Telemedicine in Michigan: Policies

Michigan is making steady progress in expanding access to telehealth services in the Wolverine State! In 2014, the state recently decided to remove distance restrictions as an eligibility requirement for patients to receive virtual care. Michigan has also had a telehealth parity law since 2012, requiring coverage by private insurance.

Michigan Telemedicine: Policy, Billing & Reimbursement

• Telemedicine is the use of telecommunication technology to connect a patient with a health care professional in a different location.
• MDHHS requires a real time interactive system at both the originating and distant site, allowing instantaneous interaction between the patient and the health care professional via a telecommunication system.
• The technology must meet the needs of audio-visual compliance in accordance with current regulations and
  industry standards.
• Important: originating and distant site provider must ensure the privacy of the beneficiary as well as the security of any information shared via telemedicine

Types of Services allowed via telemedicine in Michigan

• End Stage Renal Disease services (ESRD) – 90951-90970 (16 services)
• Behavior change intervention (smoking cessation) – 99406-99407 (2 services)
• Behavioral Health &/ or Substance Use Disorder – 90785, 90791 – 90792, 90832
  – 90840, 90846 – 90847, 99354 – 99355 (15 services)
• Education Services – 97802-97804, 99497 -99498, G0420-G0421 (7 services)
• Remote Retinal Imaging, Dx and Management – 92227 and 92228 (2 services)
• Inpatient consultations – 99251-99255, G0425-G0427, G0508-G0509 (10
  services)
• Nursing facility subsequent care – 99307-99310 (4 services)
• Office or other outpatient consultations – 99241-99245 (5 services)
• Office or other outpatient services – 96150 – 96154, 96160 – 9661, 99201 –
  99205, 99211 – 99215 (17 services)
• Psychiatric diagnostic procedures – 96116, 99408-99409 (3 services)
• Subsequent hospital care 99231- 99233, 99356 – 99357, 99495 – 99496, G0406 –
  G0408, G0459 (11 services)
• Training service (Diabetes Self-Management)- G0108-G0109 (2 services)
• Telehealth Site Facility Fee (only allowed at originating site)- Q3014 ( 1 service)

For Additional information please contact us.

Michigan Telemedicine Policy Telemedicine_2019_671338_7

State Policy Overview

• Medicaid
• Private Payers
• Parity