State Telemedicine Policy Information

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Minnesota Telemedicine Policy

Minnesota Telemedicine Policy

When it comes to telemedicine policy, Minnesota is ahead of the curve in many respects. It’s 2015 telehealth parity law mandates reimbursement of telemedicine for private payers and state employee health plans, including dental plans. Minnesota also requires coverage for store-and-forward telemedicine, in contrast to many other states.

State Policy Overview

Medicaid

Yes

Private Payer

Yes

Parity

Yes

Additional State Telemedicine Info

Parity Laws

Minnesota’s telehealth parity law was signed in May 2015. The law requires private insurers and state employee health plans to provide the same coverage for telemedicine as in-person visits.

Medicaid

Minnesota’s Medicaid program covers a range of medical services via live video, store-and-forward, and home health monitoring telemedicine. However, there are a few requirements and restrictions. Telehealth providers need to complete a Provider Assurance Statement for Telemedicine form in order to get reimbursed. Medicaid patients are also limited to three e-consults per week.

Type Of Telemedicine Covered

Minnesota’s Medical Assistance Program reimburses for live video and store-and-forward health services. Remote monitoring and other telehealth or “telehomecare” services may also be covered under the Elderly Waiver and Alternative Care programs.

Covered Health Services

Minnesota Medicaid covers a range of medical services over telehealth, including:

 

  • Consultations
  • Telehealth consults: emergency department or initial inpatient care
  • Subsequent hospital care services with the limitation of one telemedicine visit every 30 days per eligible provider
  • Subsequent nursing facility care services with the limitation of one telemedicine visit every 30 days
  • End-stage renal disease services
  • Individual and group medical nutrition therapy
  • Individual and group diabetes self-management training with a minimum of one hour of in-person instruction to be furnished in the initial year training period to ensure effective injection training
  • Smoking cessation
  • Alcohol and substance abuse (other than tobacco) structured assessment and intervention services
  • Teledentistry
  • Teleradiology

Eligible Healthcare Providers

According to the Minnesota Medicaid Manual, healthcare providers eligible to practice telemedicine are:

  • Physician
  • Nurse practitioner
  • Physician assistant
  • Nurse-midwife
  • Clinical nurse specialist
  • Registered dietitian or nutrition professional
  • Clinical psychologist
  • Clinical social worker
  • Dentist, dental hygienist, dental therapist, advanced dental therapist
  • A mental health professional, when following requirements and services limitations
  • Pharmacist
  • Certified genetic counselor
  • Podiatrist
  • Speech therapist
  • Therapist
  • Occupational therapist
  • Audiologist
  • Public health nursing organization

Online Prescriptions

In Minnesota, a prescription or drug order is only valid if the referring provider performs an in-person examination, in which case a consulting specialist may issue a prescription when providing services through telemedicine.

Informed Patient Consent

Minnesota does not require informed patient consent for telemedicine.

 

Cross-State Telemedicine Licensing

Minnesota is part of the Interstate Medical Licensure Compact which helps expedite the medical licensing process across state lines. Minnesota law also allows physicians licensed in other states to virtually treat Minnesota-based patients, as long as their license has never been revoked or retricted and they agree not to open a practice in Minnesota.

Restrictions On Locations

Many state Medicaid programs restrict where a patient can be located during the telemedicine visit for the service to be reimbursable. While Minnesota’s Medicaid program does have a list of appropriate originating (patient) sites, the patient’s home is included!

Here’s the full list:

 

  • Office of physician or practitioner
  • Hospital (inpatient or outpatient)
  • Critical access hospital (CAH)
  • Rural health clinic (RHC) and Federally Qualified Health Center (FQHC)
  • Hospital-based or CAH-based renal dialysis center (including satellites)
  • Skilled nursing facility (SNF)
  • End-stage renal disease (ESRD) facilities
  • Community mental health center
  • Dental clinic
  • Residential facilities, such as a group home and assisted living, shelter or group housing
  • Home (a licensed or certified healthcare provider may need to be present to facilitate the delivery of telemedicine services provided in a private home)
  • School

Reimbursement Rates

Minnesota state law requires telemedicine consults to be reimbursed at the same rate as in-person services, by private payers and Medicaid! 

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