Ohio Medicaid Telehealth Reimbursement

 Medicaid Reimbursement / Posted 10 months ago by Telehealthist

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Ohio Medicaid reimburses for live video telemedicine. They do not provide reimbursement for store-and-forward or remote patient monitoring.

Definitions
Telehealth is the direct delivery of services to a patient via secure, synchronous, interactive, real-time electronic communication with both video and audio elements. This service can be utilized for all individuals enrolled in the Ohio Medicaid program and specific requirements may be found in Administrative Code rule 5160-1-18.

Live Video
Policy
Ohio Medicaid covers live video telemedicine for certain eligible providers, specific services and at specified originating sites.

Eligible Services/Specialties
See fact sheet for list of eligible CPT codes.

Eligible Providers
Click to see list of eligible providers.

Eligible Sites
“Originating site” is the physical location of the patient at the time a health care service is provided through the use of telemedicine. Click to see list of eligible sites.

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Geographic Limits
No reference found.

Facility/Transmission Fee
No reference found.

Store-and-Forward
Policy
Telemedicine is defined as being “synchronous, interactive, real-time”, excluding the use of store-and-forward technology.

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
Electronic mail, telephone and facsimile transmission are not telemedicine.

Consent
No reference found.

Out of State Providers
No reference found.

Miscellaneous
No reference found

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