FLORIDA

MASTER MEDICAID TELEHEALTH LAWS
WITH THE HELP FROM GD

Summary

FL Medicaid reimburses for real-time interactive telemedicine according to administrative code, but Medicaid Manuals only indicate reimbursement in Community Behavioral Health Services. No reference was found in regards to reimbursement for store-and-forward or remote patient monitoring.

 

Definitions

Telemedicine is “the use of telecommunication and information technology to provide clinical care to individuals at a distance, and to transmit the information needed to provide that care.”

 

Source: FL Dept. of Health, Child Protection Team Program, Program Handbook, p.79 (Jun. 2015). (Accessed Mar. 2019). FL may no longer be utilizing this handbook definition of telehealth. Refer to Admin Code 59G-1.057. .

Telemedicine is “the practice of health care delivery by a practitioner who is located at a site other than the site where a recipient is located for the purposes of evaluation, diagnosis, or treatment.”

Source: FL Admin Code 59G-1.057. (Accessed Mar. 2019).

Live Video

Policy

Some telemedicine services are reimbursed for Community Behavioral Health Services, per the Fee Schedule.

 

Source: Community Behavioral Health Services Fee Schedule. Jan. 1, 2017. (Accessed Mar. 2019).

FL Medicaid reimburses for real-time, two-way, interactive telemedicine.
Providers must include the GT modifier

Source: FL Admin Code 59G-1.057. (Accessed Mar. 2019).

Eligible Services / Specialties

Some telemedicine services are reimbursed for Community Behavioral Health Services, per the Fee Schedule.

 

Source: Community Behavioral Health Services Fee Schedule. Jan. 1, 2017. (Accessed Mar. 2019).
Eligible Providers

Telemedicine is available for use by all providers of Florida Medicaid services that are enrolled in or registered with the Florida Medicaid program and who are licensed within their scope of practice to perform the service.

Source: FL Admin Code 59G-1.057. (Accessed Mar. 2019).
Email / Phone / Fax

No reimbursement for telephone, chart review, electronic mail messages or facsimile transmissions.

 

Source: FL Admin Code 59G-1.057. (Accessed Mar. 2019).
Miscellaneous

Florida created a Telehealth Advisory Council for purpose of making recommendations to the Governor and the Legislature about telehealth.
The state’s Agency for Health Care Administration, the Department of Health (DOH) and the Office of the Insurance Regulation was also required to survey FL providers on their utilization of telehealth.

 

Source: FL Report on Telehealth Utilization and Accessibility. Dec. 2016. (Accessed Mar. 2019).

In 1998, the Child Protection Team (CPT) Program implemented a telemedicine network that links CPT teams with remote or satellite CPT offices, or local facilities, such as hospital emergency rooms, county health departments, or child advocacy centers, to facilitate telemedicine assessments for abuse, abandonment, and neglect of children in remote or rural areas.
Only specially trained CPT physicians, advanced registered nurse practitioners or physician assistants can perform these exams. And only specifically trained registered nurses at presenting sites may participate in the exam.

Source: Florida Department of Health, Child Protection Team Program, Policy and Procedure Handbook, p. 112 (Jun. 2015). (Accessed Mar. 2019)

Florida Children’s Medical Services (CMS) is a collection of programs for special needs children.
CMS’ Telemedicine Program services are provided by approved CMS Network providers to Medicaid children enrolled in CMS. Eligible sites are limited.

Source: Florida Children’s Medical Services, Families, Health Services (Accessed Mar. 2019).

No reimbursement for equipment used to provide telemedicine services.

Source: FL Admin Code 59G-1.057. (Accessed Mar. 2019).

Professional Regulation /
Health & Safety

Online Prescribing

Controlled substances shall not be prescribed through the use of telemedicine, except for the treatment of psychiatric disorders.
Exception: physicians can order controlled substances through the use of telemedicine for patients hospitalized in a facility licensed pursuant to Ch. 395, F.S.
Prescribing medication solely on the basis of an electronic medical questionnaire is not allowed.
A physician-patient relationship may be established through telemedicine.

 

Source: FL Admin Code 64B15-14.0081. (Accessed Mar. 2019).
Miscellaneous

At the time of license renewal all practitioners must fill out a Telehealth Practitioner Survey

 

Source: FL Admin Code 64B8-9.008. (Accessed Mar. 2019).

Professional Board Telehealth-Specific Regulations
• FL Board of Medicine (Source: Florida Admin Code 64B15-14.0081.) (Accessed Mar. 2019).
• FL Board of Osteopathic Medicine (Source: Florida Admin Code 64B15-14.0081) (Accessed Mar. 2019).

Definitions

“Telemedicine means the practice of medicine by a licensed Florida physician or physician assistant where patient care, treatment, or services are provided through the use of medical information exchanged from one site to another via electronic communications. Telemedicine shall not include the provision of health care services only through an audio-only telephone, email messages, text
messages, facsimile transmission, U.S. Mail or other parcel service, or any combination thereof.”

 

Source: FL Admin Code 64B15-14.0081. (Accessed Mar. 2019).
Cross-State Licensing

Member of the Nurses Licensure Compact.

 

Source: Current NLC States & Status. Nurse Licensure Compact. (Accessed Mar. 2019).

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