Medicaid reimburses for telepsychiatry in 41 states PDF Print E-mail

Medicaid reimbursement for telehealth varies from state to state. Forty states (in bold font below) reimburse for Telehealth.  Many of these states reimburse for the encounter + a separate CPT code (Q3014 - Originating site facility fee - $17 per session) to pay for technology costs + supervision on the client side.  State Medicaid offices typically allow reimbursement for:

  • Office or outpatient visits (CPT codes 99203 - 99205, 99215)
  • Individual psychotherapy (CPT codes 90804-90809) Replaced by time-specific codes 90832 (30-minutes) 90834 (45 minutes) 90837 (60 minutes)
  • Psychiatric diagnostic interview examination (CPT code 90801) Replaced by 90791 and 90792
  • Pharmacologic management (CPT code 90862) Replaced by several Evaluation/Management codes such as 99213 for outpatient, 99212 for refills 99214 for complex situations

Please click the state to get the current Medicaid reimbursement status.  Call Secure Telehealth at 412 837-9320 for more information about your state.

Alabama Alaska Arizona Arkansas
California Colorado Connecticut Delaware
Florida Georgia Hawaii Idaho
Illinois Indiana Iowa Kansas
Kentucky Louisiana Maine Maryland
Massachusetts Michigan Minnesota Mississippi
Missouri Montana Nebraska Nevada
New Hampshire New Jersey New Mexico New York
North Carolina North Dakota Ohio Oklahoma
Oregon Pennsylvania Rhode Island South Carolina
South Dakota Tennessee Texas Utah
Vermont Virginia Washington West Virginia
Wisconsin Wyoming
      Click here for a 50-state survey conducted by the Center for Connected Health Policy in February, 2013
       
      Click here for an up-to-date ATA matrix of pending/recent telehealth legislation by state
       
      Click here for SAMHSA estimates of the prevalence of Behavioral Health conditions among the expanded Medicaid population, state by state.
       
      Click here for an analysis of the impact of Medicaid Expansion in 21 States on demand for BH services performed by the National Association of State Mental Health Program Directors
       
       
      Last Updated on Thursday, 27 March 2014 09:52