State Telemedicine Policy Information
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New Jersey Telemedicine Policy
New Jersey Telemedicine Policy
New Jersey is one of the most recent states to adopt a telemedicine parity law! This new legislation requires that private insurance companies pay for telehealth services at similar rates to in-person medical care. That’s great news for anyone interested in expanding telemedicine in the state of New Jersey.
State Policy Overview
Additional State Telemedicine Info
New Jersey’s parity law went into effect in July 2017. This updated law requires expanded telehealth coverage by commercial health plans, state employee health insurance and Medicaid. However, the state is still working on getting these regulations implemented.
While the recently passed parity law requires New Jersey Medicaid to cover telemedicine services, the state Medicaid program is still working on establishing its guidelines and policies. Currently, the Medicaid guidelines only reflect instructions for the old coverage of telepsychiatry services. Contact your Medicaid program for the most up-to-date information.
Type Of Telemedicine Covered
New Jersey requires coverage for telemedicine, which the law defines as “the delivery of a health care service using electronic communications, information technology, or other electronic or technological means to bridge the gap between a health care provider who is located at a distant site and a patient who is located at an originating site.” The Center for Connected Health Policy notes that this should include coverage for live video, remote patient monitoring, and potentially store-and-forward solutions.
Covered Health Services
New Jersey’s law does not say exactly which services are and are not covered. However, it does state that the standard of care must be equal to in-person care.
Medicaid covers telepsychiatry for intake evaluations, periodic psychiatric evaluations, medication management and/or psychotherapy sessions for clients of any age.
Eligible Healthcare Providers
Currently, New Jersey state law and Medicaid guidelines do not restrict which healthcare providers can practice telemedicine.
The only limitations New Jersey puts on prescribing via telemedicine is for treatment with Schedule II drugs. In order to prescribe Schedule II controlled substances, the healthcare provider must initially do an in-person exam, along with a follow-up in-person exam every three months.
Informed Patient Consent
New Jersey does not require patient informed consent for telehealth services. Medicaid used to require informed consent for telepsychiatry, but may have changed these requirements since the new parity law passed.
Cross-State Telemedicine Licensing
New Jersey requires that the provider is licensed in the state. Unfortunately, New Jersey is not yet part of the Interstate Medical Licensure Compact, which helps out-of-state providers get licensed across state lines.
Restrictions On Locations
Currently, New Jersey does not have any restrictions on where the patient has to be during the telehealth visit or service.
New Jersey requires private payers and Medicaid to reimburse telemedicine services at the same rate as in-person services.