Receive useful, cutting-edge information about telehealth:Sign up for emails
Search
search topic
MainSession ScheduleSpeakersSponsors & ExhibitorsPhoto Gallery

Utah

UT State Law Telemedicine/Telehealth Definition

"Digital health service means the electronic transfer, exchange, or management of related data for diagnosis, treatment, consultation, educational, public health, or other related purposes.”

Source: UT Code Annotated Sec. 26-9f-102

UT Medicaid Program Telemedicine/Telehealth Definition

Telehealth or Telemedicine is a technological method of providing auditory and visual connection between the skilled home health care nurse at a Telehealth site and the patient living in a rural Utah area.No reference found.

Source: Utah Medicaid Provider Manual: Home Health Agencies, p. 20 (Oct. 2013).
UT State Law Live Video Reimbursement

Utah’s Medical Assistance Program recognizes “communication by telemedicine as face to face contact between a health care provider and a patient.”

Reimbursement may be based on:

A monthly reimbursement rate;
A daily reimbursement rate; or
An encounter rate.

Source: UT Code Annotated Sec. 26-18-13.


UT Medicaid Program Live Video Reimbursement

Utah’s Medical Assistance Program recognizes “communication by telemedicine as face to face contact between a health care provider and a patient.”

Reimbursement may be based on:

A monthly reimbursement rate;
A daily reimbursement rate; or
An encounter rate.

Medically necessary diagnostic and therapeutic services, appropriate for the adequate diagnosis or treatment of some Special Health Care Needs Children, are covered services. The services include:

Initial physician consultation;
Confirmatory consultations; and
Follow-up consults.

The service and codes will be limited to those which might be appropriate for evaluation and consultation without hands-on-care.

Providers are limited to physicians and dietitians working through the University of Utah telehealth site as participants in the Special Health Care Needs Child project.

Source: UT Code Annotated Sec. 26-18-13 and UT Physician Medicaid Manual, pg. 17 -18, Oct. 2013

There is also live video reimbursement for psychiatry.

Eligible services:

Live video evaluations of rural residents, conducted by a qualified prescriber, to determine need for medication prescription;
Pharmacologic management services for rural residents, where distance and travel time create difficulty with access.

No reimbursement for originating site providers.

Source: UT Div. of Medicaid and Health Financing, Utah Medicaid Provider Manual, Mental Health Centers/Prepaid Mental Health Plans, p. 16 (Oct 2012)
Scroll To Top