<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.09.49.07" title_num="10" subtitle_num="09" chapter_num="49" heading="Limitations.">
  <paragraph num="A.">
    <text>A service delivered via telehealth is subject to the same program restrictions, preauthorizations, limitations, and coverage that exist for services delivered in person.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A service delivered via telehealth does not include:</text>
    <paragraph num="(1)">
      <text>An electronic mail message between a health care provider and a patient;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A facsimile transmission between a health care provider and a patient; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A telephone conversation, electronic mail message, or facsimile transmission between providers without direct interaction with the patient.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Store and forward technology does not meet the Maryland Medical Assistance Program's definition of telehealth. The Maryland Medical Assistance Program covers services such as dermatology, ophthalmology, and radiology according to COMAR 10.09.02.07.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The provider may not bill the Maryland Medicaid Assistance Program for services delivered via telehealth when technical difficulties preclude the delivery of all or part of the telehealth session.</text>
  </paragraph>
  <paragraph num="E.">
    <text>The Department may not reimburse for services that:</text>
    <paragraph num="(1)">
      <text>Require in-person evaluation; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Cannot be reasonably delivered via telehealth as specified in provider specific COMAR chapters, and subregulatory guidance issued by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>A provider may not bill for facility, room, or board charges for telehealth visits if a professional fee can be billed separately.</text>
  </paragraph>
</regulation>