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.
Telemedicine Louisiana Store and Forward Policy
Remote Patient Monitoring
Private Payer Laws
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.
Telemedicine Louisiana Requirements
Parity
Originating-site physician fees shall be at least 75 percent of the normal fee for an intermediate office visit.
Private Payer Parity
Professional Regulation/Health & Safety
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.
Telemedicine Louisiana Consent Requirements
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.
Telemedicine Cross-State Licensing
Miscellaneous
Click for a list of professional board telehealth-specific regulations.
Read More
Source: Center for Connected Health Policy
https://www.cchpca.org
What are the benefits of using Louisiana telehealth solutions?
Louisiana telehealth solutions are a safe and effective way to receive care. The healthcare provider will be able to see you and your symptoms through the video conferencing software. They will also be able to ask you questions and order tests as needed.
