December 22, 2020
On December 15, 2020, the Division of Insurance issued Emergency regulation 20-E-16. It extends coverage and reimbursement for telehealth services during the ongoing public health emergency, by requiring carriers to reimburse providers for the provision of telehealth services. 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 prohibits carriers from imposing limits on technologies to telehealth, and from imposing more certification and training requirements. The regulation also prohibits carriers from requiring providers to provide documentation beyond what is needed for the same service or procedure if performed in-person.
The rule is primarily directed at insurers. However, employers should also be aware of these developments.
Emergency Regulation 20-E-16 »