Massachusetts Telehealth State Laws & Reimbursement Policies

Medicaid Telehealth Reimbursement

Summary

Massachusetts Medicaid (MassHealth) makes no reference to reimbursement of telehealth or telemedicine within their policies.

Massachusetts Medicaid Summary

Definitions

Behavioral Health Services: Telehealth is the use of electronic communication and information technologies to provide or support clinical care at a distance. The delivery of services through telehealth involves the use of secure interactive audio and video telecommunications systems that permit two-way, real-time communication between a patient and a provider.

Massachusetts Medicaid Definitions

Live Video

Policy
Behavioral Health Services: Telehealth is a modality of treatment, not a separate covered service. Providers are not required to deliver services via telehealth.

Massachusetts Live Video Policy

Eligible Services/Specialties
Eligible Providers
Eligible Sites
No reference found.
Geographic Limits
Facility/Transmission Fee
No reference found.

Store-and-Forward

Policy
No reference found.
Eligible Services/Specialties
No reference found.
Geographic Limits
No reference found.
Transmission Fee
No reference found.

Remote Patient Monitoring

Policy
In the FY 2014 State Budget, MA appropriates funds for the reimbursement of telehealth remote patient monitoring provided by home health agencies as a service to clients reimbursable through Medicaid, as long as it is for short term reimbursement.

Massachusetts Telehealth Remote Patient Monitoring Policy

Conditions
No reference found.
Provider Limitations
No reference found.
Other Restrictions
No reference found.

Email/Phone/Fax

No reference found.

Consent

No reference found.

Out of State Providers

No reference found.

Miscellaneous

Behavioral Health Services: A provider may prescribe Schedule II controlled substances via telehealth only after conducting an initial in-person examination of the patient. Ongoing in-personal examinations are required every three months for the duration of the prescription.

Massachusetts Telehealth Miscellaneous

Private Payer Laws

Definitions

“Telemedicine as it pertains to the delivery of health care services, shall mean the use of interactive audio, video or other electronic media for the purpose of diagnosis, consultation or treatment. ‘Telemedicine’ shall not include the use of audio-only telephone, facsimile machine or e-mail.”

Massachusetts Private Payer Law Definitions

Requirements

Parity

Professional Regulation/Health & Safety

Definitions

No reference found.

Consent

No reference found.

Online Prescribing

Prior to any e-prescribing, there must be a physician-patient relationship that conforms to certain minimum norms and standards of care, which includes taking a medical history, conducting an appropriate exam, and recording the results.

Massachusetts Telehealth Online Prescribing

Cross State Licensing

No reference found.

Miscellaneous

No reference found.

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

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