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Amendments to payor rules for providing telemedicine services

March 16, 2020

The best recommendation to meet HIPAA compliance for software platforms is to utilize your EHR/practice management telemedicine options or a third party HIPAA compliant telemedicine system. 

CMS guidelines

  • The originating site has been removed and services can be provided to patients who are at home.
  • Telehealth can be provided by two way video as well as “audio and video capabilities that are used for two-way, real-time interactive communication”, a smartphone.


United Health Care




Certain payors have elected to waive co-pays for telehealth services for the next 90 days. Below is a detail of payors plan for co-pays as of 3.16.20

Payor Plan for co-payment
Aetna Waiving next 90 days
BCBS Depends on plan if co-pay will be waived
Humana Waiving for urgent care needs
HMO Depends on plan if co-pay will be waived
UHC Not waiving co-pay as of 3.16.20
Cigna Not waiving co-pay as of 3.16.20

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