Louisiana has parity for telehealth services, which means Medicaid pays providers the same amount for telemedicine services as they do for services provided in person. Private insurers cover telemedicine services delivered via two-way communication tools.
|Reimbursement for: Diagnosis and treatment of acute and chronic health conditions, remote patient monitoring, psychotherapy, and medication management; excludes store-and-forward services||Reimbursement for: All telehealth services delivered via two-way communication technology (audio and video)||Telehealth providers must charge at least 75% of the normal fee for an intermediate office visit.|
Louisiana’s parity law requires doctors, nurses, and other providers to charge at least 75% of the normal fee for an intermediate office visit when they deliver telehealth services to patients with private insurance. Under Louisiana law, Medicaid reimburses health care providers for telemedicine services at the same rate it reimburses providers for services delivered in person.
In 2020, the Louisiana legislature passed SB27, which goes into effect in July 2021. Under SB27, Louisiana will become part of the Interstate Medical Licensure Compact, making it easier for physicians to practice in multiple states. Once the law goes into effect, physicians from other states will be able to provide telehealth services to patients in Louisiana, provided they meet the eligibility requirements.
To be eligible, a physician must be a graduate of an accredited medical school, hold a current specialty certification, and have passed each step of the United States Medical Licensing Examination or equivalent with no more than three attempts on any of the three steps. Physicians who want to deliver telehealth services in Louisiana under the Interstate Medical Licensure Compact must also have no criminal history, no record of disciplinary actions against their medical licenses, and no history of actions related to the misuse of controlled substances.
Louisiana also belongs to the Nurse Licensure Compact, which gives nurses in other states the opportunity to provide telehealth services to patients in Louisiana if they meet certain eligibility requirements.
Eligible Health Care Providers
Under Louisiana law, only certain health care professionals qualify to receive Medicaid reimbursement for telehealth services. All providers must be licensed or certified by the state to deliver health care within their scope of practice. The list of eligible providers includes the following:
Providers are allowed to engage in online prescribing if they establish a physician-patient relationship with each patient. To do this, a provider must verify the patient’s identity, conduct an appropriate examination, discuss the benefits and risks of any treatment options, and make sure the patient has access to appropriate follow-up care. It’s not necessary to perform a physical examination if the physician can obtain enough information via telehealth technology to make a diagnosis.
If your current health care provider doesn’t offer telemedicine services, you may want to look for a doctor, physician or nurse practitioner who can manage your medical care via two-way communication technology. Take the following steps to find a telemedicine provider you can trust.
Stay informed about Louisiana telehealth regulations by visiting these websites.