Medicaid Telehealth Reimbursement
Wyoming Medicaid reimburses for live video under some circumstances. There is no reference to store-and-forward or remote patient monitoring reimbursement.
“Telehealth is the use of an electronic media to link beneficiaries with health professionals in different locations…This means that the patient must be able to see and interact with the off-site physician at the time services are provided via telehealth technology.”
Reimbursement is made for exams performed via a real time interactive audio and video telecommunications system. The patient must be able to see and interact with the off-site practitioner during the exam.
See manual for list of eligible hub site billing codes. Group psychotherapy is not a covered service.
Wyoming Medicaid states that reimbursement is made for exams performed via a real-time interactive audio and video.
If the patient and/or legal guardian indicates at any point that he/she wants to stop using the technology, the service should cease immediately and an alternative appointment set up.
Out of State Providers
A single pay to provider can bill both the originating site (spoke site) and the distant site provider (hub site) when applicable.
Professional Regulation/Health & Safety
Physicians and Surgeons: "Telemedicine means the practice of medicine by electronic communication or other means from a physician in a location to a patient in another location, with or without an intervening health care provider.”
Prescribing a controlled substance through the Internet, World Wide Web or any similar proprietary or common carrier electronic system without a documented physician-patient relationship is subject to review, discipline and consequences to license.
Cross State Licensing
Member of the following: Nurse Licensure Compact and Interstate Medical Licensure Compact.
Boards have power to adopt telehealth/telemedicine definitions applicable to their regulated profession and standards for the practice of telemedicine/telehealth.