Telepsychiatry in New Jersey

Telepsychiatry can be used to augment behavioral health services in a variety of facilities including hospitals, federally qualified health centers, community clinics, correctional facilities, outpatient offices, primary care offices, crisis centers, schools, geriatric facilities and more. 

New Jersey Telemedicine Law 

New Jersey’s telemedicine law went into effect July 21, 2017. The law establishes telemedicine practice standards and imposes telehealth coverage requirements for Medicaid and commercial health plans.  

Reimbursement 

  • Medicare only reimburses for telehealth services that are provided to a patient at one of 11 outlined originating sites and that site has to be located in a health professional shortage area (HPSA or a county outside a metropolitan statistical area (MSA).  
  • Private payers and NJ Medicaid are required to reimburse telehealth services on the same basis as in-person services 

Telemedicine Prescribing 

  • A provider may prescribe medications via telemedicine only after establishing a valid provider-patient relationship. A valid provider-patient relationship may be established via telemedicine without an in-person exam.  
  • For controlled substance prescribing via telemedicine, prescribing Schedule II drugs is prohibited unless an initial in-person examination has been conducted. Additionally, subsequent in-person exams are required every three months for the duration the Schedule II controlled substance is prescribed.  
    • The in-person examination requirement for Schedule II substances does not apply for the prescription of stimulant drugs for a patient under the age of 18 as long as the provider uses interactive, real-time, two-way audio video technology and the patient’s parents has provided written consent to waive the in-person exam.  

Cross State Licensing 

  • Clinicians need to hold a New Jersey license in order to provide telepsychiatry services to patients located in New Jersey. 
  • New Jersey is not yet a member of the Interstate Medical Licensure Compact (IMLC) 
  • Recently enacted legislation to join the Nurse Licensure Compact. Implementation date yet to be determined.  

Helpful Resources