Michigan Medicaid Telehealth Reimbursement

 Medicaid Reimbursement / Posted 6 months ago by Telehealthist

Michigan Medicaid reimburses for live video telemedicine for certain healthcare professionals, for patients located at certain originating sites for specific services. There is no reimbursement for store-and-forward or remote patient monitoring.

Definitions
“Telemedicine is the use of telecommunication technology to connect a patient with a health care professional in a different location.”

Live Video
Policy
MDHHS requires a real time interactive system at both the originating and distant site, allowing instantaneous interaction between the patient and health care professional via the telecommunication system. Telemedicine should be used primarily when travel is prohibitive for the beneficiary or there is an imminent health risk justifying immediate medical need for services.

Eligible Services/Specialties
Click for a list of eligible services and specialties.

Eligible Providers
Physicians and practitioners are eligible to be distant site providers.

Eligible Sites
Click for a list of eligible sites.

Geographic Limits
No reference found.

Facility/Transmission Fee
Originating site may bill for a facility fee. MDHHS will reimburse the originating site provider the lesser of charge or the current Medicaid fee screen.

Store-and-Forward
Policy
Telecommunication systems using store-and-forward technology are not included in MI Medicaid’s telemedicine policy.

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 reference found.

Consent
No reference found.

Out of State Providers
Telemedicine services must be provided by a health care professional who is licensed, registered or otherwise authorized to engage in his or her health care profession in the state where the patient is located.

Miscellaneous
No reimbursement for remote access for surgical procedures, and use of robotics.