Vermont Reimbursement for Telehealth
Vermont Medicaid and Private Insurance Companies reimburse for live video under certain circumstances. Home health monitoring is considered a Medicaid benefit and is available under certain conditions.
Health insurance plans must provide coverage for health care service delivered through telemedicine by a health care provider at a distant site to a patient at an originating site to the same extent that the plan would cover the services if they were provided through in-person consultation.
An originating site is the location of the patient, whether or not accompanied by a health care provider, at the time services are provided by a health care provider through telemedicine, including a health care provider’s office, a hospital, or a health care facility, or the patient’s home or another nonmedical environment such as a school-based health center, a university-based health center or patient’s workplace.
A distant site is the location of the health care provider delivering services through telemedicine at the time the services are provided.
Live video is reimbursed for clinically appropriate services delivered through telemedicine outside a health care facility or from facility to facility.
Facilities providing live telemedicine services are required to use the GT modifier.
We would love to help you get started offering telehealth services or grow your telehealth program in Vermont. We offer a HIPAA- Compliant Live Video Conferencing solution that meets all of the requirements in Utah. At Secure Telehealth, we have over 10 years of experience helping organizations implement successful telehealth programs. We fully manage your telehealth program so you don't have to. Your patients work directly with us to get set up for their first appointment. When they have questions or technical problems, they call us so that none of your time is wasted and appointments are not missed. We would love to work with you as well. Contact us below with any questions that you may have about Telehealth and Telemedicine in Vermont.