Virginia Telehealth Laws & Reimbursement Policies

Virginia Medicaid reimburses for live video, store-and-forward, and remote patient monitoring under certain circumstances. Plans participating in the Medicare-Medicaid Demonstration Waiver are permitted to use store-and-forward and remote patient monitoring in rural and urban locations and to provide reimbursement for services.

“Telemedicine is the real-time or near real-time two-way transfer of medical data and information using an interactive audio/video connection for the purposes of medical diagnosis and treatment.”

No reimbursement for email. No reimbursement for telephone. No reimbursement for FAX.

No reference found.

Newly enrolling out-of-state physicians who enter on their enrollment application a service address that is within 50 miles of the Virginia border may be enrolled as in-state providers.

Use of telemedicine must be noted in the service documentation of the patient record.

Telemedicine services means the use of electronic technology or media, including interactive audio or video for the purpose of diagnosing or treating a patient or consulting with other health care providers regarding a patient’s diagnosis or treatment. ‘Telemedicine services’ does not include an audio-only telephone, electronic mail message, facsimile transmission, or online questionnaire.

An insurer shall not exclude a service for coverage solely because the service is provided through telemedicine services.

The treating provider or consulting provider must be reimbursed on the same basis that the insurer is responsible for coverage for the provision of services face-to-face.

Telemedicine services means the use of electronic technology or media, including interactive audio or video for the purpose of diagnosing or treating a patient or consulting with other health care providers regarding a patient’s diagnosis or treatment.

Informed consent must be obtained and maintained.

Effective until July 1, 2020: Practitioners prescribing controlled substances must have a “bona fide” relationship with the patient.

VA adopted the Nurses Licensure Compact.

Click to see details on the telemedicine guidance released by the VA Medical Board.