Maine Insurance Bureau Resolves New Telehealth Act – Enterprise Insurance
Maine passed law in June removing the distinction between telehealth services and medical provider phone services, but the Maine Insurance Bureau issued a bulletin last week clarifying the new regulation.
Telehealth services have been approved for at least a decade, the office said. As a result of L.D. However, 791 phone services are considered a subset of telemedicine, the office said in a statement on Thursday.
"This does not mean that all phone calls between patients and providers are now considered 'telemedicine' 'for reimbursement by the provider," the department said in its bulletin.
"However, the telephone can be a modality for the 'provision of health services', insofar as this is compatible with other applicable laws, standards of practice and all rules issued by the respective licensing authorities."
The law also states that coverage is only required if vendors are trading under their license. It prohibits insurance coverage restrictions imposed by the insurer on prescribing medication through telemedicine that are more restrictive than personal prescribing.
The law also expanded the definition of “telemonitoring” as a subset of telehealth services to include information technology for electronic remote monitoring of a patient's health, wherever the patient is.
The measure also added a requirement that network adequacy be determined based on the availability of personal services.
WorkCompCentral is a sister publication of Business Insurance. More stories here.