The AHCCCS offers reimbursement for live video, store-and-forward, and remote patient monitoring provided for specific services. If you’re a private payer, you’re entitled to telemedicine coverage as long as the specified service would normally be covered during an in-person consultation. There’s no telehealth payment parity in Arizona — telehealth coverage is only available for a specific list of conditions and problems.
|Reimbursement for: Live video, store-and-forward, and remote patient monitoring.||Reimbursement for: Specified health care services||No explicit payment parity|
While Arizona has addressed many aspects of telemedicine in laws and statutes, payment parity is still open to discussion. Telehealth services are covered if they would have been covered in-person, but the payment percentage has not been stated. Before signing up for a telehealth service, ask what your out-of-pocket costs will be after your insurance has paid their portion. This can help prevent surprise bills after the fact.
If you’re privately insured, you should investigate limits based on location. Telehealth services must be delivered to patients in rural areas with less than 900,000 people. While there are restrictions on your region’s demographics, some providers do cover care outside of these areas. If you qualify for Arizona Medicaid, eligible telemedicine services are covered whether you live in a rural and urban area.
Eligible Health Care Providers
To receive reimbursement for telemedicine services, your provider must be on the approved list and licensed in the state. In Arizona, there are separate lists of providers for live video, store-and-forward, and remote patient monitoring services.
Arizona Medicaid reimburses the following telemedicine providers:
Your online doctor can call in your prescription as long as the patient-provider relationship has been previously validated. Depending on the prescribed substance, validation requires a physical or mental health examination. You can get prescriptions refilled online through certain insurance providers.
There are many online doctors in Arizona available to assist you with your behavioral or physical health issues. When researching which doctor is right for you, consider these factors to help make your decision:
Learn more about telemedicine in Arizona, including updates to coverage and providers, by visiting our list of resources.