Minnesota Medicaid Telehealth Reimbursement

 Medicaid Reimbursement / Posted 6 months ago by Telehealthist

Minnesota Medicaid provides reimbursement for live video and store-and-forward through their Medical Assistance program for certain providers when patients are located at specific originating sites.

Click for a list of Medicaid definitions.

Live Video
Medical assistance covers medically necessary services and consultations delivered by a licensed health care provider via telemedicine in the same manner as if the service was delivered in-person. Coverage is limited to three telemedicine services per week per enrollee. Telemedicine services are paid at the full allowable rate.

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

Eligible Providers
Click for a list of eligible providers.

Eligible Sites
Click for a list of eligible sites.

Geographic Limits
Qualified members who must travel more than twenty miles for enrolled MHCP MTMS provider may have the services delivered via interactive video to an ambulatory care site in which there is no enrolled MTMS provider in the local trade area.

Facility/Transmission Fee
MHCP does not reimburse for connection charges or origination, set-up or site fees.

Telemedicine may be provided by means of real-time two-way, interactive audio and visual communications, including the application of secure video conferencing or store-and-forward technology to provide or support health care delivery, which facilitate the assessment, diagnosis, consultation, treatment, education, and care management of a patient’s health care.

Eligible Services/Specialties
See Live Video Eligible Services section for examples of eligible telemedicine services as well as noncovered services.

Geographic Limits
Click for a list of geographic limits.

Transmission Fee
No reference found.

Remote Patient Monitoring
There is reimbursement for “tele-homecare” under Elderly Waiver (EW) and Alternative Care (AC) programs.

No reference found.

Provider Limitations
No reference found.

Other Restrictions
No reference found.

No reimbursement for email
No reimbursement for phone
No reimbursement for fax

For substance use disorder services, the member must have consented to receiving services over telemedicine.

Out of State Providers
Out-of-state coverage policy applies to services provided via telemedicine. See out-of-state providers section of manual.

Click for a list of requirements for early intensive developmental and behavioral intervention services.