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May, 2001 Health
Care Financing Administration
 Revision of Medicare
Reimbursement for Telehealth Services
Effective October 1, 2001, coverage and payment for Medicare
telehealth includes consultation, office visits, individual
psychotherapy and pharmacologic management delivered via a
telecommunications system. Eligible geographic areas will be
expanded beyond rural health professional shortage areas to
include counties not in a
metropolitan statistical area (MSA). Additionally, Federal
telemedicine demonstration projects as of December 31, 2000, may
serve as the originating site regardless of geographic location.
An interactive telecommunications system is required as a
condition of payment; however, BIPA does allow the use of
asynchronous store and forward technology in delivering
these services when the originating site is a Federal telemedicine
demonstration program in Alaska or Hawaii. BIPA does not require
that a practitioner present the patient for interactive telehealth
services.
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