Indiana Code
Chapter 5. Services Provided
12-15-5-11. "Telehealth Services"; Reimbursement; Prohibition on Distance Restrictions and Location Requirements; Waiver of Confidentiality; Community Mental Health Centers; Rules

Sec. 11. (a) As used in this section, "telehealth services" has the meaning set forth for "telehealth" in IC 25-1-9.5-6.
(b) The office shall reimburse the following Medicaid providers for medically necessary telehealth services:
(1) A federally qualified health center (as defined in 42 U.S.C. 1396d(l)(2)(B)).
(2) A rural health clinic (as defined in 42 U.S.C. 1396d(l)(1)).
(3) A community mental health center certified under IC 12-21-2-3(5)(C).
(4) A critical access hospital that meets the criteria under 42 CFR 485.601 et seq.
(5) A home health agency licensed under IC 16-27-1.
(6) A provider, as determined by the office to be eligible, providing a covered telehealth service.
(c) The office may not impose any distance restrictions on providers of telehealth services.
(d) Subject to federal law, the office may not impose any location requirements concerning the originating site or distant site in which a telehealth service is provided to a Medicaid recipient.
(e) A Medicaid recipient waives confidentiality of any medical information discussed with the health care provider that is:
(1) provided during a telehealth visit; and
(2) heard by another individual in the vicinity of the Medicaid recipient during a health care service or consultation.
(f) For purposes of a community mental health center, telehealth services satisfy any face to face meeting requirement between a clinician and consumer.
(g) The office shall implement any part of this section that is approved by the United States Department of Health and Human Services.
(h) The office may adopt rules under IC 4-22-2 necessary to implement and administer this section.
As added by P.L.204-2013, SEC.3. Amended by P.L.150-2017, SEC.1; P.L.85-2021, SEC.3; P.L.207-2021, SEC.8; P.L.109-2022, SEC.2.

Structure Indiana Code

Indiana Code

Title 12. Human Services

Article 15. Medicaid

Chapter 5. Services Provided

12-15-5-1. Services and Supplies Provided; Exceptions

12-15-5-1-b. Services and Supplies Provided; Exceptions

12-15-5-2. Necessity of Federal Financial Participation

12-15-5-3. Repealed

12-15-5-5. Office May Provide Drug Coverage; Requirements for Drug Coverage in Managed Care

12-15-5-6. Repealed

12-15-5-7. Reimbursement for Doula Services; Rules

12-15-5-8. Maintenance Drugs; Prescriptions; Internet Based Pharmacies

12-15-5-9. Provision of Self-Directed Care Options

12-15-5-9.2. Coverage for Care Related to Cancer Clinical Trials

12-15-5-10. Care Available for Individuals Receiving Medicaid Waiver Services; Eligibility Not Affected by Receipt of Services

12-15-5-11. "Telehealth Services"; Reimbursement; Prohibition on Distance Restrictions and Location Requirements; Waiver of Confidentiality; Community Mental Health Centers; Rules

12-15-5-12. "Child"; Reimbursement for Specialized or Nonstandard Wheelchairs; Prior Authorization

12-15-5-13. Coverage for Treatment of Opioid or Alcohol Dependence; Office Requirements; Report Use of Medications to Committee

12-15-5-14. Reimbursement for Services Provided by Advanced Practice Registered Nurse; Eligible Provider

12-15-5-14.5. Eligible Providers for Supervising Treatment Plan

12-15-5-15. Reimbursement for Students; Conditions; Policies

12-15-5-16. Reimbursement for Clinical Addiction Counselors; Clinical Supervision Requirement

12-15-5-17.5. Report on Implementation of Risk Based Managed Care Program; Request for Proposal; Budget Committee Review

12-15-5-18. Emergency Medical Service Provider Agencies; Reimbursement; Federal Approval

12-15-5-18.2. Mobile Integrated Healthcare Program; Authority to Apply for a Waiver and for Federal Funding

12-15-5-18.5. Reimbursement for Emergency Medical Services

12-15-5-18.7. Reimbursement for Emergency Medical Services Provider Organizations; Waiver or State Plan Amendment

12-15-5-19. Medicaid Rehabilitation Option Service; Review; Determination on Services; Report; Notification; Contract With Community Mental Health Center

12-15-5-20. "Intensive Outpatient Treatment Program"

12-15-5-21. Community Mental Health Centers; Governmental Units