The Health Resources and Services Administration (HRSA) has published a Program Assistance Letter (PAL) recognizing the potential for telehealth to expand and improve access to health center patients. The PAL clarifies how health centers can utilize telehealth within their scope of project, how such services should be documented and when services may be considered an “Other Line of Business.” There are a number of issues that health centers need to consider when providing services via telehealth including provider licensure, informed consent, fraud and abuse laws, billing and payments and liability concerns. The Pennsylvania Department of Human Services payment policy currently limits FQHC/RHC telehealth to telepsychiatry.
