Last updated 12/15/2021
Consent Requirements
No Reference Found
Last updated 12/15/2021
Definitions
Telemedicine is “the use of telecommunication and information technology to provide clinical care to individuals at a distance, and to transmit the information needed to provide that care.”
SOURCE: FL Dept. of Health, Child Protection Team Program, Program Handbook, p.65 (Jun. 28, 2019). (Accessed Dec. 2021).
Telemedicine – The practice of health care delivery by a practitioner who is located at a site other than the site where a recipient is located for the purposes of evaluation, diagnosis, or treatment.
SOURCE: FL Admin Code 59G-1.057. (Accessed Dec. 2021).
Last updated 12/15/2021
Email, Phone & Fax
No reimbursement for telephone, chart review, electronic mail messages or facsimile transmissions.
SOURCE: FL Admin Code 59G-1.057. (Accessed Dec. 2021).
Last updated 12/15/2021
Live Video
POLICY
FL Medicaid reimburses for real time, two-way, interactive telemedicine.
Providers must include the GT modifier.
SOURCE: FL Admin Code 59G-1.057. (Accessed Dec. 2021).
ELIGIBLE SERVICES/SPECIALTIES
Florida Medicaid reimburses the practitioner who is providing the evaluation, diagnosis, or treatment recommendation located at a site other than where the recipient is located.
SOURCE: FL Admin Code 59G-1.057. (Accessed Dec. 2021).
Child Protective Team (CPT) Services
Real-time CPT telemedicine services for the evaluation of children suspected to be abused or neglected has been implemented in rural or remote areas.
SOURCE: FL Dept. of Health, Child Protection Team Program, Program Handbook, p. 24 (Jun. 28, 2019). (Accessed Dec. 2021).
ELIGIBLE PROVIDERS
Telemedicine is available for use by all providers of Florida Medicaid services that are enrolled in or registered with the Florida Medicaid program and who are licensed within their scope of practice to perform the service.
SOURCE: FL Admin Code 59G-1.057. (Accessed Dec. 2021).
Child Protective Team (CPT) Services
Real-time CPT telemedicine services for the evaluation of children suspected to be abused or neglected has been implemented in rural or remote areas. Only CPT medical providers approved as CMS medical providers and are specifically trained to do telemedicine exams can perform exams at the hub site. Only registered nurses trained to assist in telemedicine exams can participate in the CPT medical exam at the remote site. All persons at remote site must act under the direct supervision of the telemedicine physician or physician extender.
SOURCE: FL Dept. of Health, Child Protection Team Program, Program Handbook, p. 24 (Jun. 28, 2019). (Accessed Dec. 2021).
ELIGIBLE SITES
No Reference Found
GEOGRAPHIC LIMITS
No Reference Found
FACILITY/TRANSMISSION FEE
No Reference Found
Last updated 12/15/2021
Miscellaneous
Substance Abuse Services
Prior to initiating services utilizing telehealth, providers shall submit detailed procedures outlining which services they intend to provide. Providers delivering any services by telehealth are responsible for the quality of the equipment and technology employed and are responsible for its safe use. Providers utilizing telehealth equipment and technology must be able meet or exceed the prevailing standard of care. Service providers must meet the following additional requirements:
- Must be capable of two-way, real-time electronic communication, and the security of the technology must be in accordance with applicable federal confidentiality regulations 45 CFR §164.312;
- The interactive telecommunication equipment must include audio and high-resolution video equipment which allows the staff providing the service to clearly understand and view the individual receiving services;
- Clinical screenings, assessments, medication management, and counseling are the only services allowable through telehealth; and
- Telehealth services must be provided within the state of Florida except for those licensed for outpatient, intervention, and prevention.
SOURCE: FL Admin Code Sec. 65D-30.004. (Accessed Dec. 2021).
Florida created a Telehealth Advisory Council for purpose of making recommendations to the Governor and the Legislature about telehealth.
The state’s Agency for Health Care Administration, the Department of Health (DOH) and the Office of the Insurance Regulation was also required to survey FL providers on their utilization of telehealth. Survey results were published in a report in October. 2017.
SOURCE: FL Report on Telehealth Utilization and Accessibility. Dec. 2016 & Expanding Florida’s Use and Accessibility of Telehealth, Telehealth Advisory Council, Oct. 31, 2017 (Accessed Dec. 2021).
Children’s Medical Services
There is a webpage dedicated to explaining what telemedicine services are to families.
SOURCE: FL Children’s Medical Services: Special Services for children with special needs. Telemedicine Services. (Accessed Dec. 2021).
No reimbursement for equipment used to provide telemedicine services.
SOURCE: FL Admin Code 59G-1.057. (Accessed Dec. 2021).
Last updated 12/15/2021
Out of State Providers
No Reference Found
Last updated 12/15/2021
Overview
FL Medicaid reimburses for real time interactive telemedicine according to administrative code, however there is no indication of reimbursement in any Medicaid Manual. No reference was found in regards to reimbursement for store-and-forward or remote patient monitoring.
Last updated 12/15/2021
Remote Patient Monitoring
POLICY
No Reference Found
CONDITIONS
No Reference Found
PROVIDER LIMITATIONS
No Reference Found
OTHER RESTRICTIONS
No Reference Found
Last updated 12/15/2021
Store and Forward
POLICY
No Reference Found
ELIGIBLE SERVICES/SPECIALTIES
No Reference Found
GEOGRAPHIC LIMITS
No Reference Found
TRANSMISSION FEE
No Reference Found
