Telehealth staffing solutions offered in all 50 states.
Watch our video

Montana Telehealth Laws & Reimbursement Policies

Medicaid Telehealth Reimbursement

Summary

Montana Medicaid reimburses for live video under some circumstances. There is no reimbursement for store-and-forward or remote patient monitoring based on the definition for telemedicine.

Read More

Definitions

Telemedicine is the use of interactive audio-video equipment to link practitioners and patients located at different sites.

Read More

Live Video

Policy

MT Medicaid reimburses for medically necessary telemedicine services to eligible members. Providers must be enrolled as Montana Medicaid providers.

Read More

Eligible Services/Specialties

Healthy Montana Kids: Services provided by telemedicine are allowed for non-surgical medical services and behavioral health outpatient services.

Read More

Eligible Providers

Click for a list of eligible providers.

Read More

Eligible Sites

Telemedicine can be provided in a member’s residence; the distance provider is responsible for the confidentiality requirements.

Read More

Geographic Limits

The originating and distant providers may not be within the same facility or community or have the same tax ID number.

Read More

Facility/Transmission Fee

Click for a list of provider types that can bill an originating site fee.

Read More

Store-and-Forward

Policy

There is no reimbursement for store-and-forward based on the definition for telemedicine restricting the service to interactive audio-video.

Read More

Eligible Services/Specialties

No reference found.

Read More

Geographic Limits

No reference found.

Read More

Transmission Fee

No reference found.

Read More

Remote Patient Monitoring

Policy

There is no reimbursement for remote patient monitoring based on the definition for telemedicine restricting the service to interactive audio-video.

Read More

Conditions

No reference found.

Read More

Provider Limitations

No reference found.

Read More

Other Restrictions

No reference found.

Read More

Email/Phone/Fax

Click for a list of telemedicine reimbursement restrictions.

Read More

Consent

No reference found.

Read More

Out of State Providers

Providers must be licensed in the state of Montana.

Read More

Miscellaneous

Effective Jan. 1, 2017 the new place of service code is “02”.

Read More

Private Payer Laws

Definitions

Telemedicine means the use of interactive audio, video, or other telecommunications technology…

Read More

Requirements

Click for a list of private payer requirements.

Read More

Parity

Private payers are required to provide coverage for services delivered through telemedicine if the services are otherwise covered by the policy, certificate, contract, or agreement.

Read More

Professional Regulation/Health & Safety

Definitions

Telemedicine means the practice of medicine using interactive electronic communication, information technology, or other means between a licensee in one location and a patient in another location with or without an intervening health care provider.

Read More

Consent

No reference found.

Read More

Online Prescribing

No reference found.

Read More

Cross State Licensing

Member of the following: Interstate Medical Licensure Compact, Nurse Licensure Compact, Physical Therapy Compact.

Read More

Miscellaneous

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

Read More

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