Texas Workers' Compensation

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§ 133.30. Telemedicine and Telehealth Services

(a) This section applies to medical billing and reimbursement for telemedicine and telehealth services provided on or after September 1, 2018, to injured employees in the Texas workers’ compensation system, including injured employees subject to a workers’ compensation health care network established under Insurance Code Chapter 1305.

(b) For the purposes of this section:

(1) “telemedicine services” means telemedicine medical services as defined in Occupations Code §111.001; and

(2) “telehealth services” means telehealth services as defined in Occupations Code §111.001.

(c) Except as provided in subsection (d) of this section, a health care provider must bill for telemedicine and telehealth services according to applicable:

(1) Medicare payment policies, as defined in §134.203 of this title; and

(2) provisions of Chapter 133 of this title.

(d) A health care provider may bill and be reimbursed for telemedicine or telehealth services regardless of where the injured employee is located at the time the telemedicine or telehealth services are provided.

(e) The provisions of this section take precedence over any conflicting provisions adopted or utilized by the Centers for Medicare and Medicaid Services in administering the Medicare program.

The provisions of this §133.30 adopted to be effective May 6, 2018, 43 TexReg 2587.

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At a Glance:

Title:

§ 133.30. Telemedicine and Telehealth Services

Title:

Title 28. Insurance

Status:

Current

Usage:

New Law Rule

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