North Dakota reimburses for telepsychiatry + a separate facility fee (Q3014) 

North Dakota Department of Human Services MEDICAID AND OTHER
MEDICAL ASSISTANCE PROGRAMS GENERAL INFORMATION
FOR PROVIDERS (See page 129)

Excerpt appears below.

TELEMEDICINE SERVICE

Telemedicine Services are a covered Medicaid service provided the following criteria is met:

• The recipient must be present during the provision of the service;

• The appropriate CPT codes are used by the consulting site along with a GT modifier; and

• The originating site uses HCPC code Q3014.

Physicians at both the originating and consulting sites may bill for services. Supplies needed for any procedures performed are considered part of the procedure and are not separately billable.

Separate long distance charges required for out-of-network sites are billable to North Dakota Medicaid. Medicaid will pay for the actual cost charged by the telephone company.

For more information see the ATA Wiki page for North Dakota here.