State Telemedicine Policy Information

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Connecticut Telemedicine Policy

Connecticut Telemedicine Policy

In 2016, Connecticut enacted a telehealth parity law for Medicaid and a modernized network adequacy law.

State Policy Overview

Medicaid

Yes

Private Payer

Yes

Parity

Yes

Additional State Telemedicine Info

Parity Laws

Connecticut’s parity law allow for telemedicine coverage by private insurance, Medicaid, and State Employees Health Plans.

Medicaid

California state law requires Medicaid to cover telehealth services “for categories of health care services that the commissioner determines are clinically appropriate to be provided through telehealth, cost effective for the state and likely to expand access to services for whom accessing healthcare poses an undue hardship.” More specifically, Connecticut Medicaid says the program will reimburse Federally Qualified Health Centers, outpatient office settings, outpatient hospital settings and clinic settings for electronic consults for specialty care.

Type Of Telemedicine Covered

State Medicaid will not reimburse for telemedicine visits done over video, although some private payers might. Additionally, there’s currently no coverage for store-and-forward, remote patient monitoring, or other electronic communication (like email, phone or fax). Communications must take place between two approved, medically authorized locations.

Covered Health Services

At this time, it’s a bit unclear exactly which medical services Connecticut Medicaid will cover via telemedicine. State law simply says that CT Medicaid is “required to provide coverage for telehealth services for categories of health care services that the commissioner determines are clinically appropriate.” Contact your Medicaid agency for more information.

Eligible Healthcare Providers

Connecticut has not provided any information on which providers are counted as appropriate telehealth providers.

Online Prescriptions

As of July 1, 2018, Connecticut now allows healthcare providers to prescribe controlled substances via telemedicine for psychiatric disabilities or substance use disorder. 

Informed Patient Consent

Connecticut requires providers to tell patients the limits of the telehealth platform, get patient consent, and then share record of the encounter with the patient’s PCP.

Cross-State Telemedicine Licensing

The Connecticut Department of Public Health may establish a process of accepting an applicant’s license from another state and may issue that applicant a license to practice medicine in the state without examination if certain conditions are met.

Restrictions On Locations

Telehealth transmissions must take place between two authorized care facilities.

 

Reimbursement Rates

According to Connecticut’s parity law, individual and group health insurance policies should cover telemedicine services on the same basis as the comparable in-person services. Check with your private payers for more details.

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