Telehealth service” means a health service, other than a telemedicine medical service or a teledentistry dental service, delivered by a health professional licensed, certified, or otherwise entitled to practice in this state and acting within the scope of the health professional’s license, certification, or entitlement to a patient at a different physical location than the health professional using telecommunications or information technology.
“Telemedicine medical service” means a health care service delivered by a physician licensed in this state, or a health professional acting under the delegation and supervision of a physician licensed in this state, and acting within the scope of the physician’s or health professional’s license to a patient at a different physical location than the physician or health professional using telecommunications or information technology.
“Teledentistry dental service” means a health care service delivered by a dentist, or a health professional acting under the delegation and supervision of a dentist, acting within the scope of the dentist’s or health professional’s license or certification to a patient at a different physical location than the dentist or health professional using telecommunications or information technology.
SOURCE: TX Insurance Code Sec. 1455.001 (refers to Occupations Code Sec. 111.001). (Accessed Apr. 2025)
Workers Compensation Health Care Networks
Telehealth service, telemedicine medical service, and teledentistry dental service–Have the meanings assigned by Occupations Code §111.001, concerning Definitions.
SOURCE: TX Administrative Code Title 28, Part 1 Ch. 10, Rule 10.2 (Accessed Apr. 2025).
Worker’s Compensation Effective Jun 1, 2025
“Telemedicine services” means telemedicine medical services as defined in Occupations Code §111.001.
The term includes an examination by a treating doctor to certify maximum medical improvement (MMI), conducted on or after June 1, 2025, under §§130.1 and 130.2 of this title (relating to Certification of Maximum Medical Improvement and Evaluation of Permanent Impairment) to determine whether an injured employee has reached MMI, that meets the following conditions:
- the injured employee has been examined by the treating doctor for the condition in question at least once before the examination to certify MMI;
- the injured employee consents to the examination to certify MMI by telemedicine; and
- the condition in question qualifies as a minor injury, such as §130.2(a)(2) of this title contemplates, requires no additional treatment, and has resulted in no impairment.(B) The term does not include an examination to assign an impairment rating conducted under §130.1 of this title.
“Telehealth services” means telehealth services as defined in Occupations Code §111.001.
The term includes an examination by a treating doctor to certify MMI, conducted on or after June 1, 2025, under §§130.1 and 130.2 of this title (relating to Certification of Maximum Medical Improvement and Evaluation of Permanent Impairment) to determine whether an injured employee has reached MMI, that meets the following conditions:
- the injured employee has been examined by the treating doctor for the condition in question at least once before the examination to certify MMI;
- the injured employee consents to the examination to certify MMI by telehealth; and
- the condition in question qualifies as a minor injury, such as §130.2(a)(2) of this title contemplates, requires no additional treatment, and has resulted in no impairment.
The term does not include an examination to assign an impairment rating conducted under §130.1 of this title.
“Teledentistry services” means teledentistry dental services as defined in Occupations Code §111.001.(c) Except as provided in subsection (d) of this section, a health care provider must bill for telemedicine, telehealth, and teledentistry services according to applicable:
- Medicare payment policies, as defined in §134.203 of this title (relating to Medical Fee Guideline for Professional Services);
- Medicaid payment policies, in accordance with the dental fee guideline in §134.303 of this title (relating to 2005 Dental Fee Guideline);
- MMI billing requirements in §134.250 of this title (relating to Maximum Medical Improvement Evaluations and Impairment Rating Examinations by Treating Doctors); and
- provisions of Chapter 133 of this title.
SOURCE: TX Admin Code Title 28, Part 2, Subch B, 28 TAC 133.30, (Accessed Apr. 2025).
READ LESS