Unlike Medicare’s national program, Medicaid programs differ widely from state to state and can be more comprehensive and flexible than Medicare.

Maryland Medicaid’s telehealth programs for somatic health and behavioral health were originally separated into two different sets of regulations. In 2017, they were consolidated into a single set of telehealth program regulations. Maryland Medicaid has developed its own FAQs page that can be accessed here.

As Medicare has done, Maryland Medicaid does not pay for store-and-forward services under its telehealth program but does classify some common asynchronous procedures – radiology, ophthalmology and dermatology – differently and will pay for those.

In 2018, Medicaid introduced a limited program to cover remote patient monitoring for patients with either congestive heart failure, chronic obstructive pulmonary disease or diabetes who had at least 2 hospital or emergency department visits for that condition in the prior year. A separate set of regulations govern this RPM program. More details of the RPM program plus a pilot RPM program for pediatric asthma can be found here.