(1) Providers enrolled in the medicaid program may provide medically necessary services by means of telehealth if the service:
- (a) is clinically appropriate for delivery by telehealth as specified by the department by rule or policy;
- (b) comports with the guidelines of the applicable medicaid provider manual; and
- (c) is not specifically required in the applicable provider manual to be provided in a face-to-face manner.
(2) A provider shall:
- (a) ensure an enrollee receiving telehealth services has the same rights to confidentiality and security as provided for traditional office visits;
- (b) follow consent and patient information protocols consistent with the protocols followed for in-person visits; and
- (c) comply with recordkeeping requirements established by the department by rule.
(3) Telehealth services:
- (a) may be provided using secure portal messaging, secure instant messaging, telephone communication, or audiovisual communication;
- (b) may not be provided in a setting or manner not otherwise authorized by law; and
- (c) must be reimbursed at the same rate of payment as services delivered in person.
- (4) An enrollee's residence is not reimbursable as an enrolled originating site provider.
(5) The department shall adopt rules for the provision of telehealth services, including but not limited to:
- (a) billing procedures for enrolled providers;
- (b) the services considered clinically appropriate for telehealth purposes;
- (c) recordkeeping requirements for providers, including originating site providers; and
- (d) other requirements for originating site providers, including allowable provider types, reimbursement rates, and requirements for the secure technology to be used at originating sites.
- (6) Nothing in this section may be construed as altering the scope of practice of any enrolled provider delivering services by means of telehealth.
History: En. Sec. 2, Ch. 497, L. 2021.