State Telemedicine Policy Information

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Pennsylvania Telemedicine Policy

Pennsylvania Telemedicine Policy

There are two big pieces of pending legislation in Pennsylvania that could change the way telemedicine happens there. One is the state’s parity law, which would secure greater reimbursement security for telehealth providers.

The other bill concerns the Interstate Medical Licensure Compact, which would help physicians and patients in Pennsylvania have greater cross-state access. 

State Policy Overview

Medicaid

Yes

Private Payer

No

Parity

No

Additional State Telemedicine Info

Parity Laws

Pennsylvania doesn’t have an active parity law yet, but one has been proposed. A telemedicine parity law requires private payers to reimburse telemedicine services in the same way as in-person services. 

Medicaid

Pennsylvania’s Medicaid program defines telemedicine as the use of real-time interactive telecommunications technology that includes, at a minimum, audio and video equipment as a mode of delivering consultation services. Based on this definition, Medicaid will only reimburse for live video telemedicine.

Type Of Telemedicine Covered

Pennsylvania Medicaid will reimburse for live video only, and specifically for specialty consultations.

Covered Health Services

Medicaid will reimburse for specialty consultations. Additionally, Pennsylvania Medicaid will reimburse licensed psychiatrists and licensed psychologists for telepsychiatry outpatient services, including:

  • Psychiatric diagnostic evaluations
  • Psychological Evaluations
  • Pharmacological management
  • Consultations (with patient/family)
  • Psychotherapy

Eligible Healthcare Providers

Pennsylvania Medicaid will only reimburse certain healthcare providers for telemedicine services:

 

  • Physicians
  • Certified registered nurse practitioners
  • Certified nurse midwives
  • Psychiatrists and psychologists

 

Online Prescriptions

Pennsylvania does not currently have any regulations concerning prescribing medications via telehealth. 

Informed Patient Consent

Pennsylvania’s Medicaid program requires telemedicine-specific informed consent only for telepsychiatry services.

Cross-State Telemedicine Licensing

While Pennsylvania has not yet joined the Interstate Medical Licensure Compact, the state has proposed legislation to consider it. This compact helps out-of-state providers get licensed in Pennsylvania through an expedited process.

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