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Reimbursement and Policy Resources for Telehealth

Learn More About
Reimbursement and Policy

When you first start developing a telehealth program it’s common to wonder, “how can I get paid for this?” Navigating the laws, rules, regulations, and policies that govern the telehealth reimbursement arena can be challenging.

The good news is, our CTRC team clearly understands both California-specific and federal payer policies. We also work closely with the National Telehealth Resource Center for Policy—so we’re familiar with the ever-evolving policy landscape, and we can prepare you for upcoming changes. We believe that reimbursement information should be easy to understand, and easy to find. That’s where the unbiased tools and no-cost resources on this page come in. If you can’t locate what you need, visit our All Resources page or contact us for help.

Discover the Latest

State Legislative Updates

The Center for Connected Health Policy (CCHP) maintains a list of state and federal telehealth reimbursement policies for your convenience as the National  Telehealth Resource Center for Policy. While this list isn’t all-inclusive, it’s updated frequently. Check back often for the latest insights and guidelines.

View Legislation Updates

Discover New Techniques with

Reimbursement Tools

Take advantage of our additional unbiased reimbursement tools. These tools provide time-saving information that help you bill for telehealth services more efficiently.

22 Jan

Telehealth Reimbursement Course for FQHCs & RHCs Updated for 2022

Quickly familiarize yourself with the latest reimbursement guidelines from Medicare, Medi-Cal, and private payers in this online course!

Comments are Closed / Reimbursement Tools,Training / Read More
01 Aug

Telehealth Reimbursement Guide for California – Sept 2022 Update

If you’re looking for proven billing and reimbursement insights you can start implementing right away, take advantage of our latest Reimbursement Guide, now updated for 2022!

Comments are Closed / Featured,General Tools,News,Reimbursement,Reimbursement Tools,Sustaining Your Specialty Care Program,What's New / Read More

Discover Reimbursement Policies for

State & Federal Payers

For your convenience, CTRC maintains a list of state and federal telehealth reimbursement policies. While this list isn’t all-inclusive, it’s updated frequently. Check back often for the latest insights and guidelines.

Reimbursement and Policy Resources for Telehealth
23 Mar

The End of the PHE: Dates Every Telehealth Provider Should Know

In this post, we discuss impending changes to telehealth regulations tied to the end of the PHE, how these changes will affect telehealth providers, and potentially alter the future telehealth landscape.

0 comment / Blog,COVID-19 Reimbursement,Featured,Legislation,Legislation & Regulation,News,Providers,Reimbursement,State & Federal Policies,What's New / Read More
17 Feb

The Pandemic is Ending: Key Dates for Telehealth You Should Know

This timeline from CTRC provides telehealth providers with key dates they should know regarding the end of the PHE.

Comments are Closed / Featured,Legislation,Legislation & Regulation,News,Providers,State & Federal Policies,What's New / Read More
Reimbursement and Policy Resources for Telehealth
05 Jan

Omnibus (HR2617) & Telehealth: Key Takeaways, Impacts, and More

On December 23rd, the House of Representatives approved a $1.7 trillion spending package, HR 2617, aka the Omnibus Appropriations legislation. Included in the legislation were a number of changes that have the potential to impact telehealth providers across the nation.

Comments are Closed / Blog,Featured,Legislation,Legislation & Regulation,News,Reimbursement,State & Federal Policies / Read More
09 Nov

Guidance on Nondiscrimination in Telehealth

This document from the U.S. Department of Health & Human Services provides patients with guidance on nondiscrimination in telehealth.

Comments are Closed / Guidelines and Toolkits,Ongoing Training & Insight,Patients,Sample Forms and Guidelines,State & Federal Policies,What's New / Read More
14 Jan

Medicare Telehealth

This booklet from the Medicare Learning Network (MLN) has been specifically created for Medicare fee-for-service providers.

Comments are Closed / Reimbursement,State & Federal Policies / Read More
14 Jan

Medi-Cal Supplemental Policy: IHCs

This PDF contains information for billing services rendered by Indian Health Services (IHS), Memorandum of Agreement (MOA) 638, Clinics.

Comments are Closed / Reimbursement,State & Federal Policies / Read More
14 Jan

New & Expanded Flexibilities for RHCs & FQHCs during the COVID-19 PHE

This MLN Matters® Special Edition Article is for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) during the COVID-19 Public Health Emergency (PHE) for services they provide to Medicare patients.

Comments are Closed / Reimbursement,State & Federal Policies / Read More
12 Jan

Medi-Cal Fee-For-Service Telehealth Policy

The policy in this document excerpt is established pursuant to Assembly Bill 415 (Logue, Chapter 547, Statutes of 2011)—also known as the Telehealth Advancement Act of 2011.

Comments are Closed / Reimbursement,State & Federal Policies / Read More

Discover Reimbursement for

Managed Care Plans

Managed care plans maintain contracts with health care providers and medical facilities. They can often help their members obtain in-network health care at reduced fees. This collection of resources can help you understand various managed care telehealth billing and reimbursement guidelines.

14 Jan

California Health & Wellness

This PDF outlines telehealth programs and services available to plan members. It also summarizes covered services for telehealth technologies, reimbursement structure, service requirements, and more.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
15 Jan

Health Net

This useful PDF describes telehealth programs and services available to plan members.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
15 Jan

Central California Alliance for Health

This detailed provider manual outlines operational policies and procedures for the Central California Alliance for Health.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
15 Jan

Magellan Telehealth Billing Instructions

These PDFs provide commercial plan information and billing insights for Magellan Telehealth.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
15 Jan

Partnership HealthPlan of California

This document outlines telehealth services available to Partnership HealthPlan of California (PHC) members, along with general reimbursement policies.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
15 Jan

TriCare

TriCare covers the use of interactive audio/video technology to provide clinical consultations and office visits where appropriate and medically necessary. This manual summarizes guidelines for qualified providers delivering these services.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
15 Jan

United Healthcare – Medicare

This document outlines telehealth services for which UnitedHealthcare will consider reimbursement.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
15 Jan

United Healthcare – Medicare Advantage Plans

Please note that this information is merely intended to serve as a general reference and overview. It’s not designed to address every aspect of a given clinical scenario.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
15 Jan

United Healthcare – Medicaid Community Plan

This reimbursement policy pertains to UnitedHealthcare community plan Medicaid products.

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16 Jan

UnitedHealthcare – HMO, EPO, POS (Virtual Visits)

This document provides some general reimbursement guidelines for the specified managed care plans.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
31 Mar

Aetna Better Health of California

This document outlines telehealth services and general reimbursement policies available for Aetna Better Health Of California. Last revision 2021.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
01 Apr

Anthem Blue Cross of California

This document outlines telehealth services and general reimbursement policies available for Anthem Blue Cross Of California. Last revision 2021.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
01 Apr

Contra Costa Health Plan

This document outlines telehealth services and general reimbursement policies available for Contra Costa Health Plan. Last revision January 2021.

Comments are Closed / Managed Care Plans,Reimbursement / Read More
01 Apr

Molina Healthcare of California

This document outlines telehealth services and general reimbursement policies available for Molina Healthcare of California. Last revision 2021. CLICK

Comments are Closed / Managed Care Plans,Reimbursement / Read More
01 Apr

San Francisco Health Plan

This document outlines telehealth services and general reimbursement policies available for San Francisco Health Plan. Last revision December 2020.

Comments are Closed / Managed Care Plans,Reimbursement / Read More

The Psychology Interjurisdictional Compact (PSYPACT)

Approved in February 2015 by the ASPPB Board of Directors, the Psychology Interjurisdictional Compact (PSYPACT) has been created to facilitate telehealth and temporary in-person, face-to-face practice of psychology across jurisdictional boundaries. PSYPACT is an interstate compact, which is an agreement between states to enact legislation and enter into a contract for a specific, limited purpose or address a particular policy issue.

Learn More About PSYPACT

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California Telehealth Resource Center

The California Telehealth Resource Center (CTRC) is a leading source of knowledge and education for telehealth providers, patients, and safety net populations across California. A proud part of the National Consortium of Telehealth Resource Centers.

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The California Telehealth Resource Center (CTRC) and all resources and activities produced or supported by the CTRC are made possible by grant number U1UTH42520-01-01 from the Office for the Advancement of Telehealth, Health Resources and Services Administration, DHHS. This information or content and conclusions are those of the CTRC and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. The information and tools presented on the California Telehealth Resource Center’s (CTRC) website are intended for general information purposes only and are not intended or implied to be a substitute for professional legal and billing advice. We recommend discussing billing and legal decisions with your organization’s compliance officer to ensure agreement or consulting with an attorney regarding any legal issue. All materials are strictly for informational and educational purposes only.
  • About CTRC
    • Our Mission
    • What We Offer
    • How We Do it
    • Our Team
  • Tools and Resources
    • For Providers
    • Patient Resources
    • Legislative & Reimbursement Policy
    • Remote Patient Monitoring
    • School-Based Telehealth
    • Videos
    • Sustainability Calculator
    • Equipment Selection Tool
    • CTRC Blogs
    • CTRC Newsletters
  • Training and Education
    • Telehealth Online Courses
    • TeleHealth Course Finder
    • National Consortium of TRCs
    • Telehealth Summit
  • Events Calendar
  • Contact Us
California Telehealth Resource Center