Wyoming Medicaid Telehealth Reimbursement

 Medicaid Reimbursement / Posted 1 year ago by Telehealthist

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Wyoming Medicaid reimburses for live video under some circumstances. There is no reference to store-and-forward or remote patient monitoring reimbursement.

Definitions
“Telehealth is the use of an electronic media to link beneficiaries with health professionals in different locations. The examination of the client is performed via a real-time interactive audio and video telecommunications system. This means that the client must be able to see and interact with the off-site practitioner at the time services are provided via telehealth technology.”

Live Video
Policy
Reimbursement is made for exams performed via a real-time interactive audio and video telecommunications system. The quality must be sufficient enough to assure the accuracy of the assessment, diagnosis, and visible evaluation of symptoms and potential medication side effects.

Eligible Services/Specialties
See manual for list of eligible hub site billing codes. Group psychotherapy is not a covered service.

Eligible Providers
Click to view list of eligible providers.

Eligible Sites
Click to view list of eligible sites.

Geographic Limits
No reference found.

Facility/Transmission Fee
Yes, for originating site fees. No reimbursement for transmission fees.

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Store-and-Forward
Policy
Wyoming Medicaid states that reimbursement is made for exams performed via a real-time interactive audio and video.

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 email. No reimbursement for telephone. No reimbursement for FAX.

Consent
If the patient and/or legal guardian indicates at any point that he/she wants to stop using the technology, the service should cease immediately and an alternative appointment set up.

Out of State Providers
Out-of-state providers are allowed if they are enrolled as a Wyoming Medicaid provider.

Miscellaneous
A single pay to provider can bill both the originating site (spoke site) and the distant site provider (hub site) when applicable.

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