Missouri telepsychiatry


Missouri Telemed
Missouri Telemed
Medicaid Reimbursement
Parity Law
Iris Partnered in Missouri

The Show-Me State is home to the Kansas City Jazz, the Gateway Arch, and quality telepsychiatry services! Telepsychiatry is an innovative practice that allows rural and underserved areas of Missouri to have access to quality mental health care.

Telepsychiatry is widely accepted and utilized by clinicians throughout Missouri. Telemedicine rules and regulations in the state of Missouri are fairly permissive. The University of Missouri is pioneering efforts to “develop, study, and use telehealth solutions that improve access by providing high-value, patient-centered health care and medical education in Missouri and beyond.” The University is home to the Missouri Telehealth Network, which began in 1994 and has since been a great partner to all organizations hoping to implement telehealth services. The Heartland Telehealth Resource Center is the regional group that helps support the utilization of telemed in Missouri. Iris is a proud member of HTRC. They have been a valuable partner in our effort to provide quality telepsychiatry services throughout the state.

Based on these subjects, Iris gives Missouri an A rating for being an awesome state for providing telepsych services. Way to go, Missouri!


Nearly 20 percent of adults in Missouri experience a mental health disorder each year, according to the Missouri Department of Mental Health. That means 862,000 Missouri adults have had a mental illness in the past year. Approximately 419,000 Missourians struggle with a substance abuse disorder and of these, 17,000 of them are between ages 12 to 17. Additionally, more than 10 percent of Missouri adolescents have a major depressive episode every year.

Unfortunately, nearly 100,000 Missourians with serious mental illness do not receive appropriate care. Here’s an even more chilling statistic – there are only 132 child and adolescent psychiatrists in the state. That means for every 100,000 children, there’s only 9 psychiatrists. That’s where we come in.


It’s fairly simple to implement a telepsychiatry program in Missouri so long as you’re equipped with the right knowledge and guidance. There are no specific restrictions related to technology requirements outside of abiding by HIPAA regulations. Healthcare providers must be fully licensed to practice in Missouri by their respective professional boards. Missouri is home to many successful telepsychiatry programs that can be excellent models to help health care systems interested in implementing telemedicine.


According to Missouri State law, “‘telehealth’ or ‘telemedicine’ is the delivery of healthcare services by means of information and communication technologies which facilitate the assessment, diagnosis, consultation, treatment, education, care management, and self-management of a patient’s healthcare while such patient is at the originating site and the health care provider is at the distant site.” It also includes the use of store-and-forward technology.

It is required that telehealth providers obtain patient consent before conducting services. If an originating site is a school, a parent or guardian must give permission for telehealth services. If you have any questions about rules and regulations regarding Missouri telepsychiatry, feel free to contact us.


Reimbursement is available for video services when they are medically necessary. Eligible providers are:

  • Physicians
  • Advanced registered nurse practitioners (including nurse practitioners with a mental health specialty)
  • Psychologists

Reimbursement to the provider is the same amount as it would be for in-person services. It is allowed for services provided through video conferences, but not for email, phone, or fax services. Telehealth reimbursement is limited to the following sites:

  • Consultation made to confirm a diagnosis
  • Evaluation and management services
  • A diagnosis, therapeutic or interpretive service
  • Individual psychiatric or substance abuse assessment diagnostic interview examinations
  • Individual psychotherapy
  • Pharmocologic management (for RHCs)

Originating sites are eligible to receive a facility fee, but distant sites are not. Originating sites must be one of the following:

  • Physician or other health care provider office
  • Hospital
  • Critical Access Hospital
  • Rural Health Clinic
  • Federally Qualified Health Center
  • Missouri state habilitation center or regional office
  • Community mental health center
  • Missouri state mental health facility
  • Missouri state facility

For reimbursement to be delivered, special documentation requirements may apply. Furthermore, a telehealth service must be performed on a private dedicated telecommunications line approved through the Missouri Telehealth Network.


longhorn iris logoIris Telehealth believes that Missouri is a great place to work and play! We are currently providing telepsychiatry services throughout Missouri, including inpatient services and ER consultations for the largest hospital system in the state. If you want access to mental health services to become more available for your community, we’d like to hear your voice. Iris looks forward to forming new partnerships and nurturing our current relationships with our friends in Missouri!