Delaware’s Medicaid Program, known as the Diamond State Health Plan (DSHP), covers live video telemedicine services. However, store-and-forward telemedicine, which involves sending clinical information to another site for evaluation, and remote patient monitoring are not covered under DSHP.
|Reimbursement for: Live video
|Reimbursement for: Two-way audio and visual connections, remote monitoring, store-and-forward
|Telemedicine services are reimbursed at the same rate as in-person services.
According to the 2018 Delaware Parity Law, all private payers must reimburse telemedicine services at the same rate as services performed in-person. Reimbursement for live video telemedicine services is covered under the Medicaid State Plan.
It’s always a good idea to contact your insurance carrier for the most up-to-date information regarding coverage, so you don’t get extra bills due to specific types of telemedicine not being eligible for reimbursement. In Delaware, Medicaid requires patients to receive telemedicine services from an eligible host site, such as their home or daycare center.
Eligible Health Care Providers
Delaware Medicaid reimburses the following telemedicine providers:
The list of eligible providers for private payers includes the above health care workers and workers in these services:
You can have medicine prescribed for you as long as you have a previous relationship with a provider and the patient-provider relationship has been verified. Controlled substances are permitted for online prescribing as long as the circumstances are approved by the Delaware Board of Pharmacy. Delaware law strictly prohibits the prescribing of medicine without a prior patient-provider relationship.
Professional medical professionals can treat physical, mental, and behavioral health issues through telehealth. Many online doctors in Delaware provide telemedicine services, so how do you know which ones to pick? Consider these crucial factors when selecting an online health care professional.
As telemedicine services continue to expand, so do the rules and regulations surrounding the field. When using these services, you want to have the most up-to-date information, including the rules regarding eligible health care providers and services covered by Delaware Medicaid. Learn more about telemedicine in Delaware by visiting the following resources: