13 CSR 70-3.330 Telemedicine Services

What this rule requires your agency to do

• 1Records at both distant and originating sites must document the encounter (including store-and-forward images) per the manuals/bulletins and per 13 CSR 70-3.030.(13 CSR 70-3.330 Telemedicine Services)
• 2A licensed health care provider-patient relationship must be properly established (via in-person interview/exam, consultation with a provider who has an established relationship, or a telemedicine encounter where the standard of care allows); a questionnaire alone is insufficient.(13 CSR 70-3.330 Telemedicine Services)
• 3Prior authorization and utilization review must meet the same requirements/standards as non-telemedicine services; school-based services require parent/guardian authorization.(13 CSR 70-3.330 Telemedicine Services)
• 4Telemedicine providers must be fully Missouri-licensed, enrolled per 13 CSR 65-2.020, and deliver services within their scope and at the same standard of care as in-person services.(13 CSR 70-3.330 Telemedicine Services)
• 5Providers must comply with HIPAA, maintain confidentiality/data-integrity protocols available for inspection, and protect participant privacy at all times.(13 CSR 70-3.330 Telemedicine Services)
• 6Telemedicine services are covered only when medically necessary and meeting the same standard of care as in-person.(13 CSR 70-3.330 Telemedicine Services)
• 7Providers must conform to the MO HealthNet provider manuals (manuals.momed.com).(13 CSR 70-3.330 Telemedicine Services)