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.
|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 location||The 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)
-State habilitation center or regional office
-Community mental health center
-Missouri state mental health facility
-Comprehensive substance treatment and rehabilitation program
|Provider location||No limit||Each 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 covered||Interactive video conferencing|
For more information: