New York Telehealth Laws & Reimbursement Policies

Reimbursement policy applies to fee-for-service. Managed care plans may cover telemedicine at their own option and establish their own payment guidelines and structure.

NY Medicaid will reimburse for medically necessary services if patient is in a certain location (see live video eligible site section) and certain requirements are met (see live video policy section).

Click for a list of eligible providers.

Click for a list of eligible sites.

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Facility/transmission fees may be billed under certain circumstances.

NY Medicaid is authorized to establish fees to reimburse the cost of telehealth store-and-forward technology, per a State Plan Amendment submitted and approved by CMS. Store-and-forward technology may be utilized in the specialty areas of dermatology, ophthalmology and other disciplines, as determined by the Commissioner. Services must reduce the need for on-site or in-office visits.

For the home telehealth program, store-and-forward services may be reimbursed.

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NY Medicaid is authorized to establish fees to reimburse the cost of telehealth remote patient monitoring, per a State Plan Amendment submitted and approved by CMS.

NY will reimburse for remote patient monitoring for certain medical conditions.

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Certain considerations apply to RPM.