WYOMING TELEMEDICINE LAW
Like many other states, Wyoming is getting closer every day to better coverage for telemedicine.Without a telemedicine parity law in place, there’s no guarantee that private payers will receive reimbursement for telemedicine services, which isn’t great news. Additionally, Wyoming’s Medicaid program doesn’t cover store-and-forward or home monitoring services, which freezes out a big population of patients.
On the bright side, Wyoming has adopted legislation to join the Interstate Medical Licensure Compact! This will help Wyoming become more accessible for out-of-state telemedicine practitioners. Additionally, the state has loose restrictions on provider and patient locations, which opens up telemedicine to a wider population of Wyoming residents.
Ready to find out more about Wyoming’s telemedicine policy? Keep on reading.
Parity Law
Since Wyoming has no parity law, there is no guarantee that private payers will cover telemedicine services.
Type of Telemedicine Covered
Wyoming Medicaid states that reimbursement is made for exams performed via a real-time interactive audio and video, but no other types of telehealth.
Covered Health Services
Along with primary care services, Wyoming’s Medicaid program also covers services provided by substance abuse and addiction specialists, as well as nutrition patient education and speech therapy.
Billing Codes
Originating sites may use these CPT codes to bill for telemedicine services, and may bill their own services as long as they are an enrolled Medicaid provider. This includes out-of-state Medicaid providers.
Don’t forget your GT Modifier!
99241 – 99275 and 99241 – 99255, Consultations
99201 – 99215, Office or other outpatient visits
90804 – 90809, Individual psychotherapy
90862, Pharmacologic management
90801, Psychiatric diagnostic interview examination
G0308, G0309, G0311, G3012, G0314, G0315,
G0317, and G0318, End-stage renal disease related services
G0270, 97802, 97803, Individual medical nutrition therapy
Eligible Healthcare Providers
Eligible telehealth providers in Wyoming include:
Physicians
Advanced practice nurses with a specialty of psychiatry/mental health
Physician’s assistant (billed under the supervising physician
Psychologists and neuropsychologists
Mental health professionals (LCSW, LPC, LMFT, LAT)
Speech therapists
Online Prescriptions
In order to prescribe following a telemedicine visit, the provider and patient must have an established relationship, which can be established via telemedicine.
Informed Patient Consent
Written or oral consent is required for physical therapy. For all telemedicine services, if at any time during the virtual visit the patient wishes to stop, the provider must cease the visit and set up an alternative appointment.
Interstate Telemedicine Licensing
Great news! Wyoming is part of the Interstate Medical Licensure Compact. For more information on what that means, read this.
Restrictions on Locations
These locations are eligible originating sites:
Hospitals
Physician or practitioner offices (includes medical clinics)
Psychologists or neuropsychologists
Community mental health or substance abuse treatment centers (CMHC/SATC)
Advanced practice nurses with specialty of psychiatry/mental health offices
Office of a licensed mental health professional;
Federally Qualified Health Centers
Rural Health Clinics
Skilled nursing facilities
Indian Health Services Clinics
Hospital-based or Critical Access Hospital-based renal dialysis centers (including satellites)
Development Center
Other Reimbursable Fees
Originating sites may receive reimbursement for a site fee, but not for transmission fees.
Reimbursement Rates
Under Medicaid, reimbursement for telemedicine services is equivalent to the same services rendered in-person.
Helpful Resources