Arizona SB1089 Fact Sheet

Arizona State legislature passed SB1089, to expand insurance coverage for telehealth services, including Medicaid, and increase accessibility across the state of Arizona without penalty.  Updates to Arizona’s revised statutes will go into effect December 31, 2020.

  • Mandates that commercial health plans cover medical services delivered via telemedicine at the same rate as in-person care, expanding and clarifying their overall parity policy:
    • “that a health plan may not limit or deny coverage of health care services delivered via telemedicine and may only apply the same limits or exclusions on services delivered via telemedicine that are applicable to an in-person consultation for the same service.”
  • Expanded the parity law to be broadly inclusive, allowing all specialties to deliver covered services via telemedicine.
  • Eliminates geographic restrictions – both urban and rural areas receive equal opportunities.
  • Originating site restrictions have been removed – meaning the home now qualifies as an originating site.
  • Expands the definition of telemedicine to include asynchronous services, remote patient monitoring (RPM), and store-and-forward into the definition of telemedicine, expanding reimbursement options to this area:
    • “the interactive use of audio, video or other electronic media, including asynchronous store-and-forward technologies and remote patient monitoring technologies, for the purpose of diagnosis, consultation or treatment.”  

Compliance for telemedicine providers is now required with Arizona healthcare regulatory boards, as opposed to accreditation standards of national associations of medical professionals.

Eliminating restrictions and expanding provider opportunities is the ideal combination to allow telemedicine implementation to flourish through the state of Arizona.  For more information on telemedicine reimbursement, including Medicare and Medicaid, click our Arizona State Reimbursement Map.