Montana’s private insurance parity law was enacted in 2013, providing telehealth coverage for private payers and state employee health plans. Montana’s Medicaid program also reimburses for telemedicine, with a few restrictions. Read on to find out more about Montana telemedicine policy!
Unique CPT codes do not exist specifically for telemedicine or telehealth. Instead a modifier is applied to existing codes.
(1) Each group or individual policy, certificate of disability insurance, subscriber contract, membership contract, or health care services agreement that provides coverage for health care services must provide coverage for health care services provided by a health care provider or health care facility by means of telemedicine if the services are otherwise covered by the policy, certificate, contract, or agreement.
(2) Coverage under this section must be equivalent to the coverage for services that are provided in person by a health care provider or health care facility.
(4) Coverage under this section may be subject to deductibles, coinsurance, and copayment provisions. Special deductible, coinsurance, copayment, or other limitations that are not generally applicable to other medical services covered under the plan may not be imposed on the coverage for services provided by means of telemedicine.