Table 2.

Restrictions by Payer in Missouri for Telemedicine

Payer	Medicare	MO HealthNet (Missouri Medicaid)	Private Payer
Type of telehealth reimbursed	Live-interactive Technology-enabled virtual check-in Store-and-forward to determine whether a visit is needed Inter-professional consultation Store-and-forward in AK&HI	Live-interactive Store-and-forward	Coverage and reimbursement parity: Must allow tele-visits instead of in-person visits Must pay similar amounts for in-person and tele-visits
Originating (patient) site	Physician’s offices Hospitals and clinics	No restrictions	Varies by payer
Eligible practitioners	Physicians Nurse practitioners Physician assistants Certified registered nurse anesthetists Clinical nurse specialists Clinical social workers Nurse midwifes Psychologists Registered dietitians or nutrition professionals	Any licensed physician or other health care practitioner registered with MO HealthNet	Varies by payer