At HTRC, we work to make information accessible. Please consult this table for common questions about Missouri telemedicine reimbursement for Missouri Medicaid (MO HealthNet) and private insurance. However, this is meant as a quick reference guide only. For more nuanced questions, please call HTRC at 877-643-HTRC (4872).

In June 2016, a bill that reduces some barriers to telehealth, SB 579 was signed into law. However, as of May 2017, Missouri’s Medicaid administrator, MO HealthNet, had not yet released rule changes.

Read SB 579

Missouri Reimbursement
MedicaidPrivate Insurance
Is telemedicine reimbursed?Yes, but must be enrolled as a MO HealthNet provider and approved by Missouri Telehealth Network.Yes. In 2013 Missouri passed legislation mandating coverage by private insurers.
Patient locationThe patient may be in:
-Health care provider office
-Hospital (in patient or out patient)
-Critical access hospital (CAH)
-Rural health clinic (RHC)
-Federally qualified health center (FQHC)
-Nursing home
-Dialysis center
-State habilitation center or regional office
-Community mental health center
-Missouri state mental health facility
-Comprehensive substance treatment and rehabilitation program
Provider locationNo limitEach payer will have its own requirements.
Providers eligible for reimbursement -Physicians
Reimbursement amount-The provider site payment is the same as face-to-face services.
-The patient site can bill for a telemedicine facility fee.
-The provider site payment is the same as face-to-face services.
-Not all private insurers cover facility fees for the patient site.
Telemedicine forms coveredInteractive video conferencing

For more information:

MO HealthNet site terminology and facilities fee
MO HealthNet information for RHCs and FQHCs
MO HealthNet Physicians and APNs
MO HealthNet rules for prescribing drugs via telemedicine