CT passed a new temporary law, active until June 30, 2023, that requires reimbursement of synchronous interactions, asynchronous store and forward transfers or remote patient monitoring, as well as audio-only if the provider is in-network under certain circumstances. After the law expires the law will revert back to what is CT’s ‘permanent statute’ section, unless new legislation is passed before that time that further amends the law.
Based on a previous law and permanent statute, Connecticut Medicaid is also required to cover telemedicine services for categories of health care that the commissioner determines are appropriate, cost effective and likely to expand access to medically necessary services where there is a clinical need for those services to be provided by telehealth or for Medicaid recipients for whom accessing appropriate health care services poses an undue hardship. The CT Medicaid Program manuals do not mention reimbursement for telemedicine but does indicate that while they do not provide reimbursement for behavioral health services provided electronically or over the phone, there is an exception for case management behavioral health services for clients age eighteen and under. There is no reference to remote patient monitoring.
SOURCE: HB 5596 (2021 Session), & CT Statute 17b-245e, (Accessed Jun. 2021).