April 14, 2020
On April 3, 2020, the Commissioner of Insurance promulgated Regulation 20-E-05 requiring carriers to reimburse providers for the provision of telehealth services during the COVID-19 nationwide public health emergency. The regulation requires insurers to reimburse providers for telehealth service at rates that are at least the same as those paid for the in-person equivalent and that behavioral health services provided via telehealth have parity with medical services. It prohibits carriers from imposing limits on technologies to telehealth, and from imposing additional certification and training requirements. The regulation also mandates coverage of telehealth by out-of-network providers if they provide “medically necessary” services.
The rule is primarily directed at insurers. However, employers should also be aware of these developments.
Emergency Rule 20-E-05 »