Overview

CMS reimburses for live video under certain circumstances and for specific services when the patient is in a rural area and at a specified originating site with a few exceptions.  Mental health is the biggest exception (and also includes an allowance for audio-only service delivery).  However, there are requirements for in-person visits at regular increments.  See below for further details.

CMS also pay for traditional services delivered via store-and-forward in Alaska and Hawaii telehealth demonstration pilots.  Additionally, they define communication technology-based services separately and provide reimbursement for those services when delivered via live video, asynchronously as well as remote physiologic monitoring depending on the applicable code’s description. However, as communication technology-based services are not considered “telehealth” by CMS, they are not under the same statutory restrictions telehealth-delivered services face.  More details are provided below.

* Requirements around patient location, eligible providers, and in-person visit requirements is currently waived or implementation delayed until January 1, 2025 due to passage of HR 2617.  Policies that have been extended are noted throughout this section.

AL Medicaid reimburses live video for a specific set of services and specific provider types.  See manual for full lists.  Although asynchronous is included in the definition of telehealth and telemedicine, the telemedicine policy makes no further mention of the modality.

Remote patient monitoring is reimbursed for certain conditions and providers and when the service meets certain requirements. An entire chapter of the Medicaid manual is dedicated to remote patient monitoring instructions.

Audio-only is reimbursed currently the same as face-to-face with FQ modifier.  On October 1, 2023, new rates for audio-only telecommunications will be established.

Alaska reimburses for Live Video, Store & Forward & Remote Patient Monitoring, although some restrictions apply.  A provider has notified CCHP that Alaska Medicaid currently only pays for the RPM device and not the actual service. This has not been verified.

Passed legislation and a memo indicates Alaska Medicaid pays for audio-only telehealth.

AHCCCS covers all major forms of telehealth services. Asynchronous (also called “store and forward”) occurs when services are not delivered in real-time, but are uploaded by providers and retrieved, perhaps to an online portal. Telephonic services (audio-only) use a traditional telephone to conduct health care appointments. Telemedicine involves interactive audio and video, in a real-time, synchronous conversation. AHCCCS also covers telehealth for remote patient monitoring and teledentistry.

SOURCE: AZ Health Care Cost Containment System. Telehealth Services, (Accessed May 2023).

Arizona Health Care Cost Containment System (AHCCCS) covers medically necessary, non-experimental, and cost-effective Telehealth services provided by AHCCCS-registered providers. There are no geographic restrictions for Telehealth; services delivered via Telehealth are covered by AHCCCS in rural and urban regions. They reimburse for store-and-forward for specific specialties and for remote patient monitoring, although restrictions apply. Arizona’s Medicaid program uses an integrated managed care model with a fee-for-service delivery system for Alaska Native/American Indian populations and limited emergency services.

All services provided via telehealth must be medically necessary, non-experimental and cost-effective services.  Services are billed by the individual provider (located at the distant site).  Tele-presenter services are not billable.

SOURCE: AZ Health Care Cost Containment System, AHCCCS Fee-For-Service Provider Manual, Ch. 10: Individual Practitioner Services, (8/23/2022), pg. 47 & 49; IHS/Tribal Provider Billing Manual, p. 50 & 52 (10/17/2022), (Accessed May 2023).

The Contractor and FFS programs shall cover medically necessary, non-experimental, and cost effective services delivered via Telehealth by AHCCCS registered providers for AHCCCS covered services.  Manual outlines parameters for reimbursement of live video, asynchronous, remote patient monitoring and audio-only.

SOURCE: AZ Health Care Cost Containment System, AHCCCS Medical Policy for AHCCCS Covered Services, Ch. 300, (320-I pg. 1). Approved Dec. 2022. (Accessed May 2023).

Arkansas Medicaid reimburses for live video when the telemedicine service is comparable to an in-person service.  Store-and-forward and remote patient monitoring is included in Medicaid’s definition of telemedicine, but there was no specific information found regarding reimbursement of the modalities, with the exception of mobile telemonitoring in the Patient-Led Arkansas Shared Savings Entity (PASSE) Program. Audio-only communication is covered in certain circumstances.

Medi-Cal allows providers to decide what modality, live video, store-and-forward, or audio-only, will be used to deliver eligible services to a Medi-Cal enrollee as long as the service is covered by Medi-Cal and meets all other Medi-Cal guidelines and policies, can be properly provided via telehealth, and meets the procedural and definition components of the appropriate CPT or HCPCS code. Additional requirements apply for specific programs (such as FQHCs/RHCs and Indian Health Services). Medi-Cal also reimburses Medicare CTBS remote patient monitoring codes and one specific e-consult code.

Colorado Medicaid reimburses for live video for medical and mental health services.  They also provide reimbursement for remote patient monitoring for patients with certain chronic conditions.  Colorado Medicaid requires a member to be present and participating in a telemedicine service, excluding the possibility of utilizing store-and-forward, except in the case of teledentistry for an interim therapeutic restoration.

CT has enacted temporary laws relative to telehealth, active until June 30, 2024, that require reimbursement of synchronous interactions, asynchronous store and forward transfers or remote patient monitoring.  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 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 though provider bulletins do indicate coverage and reimbursement for some services, including those rendered via audio-visual and audio-only  modalities. CT Medicaid has created a Telehealth Information page with FAQs and a CMAP Telehealth Table, which includes the list of procedure codes approved to be rendered via telehealth.

SOURCE: HB 5596 (2021 Session), SB 2 (2022 Session), CT Statute 17b-245e, CT Statute 17b-245g & CT Dept. of Social Services Provider Bulletin 2023-38. REVISED Guidance for Services Rendered via Telehealth. May 2023. (Accessed Jul. 2023).

An additional new law requires reimbursement of audio-only telehealth under certain circumstances and reimbursement for services provided by means of telehealth to the same extent as if the service was provided in person.

Delaware Medical Assistance Program (DMAP) reimburses for medically necessary telemedicine services delivered via live video for certain providers and for patients at specific sites.  DMAP does not reimburse for store-and-forward and makes no reference to remote patient monitoring.

Medicaid is required to cover healthcare services appropriately delivered through telehealth if the same services would be covered when delivered in person. Medicaid enrolled providers are eligible to deliver telemedicine services at the same rate as in-person consultations. Medicaid is also now covering audio-only telehealth. Medicaid continues to not cover asynchronous telehealth or remote patient monitoring, and billing manuals still reference an exclusion of audio-only in addition to e-mail and fax.

Source: DC Code 31-3863; DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.2. & 910.13.; Telemedicine Provider Guidance, Jan. 2023. (Accessed June 2023).

FL Medicaid reimburses for real time interactive telemedicine according to administrative code, however there is no indication of reimbursement in any Medicaid Manual.  A recently released Medicaid notice to clarify Medicaid policy post-COVID public health emergency states that FL Medicaid will continue to cover store-and-forward and remote patient monitoring services, but will no longer cover audio-only telehealth services.

Georgia Medicaid reimburses for live video under some circumstances. Store-and-forward is not reimbursable as interactive telecommunications is a condition of payment; however, GA Medicaid will reimburse for the technical component of x-rays, ultrasounds, etc. as well as store-and-forward teledentistry. There is no reference to remote patient monitoring.

Hawaii Medicaid (Med-QUEST) reimburses for live video.  Although their statute prohibits HI Medicaid from placing any restrictions on originating sites, regulations creating restrictions on the types or originating site eligible for reimbursement and their geographic location still exist in Hawaii Rules.  HI indicated in a memo that a state plan amendment was approved that allows for the changes in Hawaii Medicaid policy based on the statutory requirements, but it did not provide any specifics on removing the originating site or geographic restrictions currently present in HI rules.  Recently passed legislation indicates that Hawaii Medicaid will cover some audio-only delivered services until December 31, 2025.

Additionally, according to Hawaii’s statutory definition of telehealth and limited documentation from Hawaii Medicaid, they appear to be reimbursing for store-and-forward and remote patient monitoring in certain circumstances.

Idaho Medicaid reimburses for live video virtual services (they have changed the term from “telehealth”), remote patient monitoring and audio-only. The Medicaid program does not reimburse for store-and-forward.

IL Medicaid reimburses for live video telemedicine and telepsychiatry services for specific providers.  Recently (February 2023), IL Medicaid issued a new provider bulletin specifying that certain Interprofessional Consultation CPT codes are billable for psychiatric services.  IL Medicaid will provide reimbursement for home uterine monitoring, continuous glucose monitoring, and some audio-only services.

Indiana Medicaid reimburses for live video telemedicine for certain services and providers and remote patient monitoring (RPM).  Indiana Medicaid does not reimburse for store-and-forward although store-and-forward can still be used to facilitate other reimbursable services.  Certain services may be provided via audio-only and be reimbursed by the program.

Iowa Medicaid pays for telehealth, including audio-only interactions, for certain service codes as long as it meets accepted health care practices and standards.  Managed care plans in Iowa’s Healthy and Well Kids in Iowa (Hawki) program, may cover telehealth and telemonitoring services, but do not appear to be mandated.  Asynchronous telehealth for teledentistry is covered.

A list of approved reimbursable codes for telehealth in Iowa Medicaid is available and includes a variety of monitoring codes, such as remote physiologic and therapeutic codes, as well as specific codes covering services provided via phone and store-and-forward (i.e. e-visits).  Additionally, there is a column in the code list that generally identifies codes eligible for audio-only reimbursement.

Kansas Medicaid covers live video telemedicine for certain services.  Additionally, they also cover remote patient monitoring that is in real-time through home health agencies and with prior authorization.

Telephone evaluation and management services provided by a qualified healthcare professional to an established patient, parent, or guardian is reimbursed for certain codes.

All insurers (including Medicaid) must cover medically necessary services, subject to the terms and conditions of the contract. Medicaid specifically must provide reimbursement for speech language pathology services and audiology services.

KY Medicaid pays for live video telehealth, store-and-forward, remote patient monitoring and audio-only communication under certain circumstances.  See below for more information.

The Medicaid program and managed care are required to reimburse for services delivered through telehealth.  The department is required to promulgate administrative regulations to establish requirements for telehealth coverage and reimbursement, which shall be equivalent to the coverage for the same service provided in person unless the telehealth provider and the Medicaid program or a Medicaid managed care organization contractually agree to a lower reimbursement rate for telehealth services, or the department establishes a different reimbursement rate.

Kentucky’s definition of telehealth includes synchronous and asynchronous technology, remote patient monitoring technology, and audio-only encounters.  Store-and-forward is reimbursed by KY Medicaid under certain circumstances and remote patient monitoring is reimbursed for certain conditions.

Medicaid-participating practitioners and home health agencies are strongly encouraged to use audio-only encounters as a mode of delivering telehealth services only when no other approved mode of delivering telehealth services is available.

KY Medicaid is required to reimburse for telehealth services and telehealth consultations under certain circumstances, including the RHCs, FQHCs and FQHC look-alikes. Medicaid participating practitioners and home heath agencies are strongly encouraged to use audio-only encounters as a mode of delivering telehealth services only when no other approved mode of delivering telehealth services is available.

Health care providers performing a telehealth or digital health service shall, as appropriate for the service, provider, and recipient, utilize the following modalities of communication delivered over a secure communications connection that complies with the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA):

• Live or real-time audio and video synchronous telehealth technology;
• Asynchronous store-and-forward telehealth technology;
• Remote patient monitoring using wireless devices, wearable sensors, or implanted health monitors;
• Audio-only telecommunications systems; or
• Clinical text chat technology when:
  • Utilized within a secure, HIPAA compliant application or electronic health record system; and

• • Meeting:
    • The scope of the provider’s professional licensure; and
    • The scope of practice of the provider; and
• Comply with the following federal laws to prevent waste, fraud, and abuse relating to telehealth:
• • • • False Claims Act, 31 U.S.C. § 3729-3733;
      • Anti-Kickback Statute, 42 U.S.C. § 1320a-7b(b); and
      • Physician Self-Referral, Section 1877 of the Social Security Act

SOURCE: KY Revised Statute Sec. 211.332(5), KY Revised Statute 205.559 & KY 900 KAR 12:005 (Accessed Jul. 2023).

Live video telemedicine is covered for distant site providers enrolled in Louisiana Medicaid.  There is no reimbursement for the originating site.  Activity and sensor monitoring, health status monitoring and medication dispensing and monitoring are forms of remote patient monitoring that are covered by Louisiana Medicaid.  There is no reference to store-and-forward.

Maine Medicaid (MaineCare) reimburses for live video telehealth under certain conditions, and remote patient monitoring for patients with certain risk factors.  Although their definition of telehealth is broad enough to include of store-and-forward, there is no mention of store-and-forward reimbursement within their policies.

Maryland Medicaid covers live video synchronous telehealth, asynchronous telehealth, and remote patient monitoring modalities. Until June 30, 2025, legislation also requires coverage of audio-only and telehealth reimbursement parity.

Massachusetts passed major revisions to the state’s Medicaid telehealth policy that took effect in January 2021 and established coverage for health care services, and parity for behavioral health services.  MassHealth recently updated their bulletin to largely align the state’s telehealth policy with the COVID era policies with certain exceptions.  The bulletin goes into effect Oct. 1, 2023, while a previous similar bulletin expires September 30, 2023.  Both are noted through this section.  The update provides for reimbursement of live video with certain limitations, and modifiers for billing asynchronous and audio-only services.  It is indicated that RPM will be addressed in an upcoming bulletin.

Michigan Medicaid reimburses for live video telemedicine for certain healthcare professionals, for patients located at certain originating sites for specific services.  Medicaid reimburses for asynchronous telemedicine services, including store and forward services, interprofessional telephone/internet/electronic health record consultations and remote patient monitoring services under certain circumstances.

A new bulletin implements many of the state’s COVID flexibilities on a permanent basis, including reimbursement for audio-only services and updates POS codes and modifiers.  It also announces the permanent status of Bulletin MSA 20-09 which lists the home as an eligible originating site, and allows FQHCs/RHCs to be reimbursed the PPS rate for telemedicine services.  Those bulletins were incorporated in to the July 2023 update of the provider manual.

Michigan Medicaid uses the terms “telemedicine” and “telepractice”.

Minnesota Medicaid provides reimbursement for live video, store-and-forward and telemonitoring through their Medical Assistance (MA) program for certain providers when patients are located at specific originating sites.  Many of their individual programs have their own unique requirements for telehealth reimbursement.  MA is covering audio-only through an expansion of emergency waivers until July 1, 2025.

Mississippi Medicaid reimburses certain providers for live video telehealth when there is a telepresenter with the patient.   They also reimburse for store-and-forward teleradiology, and for remote patient monitoring for patients with certain chronic conditions.  Telemedicine, other than remote patient monitoring services and store-and-forward telemedicine services, must be “real-time” audio visual capable.

Missouri Medicaid (HealthNet) will reimburse for services delivered via live video.  They will also reimburse for some tele-dentistry asynchronous services and remote patient monitoring for specific conditions.

HealthNet is also continuing to allow telephone for telehealth services and continuing to allow quarantined providers and/or providers working from alternate sites or facilities.

Montana Medicaid reimburses for live video under some circumstances. With the end of COVID, MT Medicaid has specified that there are no requirements for technology used to deliver services via telemedicine/telehealth and can be provided using secure portal messaging, secure instant messaging, telephone conversations, and audio-visual conversations.  However, still no mention of remote patient monitoring in their telehealth policy.

Telehealth services must be reimbursed at the same rate of payment as services delivered in person.

Nebraska Medicaid reimburses for live video, store-and-forward, and remote patient monitoring under some circumstances. Reimbursement for store-and-forward is only specified for teleradiology.  Passage of LB 400 expanded the Medicaid definition of telehealth to include audio-only, and Medicaid recently released a bulletin and code list that allows audio-only reimbursement for some specific service codes.

Nevada Medicaid and the Nevada Check Up (NCU) program reimburse for live video and store-and-forward services under specific conditions. There is no reimbursement for remote patient monitoring.  Audio-only is reimbursed for certain services.

New Hampshire Medicaid follows the Center for Medicare and Medicaid Services requirements and Federal regulations for the use of telehealth and telemedicine. Reimbursement is available for live video under some circumstances. New Hampshire statute has a definition for store-and-forward and remote patient monitoring, and states that the Medicaid program shall provide reimbursement for all modes of telehealth, including video and audio, audio-only, or other electronic media provided by medical providers to treat all members for all medically necessary services.  It states that primary care and remote patient monitoring shall only be covered in the event that the patient has already established care at an originating site via face-to-face in-person service, with a few exceptions.  Statute does not prohibit the Medicaid program from providing coverage for only those services that are medically necessary and subject to all other terms and conditions of the coverage.

SOURCE: NH Revised Statutes 167:4-d (Accessed Jul. 2023).

New Jersey Medicaid reimburses for live video under certain circumstances. Store-and-forward and remote patient monitoring are not explicitly included in reimbursement; however, it could be covered within the definition of telemedicine. Individual Medicaid managed care plans may have their own individual policies regarding telehealth and telemedicine.

New Mexico Medicaid reimburses for live video telehealth at the same rate as when services are provided in-person as well as store-and-forward.  There is no reference to remote patient monitoring.  They will also reimburse for limited professional services delivered by telephone without video.

New York Medicaid offers live video, store-and-forward, and remote patient monitoring reimbursement. Both the Department of Health and Office of Mental Health have recently adopted final rules making many emergency Medicaid telehealth expansions permanent, including allowances for audio-only coverage. In addition, recently effective legislation requires telehealth reimbursement parity until April 1, 2024.

NC Medicaid reimburses for medically necessary telehealth services via live video, remote patient monitoring, audio-only and other virtual communications modalities outlined in its updated telehealth clinical coverage policies.

North Dakota reimburses for live video telemedicine for most services, with a few exceptions.

They provide reimbursement for store-and-forward through online digital evaluation and management services in specific circumstances.  Asynchronous teledentistry is required to be covered by a recently passed legislation, but no official notice from ND Medicaid on the policy as of June 2023.

Home health telemonitoring is covered though not much detail is provided.

Audio-only is allowed for established patients through Dec. 31, 2024.

Ohio Medicaid reimburses for live video telemedicine.  Store-and-forward is only reimbursed for certain communication technology-based service codes.  Certain remote physiologic monitoring codes are reimbursed along with FQHCs being reimbursed through the FFS under clinic provider type 50 for remote patient monitoring.  Audio-only is incorporated into the definition of telehealth in OH Medicaid and is reimbursed for certified community behavioral health canters for CPST and SUD case management.

SoonerCare reimburses for live video telehealth. Store-and-Forward and Remote Patient Monitoring must be compensable by the Oklahoma Health Care Authority (OHCA) in order to be reimbursed. Continuous Glucose Monitoring (CGM) is covered under certain circumstances. OK Medicaid also added a list of codes reimbursable through audio-only after 5/11/23 and allows for reporting of audio-only modifiers FQ and 93.

OR Health Authority covers telehealth and telemedicine services. The definitions of which encompass video conferencing, store-and-forward imaging, streaming media including services with information transmitted via landlines, and wireless communications, including the Internet and telephone networks. Services must be culturally and linguistically appropriate.

Under bulletins from the Office of Mental Health and Substance Abuse Services and PA Medical Assistance, they now offer live video reimbursement to a wide range of licensed providers, and patient locations, and audio-only in situations when the beneficiary does not have video capability or an urgent medical situation.   PA Medicaid does not consider store-and-forward or remote patient monitoring to fall under the definition of telemedicine.

Although the Puerto Rico Department of Health has information regarding telehealth, including definitions for terms and modalities, its Medicaid program is 100% Managed Care, which is operated by Plan Vital.  At this time, there does not appear to be any specific permanent telehealth policy under Plan Vital.

The Rhode Island Medical Assistance Program reimburses for some specific codes via live-video.  A newly passed law requires Medicaid provide coverage of telemedicine, which includes live video, store-and-forward and remote patient monitoring. CCHP has only located policy indicating RI Medicaid is reimbursing store-and-forward through teledentistry.

An encounter for FQHCS includes a telemedicine visit (telephone-only and tele video services).

South Carolina Medicaid reimburses for live video under certain circumstances. Store-and-forward does not appear to be reimbursed as it does not meet certain established conditions for coverage. However, CPT Code G2010 (remote images submitted by a patient) is listed as reimbursed for established patients.

South Carolina Medicaid reimburses for home health monitoring through the Home Aging Program for some conditions when a patient is eligible. Certain audio-only codes for particular providers will continue to be reimbursed for one year beyond the end of the federal public health emergency, until May 11, 2024.

South Dakota Medicaid provides reimbursement for live video services under some circumstances, and asynchronous teledentistry. Reimbursement is also available for audio-only behavioral heath and Telephonic Evaluation and Management Services with certain conditions.  No reimbursement for remote patient monitoring.

A law requires TennCare (Medicaid) reimbursement for telehealth services and provider-based telemedicine, which includes store-and-forward.  Remote patient monitoring may be offered by health insurance entities.  Audio-only conversation is allowed for provider based telemedicine for the provision of behavioral health services or healthcare services when other means are unavailable.

TennCare services are offered through managed care entities. Each MCO has its own telehealth policy. Coverage and reimbursement for live video and store-and-forward may vary between MCOs.

Texas Medicaid reimburses for live video, and store-and-forward in some circumstances. Home telemonitoring is reimbursable for some conditions when a provider is approved to deliver those services.  Texas Medicaid has two telehealth manuals (which they title “telecommunications services”), one for the general Medicaid program and one specifically for Children with Special Health Care Needs (CSHCN) as well as specific telehealth sections in a variety of other program provider manuals.

Audio-only service deliver is also allowed for behavioral health services under certain circumstances.

Due to the COVID public health emergency ending, Utah Medicaid released a plan for PHE benefit flexibilities including many telehealth flexibilities identifying which would continue and which would expire after May 11, 2023.

SOURCE: Utah Medicaid, COVID-19 and the Public Health Emergency, April 2023, (Accessed Jun. 2023).

Utah Medicaid reimburses for medically necessary, non-experimental and cost-effective services via live video telehealth.  Psychiatrists can be reimbursed for interprofessional telephone and/or internet assessment and management services.

SOURCE: Utah Medicaid Provider Manual: Section I: General Information, (Dec. 2022). (Accessed Jun. 2023).

Home telemetry for outpatient long-term cardiac monitoring is allowable with prior authorization under certain conditions.

SOURCE: Utah Medicaid Provider Manual: Physician Manual, (Dec. 2022).  (Accessed Jun. 2023).

Vermont Medicaid reimburses for live video under certain circumstances. Store-and-forward is covered when it is clinically appropriate and medically necessary. DVHA will not reimburse for teleophthalmology or teledermatology by store-and-forward means.  Home health monitoring is considered a Medicaid benefit and is available under certain conditions.  Additionally, audio-only telephone is also required to be reimbursed under certain circumstances.  The Medicaid program has updated their regulations to include reimbursement of audio-only services when clinically appropriate and medically necessary.

Currently there is no permanent policy regarding telehealth and the Medicaid program, however, legislation was recently introduced, though not yet passed.

Virginia Medicaid reimburses for live video, store-and-forward, remote patient monitoring and certain audio-only codes under certain circumstances. Virtual Check-Ins are also reimbursed.

VA Medicaid recently moved the telehealth-specific content they had in their individual provider manuals into a ‘telehealth supplement’.  Manuals that formerly included telehealth content now direct providers towards the telehealth supplement.  Provider manuals that incorporate the supplement include:

• Addiction and Recovery Treatment Services (ARTS)
• Early Intervention Services
• Mental Health Services
• Physician/Practitioner
• Home Health
• Psychiatric Services
• Rehabilitation

See the Provider Manual home page to access all manuals.

Telemedicine is covered by the Department. Washington Medicaid (Apple Health) reimburses for live video, store-and-forward, and remote patient monitoring under certain circumstances. The Department recently began covering audio-only services for specific billing codes as well.

SOURCE: WA Admin. Code Sec. 182-531-0100. WA State Health Care Authority. Medicaid Telemedicine Policy and Billing Guide (Feb. 2023) & WA State Health Care Authority, Medicaid Provider Guide, Physician-Related Svcs./Health Care Professional Svcs., RPM, p. 94 (Jun. 2023). (Accessed Jun. 2023).

West Virginia Medicaid reimburses for live video under some circumstances. Reimbursement is largely limited to real-time communications, however store-and-forward services may be billed by ophthalmologists and optometrists with certain restrictions. Specific remote patient monitoring codes are also eligible for reimbursement.

Both synchronous (two-way, real-time, interactive communications) and asynchronous (information stored and forwarded to a provider for later review) services identified under permanent policy may be reimbursed when provided via telehealth (also known as “telemedicine”).  ForwardHealth includes virtual check-in, e-visit options for members to connect with their providers remotely as well as telephone evaluation codes.  Additionally, forward-health reimburses for audio-only when audio-visual telehealth is not possible.  Certain remote patient monitoring reimbursement codes are also now reimbursable. Interprofessional consultations (e-consults) are reimbursable by both the treating and consulting provider under the outlined policy requirements and limitations.

Wyoming Medicaid reimburses for live video under some circumstances. There is no reference to store-and-forward or remote patient monitoring reimbursement.