Michigan

CURRENT STATE LAWS & POLICY

AT A GLANCE

Medicaid Program

Michigan Medicaid

Administrator

Michigan Dept. of Community Health

Regional Telehealth Resource Center

Upper Midwest Telehealth Resource Center

Medicaid Reimbursement

Live Video: Yes
Store-and-Forward: No
Remote Patient Monitoring: No

Private Payer Law

Law Exists: Yes
Payment Parity: No

Professional Requirements

Licensure Compacts: IMLC
Consent Requirements: Yes

Last updated 02/28/2021

Audio Only Delivery

Medicaid:  Telemedicine Policy Expansion

STATUS: Active, until 30 days after end of MI State of Emergency

Medicaid: Relaxing Face-to-Face Requirement (Update)

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Specialty Behavioral Health Supports and Services

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Office of the Governor:  Executive Order on Telehealth

STATUS: Rescinded

Medicaid: Limited Oral Evaluation via Telemedicine

STATUS: Active, time limited policy however expiration date not specified

Medicaid: Behavioral Health Telepractice; Telephone Services

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Telemedicine Reimbursement for FQHCs, RHCs, Tribal Health Centers

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services; COVID-19 Response: Temporary Waiver of Beneficiary Signature for Home- Delivered DMEPOS

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Correction to Bulletin MSA 20-35, Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services;

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid 1915(c) Waiver: Appendix K -MI Health Link Home and Community Based Services Waiver

STATUS: Expired February 28, 2021

Medicaid 1915(c) Waiver: Appendix K – MI Choice

STATUS: Expired February 28, 2021

Medicaid 1915(c) Waiver: Appendix K – Habilitation Supports, Children’s Waiver Program (CWP) Waiver for Children with Serious Emotional Disturbances (SEDW)

STATUS: Expired February 28, 2021

Last updated 02/28/2021

Cross State Licensing

Office of the Governor:  Executive Order on Telehealth

STATUS: Rescinded

Last updated 02/28/2021

Easing Prescribing Requirements

Office of the Governor:  Executive Order on Telehealth

STATUS: Rescinded

Office of Governor: Executive order Encouraging Telehealth Services

STATUS: Rescinded

Last updated 02/28/2021

Miscellaneous

HB 6030: Liability Insurance

STATUS: Enacted

SB 1024: Liability Insurance

STATUS: Died

Last updated 02/28/2021

Originating Site

Medicaid:  General Telemedicine Policy

STATUS: Active, until 30 days after end of MI State of Emergency

Office of the Governor:  Executive Order on Telehealth

STATUS: Rescinded

Medicaid: Telemedicine Reimbursement for FQHCs, RHCs, Tribal Health Centers

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services; COVID-19 Response: Temporary Waiver of Beneficiary Signature for Home- Delivered DMEPOS

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Correction to Bulletin MSA 20-35, Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services;

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid 1915(c) Waiver: Appendix K -MI Health Link Home and Community Based Services Waiver

STATUS: Expired February 28, 2021

Medicaid 1915(c) Waiver: Appendix K – MI Choice

STATUS: Expired February 28, 2021

Medicaid 1915(c) Waiver: Appendix K – Habilitation Supports, Children’s Waiver Program (CWP) Waiver for Children with Serious Emotional Disturbances (SEDW)

STATUS: Expired February 28, 2021

Last updated 02/28/2021

Private Payer

Office of the Governor:  Executive Order on Telehealth

STATUS: Rescinded

Last updated 02/28/2021

Provider Type

Medicaid:  General Telemedicine Policy

STATUS: Active, until 30 days after end of MI State of Emergency

Medicaid: Telemedicine Policy Changes, Physical, Occupational and Speech Therapy

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Telemedicine Reimbursement for FQHCs, RHCs, Tribal Health Centers

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services; COVID-19 Response: Temporary Waiver of Beneficiary Signature for Home- Delivered DMEPOS

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Correction to Bulletin MSA 20-35, Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services;

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid 1915(c) Waiver: Appendix K – MI Choice

STATUS: Expired February 28, 2021

Medicaid 1915(c) Waiver: Appendix K – Habilitation Supports, Children’s Waiver Program (CWP) Waiver for Children with Serious Emotional Disturbances (SEDW)

STATUS: Expired February 28, 2021

Last updated 02/28/2021

Service Expansion

Medicaid:  General Telemedicine Policy

STATUS: Active, until 30 days after end of MI State of Emergency

Medicaid: Specialty Behavioral Health Supports and Services

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Office of the Governor:  Executive Order on Telehealth

STATUS: Rescinded

Medicaid: Limited Oral Evaluation via Telemedicine

STATUS: Active, time limited policy however expiration date not specified

Medicaid: Behavioral Health Telepractice; Telephone Services

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Telemedicine Policy Changes, Physical, Occupational and Speech Therapy

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Telemedicine Policy Rate Change

STATUS: Active, time limited policy however expiration date not specified

Medicaid: Telemedicine Policy Change for Audiology

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services; COVID-19 Response: Temporary Waiver of Beneficiary Signature for Home- Delivered DMEPOS

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Correction to Bulletin MSA 20-35, Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services;

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid 1915(c) Waiver: Appendix K – Habilitation Supports, Children’s Waiver Program (CWP) Waiver for Children with Serious Emotional Disturbances (SEDW)

STATUS: Expired February 28, 2021

Last updated 02/28/2021

Definitions

“Telemedicine is the use of telecommunication technology to connect a patient with a health care professional in a different location. MDHHS requires a real time interactive system at both the originating and distant site, allowing instantaneous interaction between the patient and health care professional via the telecommunication system. Telemedicine should be used primarily when travel is prohibitive for the beneficiary or there is an imminent health risk justifying immediate medical need for services.”

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p.1688, Jan. 2021 (Accessed Feb. 2021). 

Assertive Community Treatment Program (ACT)

Telepractice is the use of telecommunications and information technologies for the provision of psychiatric services to ACT consumers and is subject to the same service provisions as psychiatric services provided in-person.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 355 Jan. 2021  (Accessed Feb. 2021). 

Behavioral Health Treatment Services (BHT)

Telepractice is the use of telecommunications and information technologies for the exchange of encrypted patient data for the provision of services (e.g., access or travel to needed medical services may be prohibitive). Telepractice must be obtained through real-time interaction between the child’s physical location (patient site) and the provider’s physical location (provider site). Telepractice services are provided to patients through hardwire or internet connection.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 483 Jan. 2021 (Accessed Feb. 2021).

Medication Therapy Management

Telepractice is the use of telecommunications and information technologies for the exchange of encrypted patient data for the provision of services. Telepractice must be obtained through real-time interactions between the beneficiary’s physical location (origin site) and the pharmacist provider’s physical location (distant site). Telepractice services are provided to beneficiaries through hardwire or internet connection.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 1613 Jan. 2021 (Accessed Feb. 2021). 

Speech, Language and Hearing Therapy

“Telepractice is the use of telecommunications and information technologies for the exchange of encrypted patient data for the provision of speech, language and hearing services. Telepractice must be obtained through real-time interaction between the patient’s physical location (patient site) and the provider’s physical location (provider site).” Services are provided to patients through hardwire or internet connection.

SOURCE: MI Dept. of Health and Human Services Medicaid Provider Manual, p. 1784 Jan. 2021 (Accessed Feb. 2021).

Child Therapy

Telepractice/Telehealth is the use of telecommunications and information technologies for the exchange of encrypted patient data for the provision of services (e.g., access or travel to needed therapy services may be prohibitive). Telepractice/Telehealth must be obtained through real-time interaction between the child’s/family’s physical location and the provider’s physical location. Telepractice/Telehealth services are provided to patients through hardwire or internet connection.

SOURCE:  MI Dept. of Health and Human Services Medicaid Provider Manual, p. 340, Jan. 2021. (Accessed Feb. 2021).

Newly Passed Legislation (Now Effective)

“Telemedicine” means the use of an electronic media to link patients with health care professionals in different locations. To be considered telemedicine under this section, the health care professional must be able to examine the patient via a health insurance portability and accountability act of 1996, Public Law 104-191 compliant, secure interactive audio or video, or both, telecommunications system, or through the use of store and forward online messaging.

SOURCE: MI Compiled Law Services, Section 330.1100(d), & HB 5414 – (2020 Session). (Accessed Feb. 2021).

Newly Passed Legislation (Now Effective)

“Telemedicine” means that term as defined in section 3476 of the insurance code: “Telemedicine means the use of an electronic media to link patients with health care professionals in different locations. To be considered telemedicine, the health care professional must be able to examine the patient via a HIPPA compliant, secure real-time, interactive audio or video, or both, telecommunications system, or through the use of store and forward online messaging.”

SOURCE: MI Compiled Law Svcs. Sec. 500.3476(2)(b) & HB 5416 (2020 Session). (Accessed Feb. 2021).

Last updated 02/28/2021

Email, Phone & Fax

No Reference Found

Last updated 02/28/2021

Live Video

POLICY

MDHHS requires a real time interactive system at both the originating and distant site, allowing instantaneous interaction between the patient and health care professional via the telecommunication system. Telemedicine should be used primarily when travel is prohibitive for the beneficiary or there is an imminent health risk justifying immediate medical need for services.

Source: Dept. of Health and Human Services, Medicaid Provider Manual, p. 1688. Jan. 2021 (Accessed Feb. 2021). 

Assertive Community Treatment Program

All telepractice interactions shall occur through real-time interactions between the ACT consumer and the physician/nurse practitioner/clinical nurse specialist from their respective physical location. Psychiatric services are the only ACT services that are approved to be provided in this manner.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 355-356 Jan. 2021 (Accessed Feb. 2021)


ELIGIBLE SERVICES/SPECIALTIES

Michigan Medicaid reimburses for the following service categories via live video:

  • ESRD-related services
  • Behavior change intervention
  • Behavioral Health and/or Substance Use Disorder Treatment
  • Education Services, Telehealth
  • Inpatient consultations
  • Nursing facility subsequent care
  • Office or other outpatient consultations
  • Office or other outpatient services
  • Psychiatric diagnostic procedures
  • Subsequent hospital care
  • Training service – Diabetes (see Diabetes Self-Management Education Training Program section in Hospital Chapter specific program requirements)

Where face-to-face visits are required (such as ESRD and nursing facility related services), the telemedicine service may be used in addition to the required face-to-face visit but cannot be used as a substitute. There must be at least one face-to-face hands-on visit (i.e., not via telemedicine) by a physician, physician’s assistant or advanced practice registered nurse per month to examine the vascular site for ESRD services. The initial visit for nursing facility services must be face-to-face.

Providers at the distant site can only bill services listed in the Telemedicine Services database.

Procedure codes and modifier information is contained in the MDHHS Telemedicine Services Database.

SOURCE: Dept. of Health and Human Services, Medicaid Provider Manual, p. 1688- 1689, Jan. 2021 (Accessed Feb. 2021).  

Speech-Language and Audiology Services

Speech, language and hearing services may be reimbursed. Requires an annual referral from a physician.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 1784, Jan. 2021 (Accessed Feb. 2021). 

Assertive Community Treatment Program

The telepractice modifier, 95, must be used in conjunction with ACT encounter reporting code H0039 when telepractice is used.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 355 Jan. 2021 (Accessed Feb. 2021). 

Telepractice for BHT Services

Telepractice services must be prior authorized.  Telepractice must be obtained through real-time interaction between the child’s physical location (patient site) and the provider’s physical location (provider site). Telepractice services are provided to patients through hardwire or internet connection. It is the expectation that providers, facilitators, and staff involved in telepractice are trained in the use of equipment and software prior to servicing patients, and services provided via telepractice are provided as part of an array of comprehensive services that include in-person visits and assessments with the primary supervising BHT provider. Qualified providers of behavioral health services are able to arrange telepractice services for the purposes of teaching the parents/guardians to provide individualized interventions to their child and to engage in behavioral health clinical observation and direction (i.e. increase oversight of the provision of services to the beneficiary to support the outcomes of the behavioral plan of care developed by the primary supervising BHT provider).

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 482-483 Jan. 2021 (Accessed Feb. 2021). 

Child Therapy

A child mental health professional may provide child therapy on an individual or group basis with a family-driven, youth-guided approach. Telepractice/Telehealth is approved for Individual Therapy or Family Therapy using approved children’s

evidence-based practices (i.e., Trauma Focused Cognitive Behavioral Therapy, Parent Management Training-Oregon, Parenting Through Change) and utilizes the GT modifier when reporting the service.  Qualified providers of children’s evidence-based practices have completed their training in the model, its implementation via telehealth, and are able to provide the practice with fidelity.

SOURCE:  MI Dept. of Health and Human Services Medicaid Provider Manual, p. 338, Oct. 1, 2020 (Accessed Feb. 2021). 

Psychiatric Collaborative Care Model (CoCM) Services

Provider care management services provided by a Behavioral Health Care Manager can be provided in a non-face-to-face interaction. Weekly consults with the psychiatric consultant may also be non-face-to-face. Non-face-to-face weekly to monthly follow-up by the behavioral health care manager that must include monthly screening with validated rating scale, monitoring of goals and/or medication, and may include recommended evidence-based therapies.

SOURCE:  MI Dept. of Health and Human Services Medicaid Provider Manual, p. 1682-1683, Jan. 2021  (Accessed Feb. 2021).


ELIGIBLE PROVIDERS

Tribal 638 facilities that elect to operate under the Tribal FQHC alternative payment methodology (APM) must update their provider enrollment information in CHAMPS by selecting the “Tribal FQHC” subspecialty. Tribal FQHCs can change their enrollment status in CHAMPS at any time.

Distant site services provided by qualified Medicaid-enrolled practitioners may be covered when the qualified practitioner is employed by the clinic or working under the terms of a contractual agreement with the clinic. Tribal FQHCs must maintain all practitioner contracts and provide them to MDHHS upon request. Refer to the Practitioner chapter of the Medicaid Provider Manual for additional information on distant site providers. Telemedicine service(s) provided at the distant site that qualify as a face-to-face visit may generate the AIR payment.

SOURCE: MI Medical Services Administration Bulletin MSA 20-60, pg. 2-3 Sept. 1, 2020 (Accessed Feb. 2021)

Physicians and practitioners are eligible to be distant site providers.

SOURCE: Dept. of Health and Human Services Medicaid Provider Manual, p. 1689, Jan. 2021 (Accessed Feb. 2021). 

Telepractice for BHT Services

Qualified providers include:

  • Board certified behavior analysts
  • Board certified assistant behavior analysts
  • Licensed psychologists
  • Limited licensed psychologists
  • Qualified behavioral health professionals

Occupational, physical and speech therapists are not included in this policy.

A facilitator trained in telepractice technology must be physically present with the patient during the entire telepractice session.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 483 Jan. 2021 (Accessed Feb. 2021). 

Medication Therapy Management (MTM)

In the event that the beneficiary is unable to physically access a face-to-face care setting, an eligible pharmacist may provide MTM services via telepractice.  Services must be provided through hardwire or internet connection.

SOURCE: Dept. of Health and Human Services, Medicaid Provider Manual, p. 1613, Jan. 2021 (Accessed Feb. 2021).

Prepaid Inpatient Health Plans/Community Mental Health (PIHP/CMH) can be either originating or distant sites. Practitioners must meet the provider qualifications for the covered service provided via telemedicine.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 346, Jan. 2021 (Accessed Feb. 2021).

Speech-Language and Audiology Services

Eligible providers:

  • A fully licensed speech-language pathologist
  • Licensed Audiologist in Michigan
  • Speech language pathologist and/or audiology candidate under the direction of a qualified SLP or audiologist. All documentation must be reviewed and signed by the appropriately licensed SLP or licensed audiologist.
  • A limited licensed speech language pathologist under the direction of a fully licensed SLP or audiologist. All documentation must be reviewed and signed by the appropriately licensed supervising SLP or licensed audiologist.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 1784, Jan. 2021 (Accessed Feb. 2021).  

Federally Qualified Health Centers/ Rural Health Centers

An RHC and FQHC can be either an originating or distant site for telemedicine services.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 671 & 1747 Jan. 2021 (Accessed Feb. 2021). 

Child Therapy

A child mental health professional may provide child therapy on an individual or group basis with a family-driven, youth-guided approach. It is the expectation that providers involved in telepractice/telehealth are trained in the use of equipment and software prior to servicing children/families.

SOURCE:  MI Dept. of Health and Human Services Medicaid Provider Manual, p. 340, Jan. 2021 (Accessed Feb. 2021).

School-Based Services and Caring 4 Students Providers

Telepractice specifically applies to the SBS and C4S programs.  See bulletin for requirements.

SOURCE:  MI Dept. of Health and Human Services. Bulletin 20-15, Behavioral Health Telepractice, May 5, 2020 (Accessed Feb. 2021).


ELIGIBLE SITES

Newly Passed Legislation (Effective Now)

Beginning October 1, 2020, telemedicine services are covered under the medical assistance program and Healthy Michigan program if the originating site is an in-home or in-school setting, in addition to any other originating site allowed in the Medicaid provider manual or any established site considered appropriate by the provider.

SOURCE: MI Compiled Laws Sec. 400.105h. (HB 5416 – 2020 Session). (Accessed Feb. 2021).

Tribal 638 Facilities

Tribal FQHCs are eligible to receive all-inclusive rate (AIR) reimbursement for clinic services provided outside of the four walls of the facility, including telemedicine and services provided by contracted employees.

SOURCE: MI Medical Services Administration Bulletin MSA 20-60, Sept. 1, 2020 (Accessed Feb. 2021)

Eligible originating sites:

  • County mental health clinics or publicly funded mental health facilities;
  • Federally Qualified Health Centers;
  • Hospitals (inpatient, outpatient, or Critical Access Hospitals);
  • Physician or other providers’ offices, including medical clinics;
  • Hospital-based or CAH-based Renal Dialysis Centers;
  • Rural Health Clinics;
  • Skilled nursing facilities;
  • Tribal Health Centers

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 1689. Jan. 2021 (Accessed Feb. 2021). 

Speech-Language and Audiology Services

The patient site may be located within the school, at the patient’s home or any other established site deemed appropriate by the provider.

The room must be free from distractions so as not to interfere with the telepractice session.  A facilitator must be trained in the use of the telepractice technology and physically present at the patient site during the entire telepractice session to assist the patient at the direction of the SLP or audiologist.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 1784, Jan. 2021 (Accessed Feb. 2021). 

Prepaid Inpatient Health Plans/Community Mental Health (PIHP/CMH) can be either originating or distant sites.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 346, Jan. 2021 (Accessed Feb. 2021).

Behavioral Health Therapy

Eligible patient site:

  • Center
  • Clinic
  • Patient’s home
  • Any other established site deemed appropriate by the provider

Room must be free of distractions.  A trained facilitator must be physically present at the patient site during the entire telepractice session.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 483, Jan. 2021 (Accessed Feb. 2021). 

Federally Qualified Health Centers/ Rural Health Centers

An RHC or FQHC can be either an originating or distant site for telemedicine services.

SOURCE: MI Dept. of Health and Human Services, Medicaid Provider Manual, p. 671 & 1747, Jan. 2021 (Accessed Feb. 2021). 

School-Based Services and Caring 4 Students Providers

Allowable telepractice originating sites include the school, the beneficiary’s home, or any other established site deemed appropriate by the provider. It must be a room free from distractions so as not to interfere with the telepractice session.

SOURCE:  MI Dept. of Health and Human Services. Bulletin 20-15, Behavioral Health Telepractice, May 5, 2020 (Accessed Feb. 2021).


GEOGRAPHIC LIMITS

No Reference Found


FACILITY/TRANSMISSION FEE

Originating site may bill for a facility fee. MDHHS will reimburse the originating site provider the lesser of charge or the current Medicaid fee screen.

SOURCE: Dept. of Health and Human Services, Medicaid Provider Manual, p. 273, Jan. 2021 (Accessed Feb. 2021).

Last updated 02/28/2021

Miscellaneous

No reimbursement for remote access for surgical procedures, and use of robotics.

SOURCE: Dept. of Health and Human Services, Medicaid Provider Manual, p. 1688, Jan. 2021  (Accessed Feb. 2021).

Last updated 02/28/2021

Out of State Providers

Telemedicine services must be provided by a health care professional who is licensed, registered or otherwise authorized to engage in his or her health care profession in the state where the patient is located.

SOURCE: Dept. of Health and Human Services, Medicaid Provider Manual, p. 535, Jan. 2021 (Accessed Feb. 2021).  

Behavioral Health Therapy

Providers of telepractice services must be currently certified by the Behavior Analyst Certification Board (BACB), be a QBHP, be fully licensed in MI as a fully licensed psychologist, or be a practitioner who holds a limited license and is under the direction of a licensed psychologist.

SOURCE: Dept. of Health and Human Services, Medicaid Provider Manual, p. 483, Jan. 2021 (Accessed Feb. 2021).

Last updated 02/28/2021

Overview

Michigan Medicaid reimburses for live video telemedicine for certain healthcare professionals, for patients located at certain originating sites for specific services.  There is no reimbursement for store-and-forward or remote patient monitoring.

Last updated 02/28/2021

Remote Patient Monitoring

POLICY

Newly Passed Legislation (Now Effective)

“Remote patient monitoring means digital technology to collect medical and other forms of health data from an individual in 1 location and electronically transmit that information via a health insurance portability and accountability act of 1996, Public Law 104-191 compliant, secure system to a health care provider in a different location for assessment and recommendations.”

The Department of Health and Human Services must provide coverage for remote patient monitoring services through the medical assistance program and Healthy Michigan program.

SOURCE: MI Compiled Laws Sec. 400.105g (HB 5415 – 2020 Session). (Accessed Feb. 2021).


CONDITIONS

No Reference Found


PROVIDER LIMITATIONS

No Reference Found


OTHER RESTRICTIONS

No Reference Found

Last updated 02/28/2021

Store and Forward

POLICY

Telecommunication systems using store-and-forward technology are not included in MI Medicaid’s telemedicine policy.

SOURCE: Dept. of Health and Human Services, Medicaid Provider Manual, p. 1688, Jan. 2021 (Accessed Feb. 2021).


ELIGIBLE SERVICES/SPECIALTIES

No Reference Found


GEOGRAPHIC LIMITS

No Reference Found


TRANSMISSION FEE

No Reference Found

Last updated 02/28/2021

Definitions

Newly Amended Definition:

“Telemedicine means the use of an electronic media to link patients with health care professionals in different locations. To be considered telemedicine, the health care professional must be able to examine the patient via a HIPPA compliant, secure interactive audio or video, or both, telecommunications system, or through the use of store and forward online messaging.”

SOURCE: MI Compiled Law Svcs. Sec. 500.3476(2)(b) & 550.1401k(2) & HB 5412 & HB 5413 (2020 Session). (Accessed Feb. 2021).

Last updated 02/28/2021

Parity

SERVICE PARITY

Insurers and health care corporations must cover services appropriately provided through telemedicine, as determined by the insurer or health care corporation.

SOURCE: MI Compiled Law Services Sec. 500.3476 & Sec. 550.1401k. (Accessed Feb. 2021).


PAYMENT PARITY

No explicit payment parity.

Last updated 02/28/2021

Requirements

Insurers and group or nongroup health care corporations shall not require face-to-face contact between a health care professional and a patient for services appropriately provided through telemedicine, as determined by the insurer or health care corporation. Telemedicine services must be provided by a health care professional who is licensed, registered, or otherwise authorized to engage in his or her health care profession in the state where the patient is located. Telemedicine services are subject to all terms and conditions of the contract.

SOURCE: MI Compiled Law Services Sec. 500.3476(1) & Sec. 550.1401k(1). (Accessed Feb. 2021).

Last updated 02/28/2021

Cross State Licensing

No Reference Found

Last updated 02/28/2021

Definitions

“Telehealth” means the use of electronic information and telecommunication technologies to support or promote long-distance clinical health care, patient and professional health-related education, public health, or health administration. Telehealth may include, but is not limited to, telemedicine. As used in this subdivision, “telemedicine” means that term as defined in section 3476 of the insurance code of 1956, 1956 PA 218, MCL 500.3476.

SOURCE:  MI Compiled Laws Sec. 333.16283(c) & MI Insurance Code 500.3476. (Accessed Feb. 2021).

Last updated 02/28/2021

Licensure Compacts

Member of Interstate Medical Licensure Compact.

Section repealed effective March 28, 2022.

SOURCE: Interstate Medical Licensure Compact, Compact Map; Act No. 563 (2018 Session); & Act No. 368 (2018 Session). (Accessed Feb. 2021).

Last updated 02/28/2021

Miscellaneous

Recently Passed Legislation (Effective Now)

A health care provider or health care facility that provides health care services (including telehealth) in support of this state’s response to the COVID-19 pandemic is not liable for an injury, including death, sustained by an individual by reason of those services, regardless of how, under what circumstances, or by what cause those injuries are sustained, unless it is established that the provision of the services constituted willful misconduct, gross negligence, intentional and willful criminal misconduct, or intentional infliction of harm by the health care provider or health care facility.

SOURCE: MI HB 6159 (2020 Session. (Accessed Feb. 2021). 

Last updated 02/28/2021

Online Prescribing

Providers must have an existing physician-patient or dentist-patient relationship.

SOURCE: MI Compiled Laws Sec. 333.17751(2)(a).  (Accessed Feb. 2021).

Schedule 2 to 5 controlled substances cannot be prescribed unless the prescribing is in a bona fide prescriber-patient relationship with the patient.  If a licensed prescriber prescribes a controlled substance under this subsection, the prescriber shall provide follow-up care to the patient to monitor the efficacy of the use of the controlled substance as a treatment of the patient’s medical condition. If the licensed prescriber is unable to provide follow-up care, he or she shall refer the patient to the patient’s primary care provider for follow-up care or, if the patient does not have a primary care provider, he or she shall refer the patient to another licensed prescriber who is geographically accessible to the patient for follow-up care.

SOURCE:  MI Compiled Laws Sec. 333.7303a. (Accessed Feb. 2021). 

A health professional providing telehealth service to a patient may prescribe the patient a drug if both the following are met:

  • The health professional is a prescriber who is acting within the scope of his or her practice; and
  • If the health professional is prescribing a controlled substance, the health professional must meet the requirements of this act applicable to that health professional for prescribing a controlled substance.

If the health professional considers it medically necessary, he or she shall provide the patient with a referral for other health care services that are geographically accessible to the patient, including, but not limited to, emergency services. After providing a telehealth service, the health professional, or a health professional who is acting under the delegation of the delegating health professional, shall make himself or herself available to provide follow-up health care services to the patient or refer the patient to another health professional for follow-up health care services.

SOURCE:  MI Compiled Laws, Sec. 16285. (Accessed Feb. 2021).

Last updated 02/28/2021

Professional Boards Standards

Michigan Board of Podiatric Medicine and Surgery

SOURCE: MI Admin. Code Sec. 338.8145. (Accessed Feb. 2021).