Telemedicine in Indiana : Policies
Indiana has made some great strides forward in their telemedicine policy in the last few years. Indiana’s telemedicine parity law went into effect in 2015, requiring private payers and Medicaid to cover telehealth services. And in 2017, Indiana Governor Eric Holcomb signed HB 1337, which allows healthcare providers to prescribe controlled substances based on a telehealth visit and without an in-person exam.
The Telehealth Provider Certification is required by Indiana Code 25-1-9.5. In order for a practitioner to practice telehealth in Indiana, a copy of their individual certification and their employer’s certification must be filed with the Indiana Professional Licensing Agency. This certification is to ensure that the practitioner and their employer voluntarily agree to be subject to the jurisdiction of Indiana courts and Indiana substantive and procedural laws concerning the care of an individual who is located in Indiana at the time of service. These certifications must be completed before the provider may establish a provider-patient relationship for an individual in Indiana.
Both the practitioner and the employer certifications can be filed online. To begin that process, please utilize the button below and login to your Access Indiana account. Additional information on creating or using your Access Indiana account may be found at the bottom of the page.
Telemedicine Definitions under Indiana State Law
The State of Indiana enacted it’s telemedicine parity law in 2015 and has since made significant progress in updating its telemedicine laws and policies to improve access to remote healthcare services and incentivize providers to embrace telemedicine.
The Indiana Code (IN Code, 27-8-34 & 27-13-1-34) defines “telemedicine services” as healthcare services delivered through interactive audio, video, and other electronic means of communication.
According to IN Admin. Code, telemedicine services include:
- Medical examinations and consultations
- Behavioral health, including substance abuse evaluations and treatment
The initial definition of telemedicine in the State of Indiana highlights the fact that telemedicine does not include:
- A telephone transmitter for transtelephonic monitoring
- A telephone consultation or any other means of communication for the consultation between two providers
Apart from providing the early definition of telemedicine in Indiana, the state’s parity law set forth legal guidelines for the coverage of telemedicine services by private payers, which are still in effect.
Under Indiana law, accident and sickness insurance policies and individual/group contracts must provide coverage for telemedicine services under the same criteria that are applicable to in-person medical care.
Indiana’s parity law also states that private payers cannot enforce a dollar maximum for telemedicine services. The same applies to deductibles and coinsurance amounts that are less favorable for covered individuals than those applied to the same services that are delivered in-person.
What’s interesting to note is that Indiana’s telemedicine parity law explicitly excludes dental and vision insurance.
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