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New Mexico Medicaid Announces Major New Reimbursement Program for Telehealth Services


Simulation of provider talking with patient in remote clinic. (photo by Richard Scotten)

Simulation of provider talking with patient in remote clinic.

Starting August 1, 2007, New Mexico Medicaid has begun one of the nation’s most comprehensive reimbursement programs for telehealth services. Recognizing the value of using Telehealth to enhance access to covered services for its patients/clients, the NM Medical Assistance Division, Human Services Department, will reimburse for covered services by eligible providers at the same rate as a physical face-to-face encounter. In addition, reimbursement is made to the originating-site, where the patient is located, for an interactive telehealth system fee; $22.47 per transmission. The reimbursement criteria follow very closely the New Mexico Telehealth Act of 2004. Any approved Medicaid provider is authorized to use Telehealth for their patients/clients. The client/patient receiving the telehealth service can be located at a variety of originating sites, including their place of residence. An interactive telehealth communication system must include both interactive audio and video and be delivered on a real-time basis at the originating and distant-sites. These new regulations are a major step forward in facilitating the use of Telehealth in New Mexico aimed at enhancing the health and wellness of its citizens, particularly the underserved.

Medicaid Telehealth Reimbursement PR-30-10
NM Medicaid Telehealth prov 831013

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