Utah Medicaid Telehealth Reimbursement

 Medicaid Reimbursement / Posted 6 months ago by Telehealthist

Utah Medicaid reimburses for live video. Store-and-forward is not reimbursable as telehealth is required to be a “two-way, real time interactive connection.”

Definitions
Telemedicine “is two-way, real-time interactive communication between the member and the physician or authorized provider at the distant site. This electronic communication uses interactive telecommunications equipment that includes, at a minimum, audio and video equipment.”

Live Video
Policy
Providers are eligible for reimbursement for telemedicine services under Utah’s Medical Assistance Program.

Eligible Services/Specialties
Click to view list of eligible services.

Eligible Providers
Rural health clinic and federally qualified health clinic services may be delivered via telemedicine.

Eligible Sites
No reference found.

Geographic Limits
No reference found.

Facility/Transmission Fee
The provider at the originating site receives no additional reimbursement for the use of telemedicine.

Store-and-Forward
Policy
Utah Medicaid defines telemedicine as “two-way, real time interactive communication” excluding store-and-forward from the definition.

Eligible Services/Specialties
No reference found.

Geographic Limits
No reference found.

Transmission Fee
No reference found.

Remote Patient Monitoring
Policy
Bulletin indicates The Skilled Nursing Pilot Project has been removed from manual.

Conditions
Only for patients with a long-term cardiac health issue.

Provider Limitations
Test must be ordered by a neurologist and reviewed and interpreted by a cardiologist.

Other Restrictions
No reference found.

Email/Phone/Fax
No reference found.

Consent
No reference found.

Out of State Providers
No reference found.

Miscellaneous
No reference found.