MO HealthNet covers services provided via Telemedicine when the service can be performed with the same standard of care as a face to face service.
Telemedicine services may be provided to a MO HealthNet participant, while the participant is at an originating site, and the provider is at another location (the distant site.) The originating site facility fee cannot be billed to MO HealthNet when the originating site is the participant’s home.
There is not a separate telemedicine fee schedule. Reimbursement to health care providers delivering the medical service at the distant site is equal to the current fee schedule amount for the service provided.
Please view Telemedicine Originating and Distant Site Reimbursement Scenarios for more information.