Michigan Telehealth State Laws & Reimbursement Policies

Medicaid Telehealth Reimbursement

Summary

Michigan Medicaid reimburses for live video telemedicine for certain healthcare professionals, for patients located at certain originating sites for specific services. There is no reimbursement for store-and-forward or remote patient monitoring.

Read More

Definitions

“Telemedicine is the use of telecommunication technology to connect a patient with a health care professional in a different location.”

Read More

Live Video

Policy
Live video telemedicine is reimbursed, and should primarily be used when travel is prohibitive for the beneficiary or there is an imminent health risk justifying immediate medical need for services. Where face-to-face visits are required, telemedicine services may be used in addition to the required face-to-face visit, but cannot be used as a substitute.

Read More

Eligible Services/Specialties
Click for a list of eligible services and specialties.

Read More

Eligible Providers
Physicians and practitioners are eligible to be distant site providers.

Read More

Eligible Sites
Click for a list of eligible sites.

Read More

Geographic Limits
Facility/Transmission Fee
Originating site may bill for a facility fee. MDHHS will reimburse the originating site provider the lesser of charge or the current Medicaid fee screen.

Read More

Store-and-Forward

Policy
Telecommunication systems using store-and-forward technology are not included in MI Medicaid’s telemedicine policy.

Read More

Eligible Services/Specialties
Geographic Limits
Transmission Fee

Remote Patient Monitoring

Policy
Conditions
Provider Limitations
Other Restrictions

Email/Phone/Fax

Consent

Out of State Providers

Telemedicine services must be provided by a health care professional who is licensed, registered or otherwise authorized to engage in his or her health care profession in the state where the patient is located.

Read More

Miscellaneous

No reimbursement for remote access for surgical procedures, and use of robotics.

Read More

Private Payer Laws

Definitions

“Telemedicine means the use of an electronic media to link patients with health care professionals in different locations. To be considered telemedicine, the health care professional must be able to examine the patient via a real-time, interactive audio or video, or both, telecommunications system, and the patient must be able to interact with the off-site health care professional at the time the services are provided.”

Read More

Requirements

Insurers and group or nongroup health care corporations shall not require face-to-face contact between a health care professional and a patient for services appropriately provided through telemedicine, as determined by the insurer or health care corporation.

Read More

Parity

Insurers and health care corporations must cover services appropriately provided through telemedicine, as determined by the insurer or health care corporation.

Read More

Professional Regulation/Health & Safety

Definitions

“Telehealth” means the use of electronic information and telecommunication technologies to support or promote long-distance clinical health care, patient and professional health-related education, public health, or health administration. Telehealth may include, but is not limited to, telemedicine. As used in this subdivision, “telemedicine” means that term as defined in section 3476 of the insurance code of 1956, 1956 PA 218, MCL 500.3476.

Read More

Consent

Consent must directly or indirectly be obtained by a health care professional utilizing telehealth.

Read More

Online Prescribing

Providers must have an existing physician-patient relationship

Read More

Cross State Licensing

Miscellaneous

The Department required to study the use of telemedicine to perform competency examinations by forensic psychiatrists.

Read More

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

Reach out to us for all your Telehealth needs

What best describes you?

Currently serving 47 states

with the ability to service all 50 states
Our telemedicine services can be applied to big cities as well as rural locations. We contract with the highest quality health professionals and partner with hospitals, clinics, and other healthcare facilities throughout the Nation.
Learn More About the States we Serve
AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC
linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram