Medicaid Telehealth Reimbursement
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.
“Telemedicine is the use of telecommunication technology to connect a patient with a health care professional in a different location.”
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.
Click for a list of eligible services and specialties.
Physicians and practitioners are eligible to be distant site providers.
Telecommunication systems using store-and-forward technology are not included in MI Medicaid’s telemedicine policy.
Remote Patient Monitoring
No reference found.
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.
Private Payer Laws
“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.”
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.
Professional Regulation/Health & Safety
“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.
Patient consent for Telemedicine Michigan must directly or indirectly be obtained by a health care professional utilizing telehealth.
The Department required to study the use of telemedicine to perform competency examinations by forensic psychiatrists.