R414-42-3. Covered Services

(1) Medicaid covers telehealth services when performed via synchronous care. Telecommunication technologies that support synchronous care include any: (a) live two-way video with face-to-face interaction between the member and the provider using audio-visual communication, including e-visits through an online patient portal; and (b) audio-only visit. (2) A licensed provider may deliver services via synchronous telehealth, as clinically appropriate. The types of services a licensed provider may deliver via synchronous telehealth include: (a) advanced care planning; (b) behavioral health, including services addressing substance use disorders; (c) diabetes self-management; (d) end-stage renal disease-related services; (e) health assessments; (f) medication therapy management; (g) nutritional therapy; (h) speech and hearing; and (i) tobacco cessation. (3) There are no geographic restrictions surrounding the use of telehealth services. (4) Medicaid covers audio-only synchronous care, or care that does not clinically require visual inspection, for a limited number of services specified in the Utah Medicaid provider manual. (5) Medicaid does not cover asynchronous services, including remote patient monitoring. (6) Medicaid does not cover services delivered via telehealth that Medicaid would not otherwise cover.