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Medicaid coverage

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Medicaid coverage of telehealth services varies significantly across states, but almost every state Medicaid program offers some coverage of telehealth services. Highlights include the following: 

  • Forty-eight state Medicaid programs offer coverage for interactive live video telehealth services. 
  • Nine state Medicaid programs offer coverage of asynchronous (store-and-forward) telehealth services, not including states that only cover teleradiology. 
  • Sixteen state Medicaid programs offer coverage for remote patient monitoring. 
  • Thirty state Medicaid programs pay an additional transmission or facility fee when telehealth is used. 
  • Ten states impose some form of geographic requirement, restricting telehealth coverage to rural or under served areas, or require a certain amount of distance between the originating site and the distant site. 
  • Twenty-three states impose originating site restrictions limiting coverage to when the patient is located at a specific list of facilities.