West Virginia Telehealth Laws & Reimbursement Policies

West Virginia Medicaid reimburses for live video under some circumstances. Reimbursement is only made for real time communications, therefore there is no reimbursement for store-and-forward or remote patient monitoring.

“Telehealth: The use of electronic information and telecommunications technologies to provide professional health care; is often used to connect practitioners and clinical experts in large hospitals or academic medical centers with patients in smaller hospitals or critical access hospitals which are typically located in more remote locations; and can assure that these remotely located patients enjoy the same access to potentially life-saving technologies and expertise that are available to patients in more populated parts of the country.”

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

Patient consent must be obtained.

No reference found.

Additional instructions regarding telehealth standards and billing available in the following manuals: Licensed Behavioral Health Center Services (Ch. 503); Behavioral Health Outpatient Services (Ch. 521); School-Based Health Services (Ch. 538). Limited to specific CPT codes.

No reference found.

No reference found.

No reference found.

Practice of telemedicine means the practice of medicine using communication tools such as electronic communication, information technology or other means of interaction between a licensed health care professional in one location and a patient in another location, with or without an intervening health care provider, and typically involves secure real time audio/video conferencing or similar secure audio/video services, remote monitoring, interactive video and store-and-forward digital image or health data technology to provide or support health care delivery by replicating the interaction of a traditional in person encounter between a provider and a patient.

Must obtain consent.

A “valid patient-practitioner relationship” can be established through telemedicine in a manner approved by the appropriate board.

Member of the following: Nurse Licensure Compact, Physical Therapy Compact, and Compact of the Association of State and Provincial Psychology Boards.

Professional Board Regulation: Board of Examiners for Speech-Language Pathology and Audiology