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Q: Does Medicaid reimburse for telehealth/telemedicine services?
A: Federal Medicaid statues do not recognize telemedicine as a distinct service; however, each state has the flexibility to decide if/how its Medicaid program will reimburse for telehealth/telemedicine services. It’s important to note that any covered telehealth/telemedicine service must meet federal requirements of efficiency, economy, and quality of care.
For more information, check out the resources below.
Medicaid.gov
The Medicaid.gov website provides telemedicine definitions and terms, provider and facility guidelines, reimbursement guidelines, and information about telemedicine Service Provider Agreements (SPA).
Center for Connected Health Policy (CCHP)
CCHP can help you stay current on state and national policy, including Medicaid.
- State Telehealth Laws and Reimbursement Policies – Report
- Interactive State Map – Click on your state to learn about specific laws and reimbursement policies.
- State Telehealth Laws and Medicaid Program Policies – Infographic
- 50 State Scan of Telehealth Reimbursement Laws and Medicaid Policies – Fact Sheet
Please remember that information provided by the SCTRC is intended for general information purposes only and is not intended or implied to be a substitute for professional legal and reimbursement advice. We recommend discussing reimbursement and legal decisions with your organization’s compliance officer to ensure agreement or consulting with an attorney regarding any legal issue.
