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                                                                                 Center for Connected Health Policy

           Arkansas


           Medicaid Program:  Arkansas Medicaid

           Program Administrator: Arkansas Department of Human Services

           Regional Telehealth Resource Center
           South Central Telehealth Resource Center
           4301 W. Markham St. #519
           Little Rock, AR 72205
           (855) 664-3450
           learntelehealth.org


            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

            Definition of telemedicine/telehealth
            “Telemedicine means an interactive telecommunications  Arkansas Medicaid defines telemedicine services as
            system that: Utilizes information technology, audio,   “medical services performed as electronic transactions
            video and other appropriate elements, and is compatible  in real time. In order for a telemedicine encounter to be
            with other telemedicine networks; and is used for the   covered by Medicaid, the practitioner and the patient
            purpose of enhancing the delivery of medical information  must be able to see and hear each other in real time.”
            and health care to medical facilities in rural and urban
            areas throughout Arkansas.”                        Source: 016 06 06 Code of AR Rules and Regs. (CARR) 024
                                                               (2012).
            Source: AR Code Annotated Sec. 10-3-1702  (2012)
                                                                 The Medicaid manual describes telemedicine as,
                                                                “Interactive electronic consultations are physician
                                                                consultations, “face-to-face” in real time, via two-way
                                                                electronic data exchange.”

                                                               Source: AR Provider Manual, Section II: Physician/Independent
                                                               Labe/CRNA/Radiation Therapy Center, p. 34.
            Live Video Reimbursement
            No reference found.                                Arkansas Medicaid will reimburse for up to two visits per
                                                               patient, per year.  A benefit extension request may be
                                                               approved if it is medically necessary.

                                                                Covered visits:

                                                                   •   Consults;
                                                                   •   Fetal echography and echocardiography;
                                                                   •   Non-emergency visits in a physician’s office, a
                                                                       clinic or a hospital outpatient department;
                                                                   •   Inpatient hospital visits;
                                                                   •   Federally Qualified Health Centers (FQHC)
                                                                       encounters.

                                                               Source: AR Provider Manual, Section II: Physician/Independent
                                                               Lab/CRNA/Radiation Therapy Center, p. 71.

                                                               Source: (fetal echography and echocardiography): AR Provider
                                                               Manual, Section II: Hospital/CAH/End Stage Renal Disease, p. 32.
                                                               and Section II: Rural Health Clinics, p. 6.

                                                               Source (FQHC only): AR Provider Manual, Section II: Federally

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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

                                                               Qualified Health Center, p. 11.

                                                               There is reimbursement for live video for “Telepsych”
                                                               services under the Rehabilitative Services for Persons
                                                               with Mental Illness (RSPMI) program.  See Medicaid
                                                               manual for list of rehabilitative services that can be
                                                               provided through telemedicine to beneficiaries under
                                                               age 21 and above age 21.
                                                               Note: These services are only available when, at a
                                                               minimum, the Arkansas Telehealth Network (ATN)
                                                               recommended audio video standards for real-time, two-
                                                               way interactive audiovisual transmissions are met.
                                                               Providers also must be able to link or connect to ATN, to
                                                               ensure HIPAA compliance. Providers must receive prior
                                                               authorization.

                                                               Source: AR Provider Manual, Section II: Rehabilitative Services
                                                               for Persons with Mental Illnesses, p. 15.
            Store and Forward Reimbursement
            (See Medicaid column)                              Arkansas Medicaid defines telemedicine as “Interactive
                                                               electronic consultations are physician consultations,
                                                               “face-to-face” in real time, via two-way electronic data
                                                               exchange.” This would exclude store and forward.

                                                               Source: AR Provider Manual, Section II: Physician/Independent
                                                               Labe/CRNA/Radiation Therapy Center, p. 34.


            Remote Patient Monitoring Reimbursement

            No reference found.                                No reference found.
            Email/Phone/FAX

            No reference found.                                No reference found.
            Online Prescribing
            Without a prior and proper patient-provider relationship,   No reference found.
            providers are prohibited from issuing prescriptions solely
            in response to an Internet questionnaire, an Internet
            consult, or a telephone consult.

            Source: AR Code Annotated Sec. 17-92-1003 (2012).

            Consent
            No reference found.                                No reference found.
            Location

            Patients must be in a physician’s office or a hospital.   Eligible Originating Site

            Source: 016 06 Code of AR Rules and Regs. (CARR) 036 (2012).   •   In-patient or non-emergency hospital
                                                                   •   Physician office or clinic
                                                                   •   Ambulatory surgical center
                                                                   •   FQHC; or


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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

                                                                   •   Emergency department.

                                                               Source: AR Provider Manual, Section II: Physician/Independent
                                                               Lab/CRNA/Radiation Therapy Center, p. 132.
            Cross-State Licensing
            An out of state physician utilizing an electronic medium   No reference found.
            who performs an act that is part of a patient care service
            that was initiated in Arkansas, including interpretation of
            an X-ray, that would affect the diagnosis or treatment, is
            engaged in the practice of medicine and subject to
            regulation by the Arkansas State Medical Board.

            Source: AR Code Revised 17-95-206 (2012)

            Private Payers
            No reference found.                                No reference found.
            Site/Transmission Fee

            No reference found.                                No reference found.
            Miscellaneous

            The Board of Examiners in Speech-Language Pathology
            and Audiology defines “telepractice” as telespeech,
            teleaudiology, teleSLP, telehealth or telerehabilitation
            when used separately or together.

            It defines “telepractice service” as the application of
            telecommunication technology equivalent in quality to
            services delivered face-to-face to deliver speech-
            language pathology or audiology services, or both, at a
            distance for assessment, intervention or consultation, or
            both.

            Source: AR Code Sec. 17-100-103.





























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