Idaho Medicaid Telehealth Reimbursement

 Medicaid Reimbursement / Posted 1 year ago by Telehealthist

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Idaho Medicaid reimburses for live video telehealth for certain providers and for specific services. There is no reference to store-and-forward or remote patient monitoring.

Definitions
Telehealth is defined as health care services delivered by a provider to a participant through the use of electronic communications, information technology, synchronous interaction between a provider at a distant site and a patient at an originating site.

Live Video
Policy
Idaho Medicaid reimburses for specific services via live video telehealth, consistent with ID Administrative Code.

Eligible Services/Specialties
Services must be equal in quality to services provided in-person.

Eligible Providers
Click for a list of eligible providers.

Eligible Sites
Telehealth services as an encounter by a facility are reimbursable if the services are delivered in accordance with the ID Medicaid Telehealth Policy.

Geographic Limits
No reference found.

Facility/Transmission Fee
No reimbursement for use of equipment at either the distant or originating site.

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Store-and-Forward
Policy
Idaho Medicaid’s definition of telehealth is limited to “synchronous interaction between a provider at a distant site and a patient at an originating site.”

Eligible Services/Specialties
No reference found

Geographic Limits
No reference found.

Transmission Fee
No reference found.

Remote Patient Monitoring
Policy
No reference found.

Conditions
No reference found.

Provider Limitations
No reference found.

Other Restrictions
No reference found.

Email/Phone/Fax
No reimbursement for telephone, email, text or fax.

Consent
An appropriate consent is required, which must disclose the delivery models, provider qualifications, treatment methods, or limitations and telehealth technologies.

Out of State Providers
Providers of telehealth services must be licensed by the Idaho Board of Medicine or in the case of therapeutic consultation and crisis intervention for children’s developmental disabilities services, providers must meet staff qualifications.

Miscellaneous
Click for a list of additional requirements.

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