Texas
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Texas Reimbursement Model
- The Medicaid agency recognizes physician consultations (teleconsultations) when performed using interactive video teleconferencing.
- Payment is on a fee-for-service basis, which is the same as the reimbursement for covered services furnished in the conventional, face to face manner. Reimbursement is made at both ends (hub and spoke site) for the telemedicine services. Other health care providers, such as advanced nurse practitioners and certified nurse midwives are allowed to bill, as are Rural Health Clinics and Federally Qualified Health Centers.
- The State uses consultative CPT codes with the modifier "TM" to identify telemedicine services
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