The Missouri Code of State Regulations 13 CSR 70-3.190 Telehealth Services, established coverage for Telehealth Services through the MO HealthNet Division (MHD) program and specifies that Telehealth providers must be Missouri licensed. The provider can be located in a state that borders Missouri, but must be Missouri licensed and enrolled as a MHD provider.
Telehealth Services are health care services provided through advanced telecommunications technology from one location to another. Medical information is exchanged in real-time communication from an Originating Site, where the participant is located, to a Distant Site, where the provider is located, allowing them to interact as if they are having a face-to-face, “hands-on” session.
A Telehealth service requires the use of a two (2)-way interactive video technology. Asynchronous telecommunication systems or store-and-forward systems are not covered technologies. Telehealth is not a telephone conversation, email, or faxed transmission between a healthcare provider and a participant, or a consultation between two healthcare providers. The participant must be able to see and interact with the off-site provider at the time services are provided, via Telehealth. Services provided via videophone or webcam are not covered.
MHD provides useful information for Telehealth in the Behavioral Health Manual Section 13.27. Additionally, MHD Bulletins relating to Telehealth include: