State Telemedicine Policy Information

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Michigan Telemedicine Policy

Michigan Telemedicine Policy

Michigan is making steady progress in expanding access to telehealth services in the Wolverine State! In 2014, the state recently decided to remove distance restrictions as an eligibility requirement for patients to receive virtual care. Michigan has also had a telehealth parity law since 2012, requiring coverage by private insurance.

Despite these advances, Michigan still only offers reimbursement for live-video telemedicine services.

State Policy Overview

Medicaid

Yes

Private Payer

Yes

Parity

Yes

Additional State Telemedicine Info

Parity Laws

Michigan’s private insurance parity law was enacted in 2012. Thanks to the parity law, Michigan now requires private payers to cover live-video telemedicine the same way as in-person services.

Medicaid

Michigan Medicaid defines telemedicine as “the use of telecommunication technology to connect a patient with a health professional in a different location.” Despite this broad definition, the program currently only reimburses for live-video telemedicine.

Type Of Telemedicine Covered

For now, Michigan Medicaid only reimburses for live video telemedicine. The state defines telemedicine as “real-time” medical service that substitutes for an in-person doctor visit.

Covered Health Services

Michigan Medicaid will reimburse live video telemedicine visits for the following purposes:

 

  • Inpatient Consults
  • Office or other outpatient consults
  • Office or other outpatient services
  • Psychiatric diagnostic procedures
  • Subsequent hospital care
  • Training services, diabetes
  • End-stage renal disease (ESRD) related services
  • Behavior change intervention, individual
  • Behavior health and/or substance abuse treatment services
  • Education service, telehealth
  • Nursing facility subsequent care – initial visit for nursing facility services must be face-to-face
  • Speech-language pathology services

 

Want more details? Check out the Michigan State Medicaid Manual.

Eligible Healthcare Providers

Michigan’s Medicaid program doesn’t currently identify which healthcare providers are allowed to bill for telemedicine.

 

Online Prescriptions

Michigan law says providers must have an existing physician-patient relationship to write prescriptions via telemedicine. Fortunately, Michigan also allows providers to establish a relationship via a telemedicine visit!

Informed Patient Consent

Some states require providers to get a patient’s informed consent specifically for a telemedicine visit. Currently, Michigan has no requirements for getting patient consent for telemedicine.

Cross-State Telemedicine Licensing

Michigan recently introduced a bill to become part of the Interstate Medical Licensure Compact

If the bill passes, it will be much easier for Michigan providers to get licensed in other participating states, and treat patients via telemedicine across state lines!

Restrictions On Locations

Michigan’s Medicaid program does have some restrictions on where a patient needs to be during the telemedicine visit. Here are the eligible originating sites:

  • County mental health clinics or publicly funded mental health facilities
  • Federally Qualified Health Centers
  • Hospitals (inpatient, outpatient, or Critical Access Hospitals)
  • A physician or other providers’ offices, including medical clinics
  • Renal dialysis facilities
  • Rural Health Clinics
  • Skilled nursing facilities
  • Tribal Health Centers

Reimbursement Rates

Telemedicine is billed the same as in-person healthcare services.

Billing Codes

Michigan Medicaid instructs providers to bill the appropriate HCPCS procedure code along with the GT (telemedicine) modifier for telemedicine services. Refer to your Medicaid manual for more details.

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