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                                                                                 Center for Connected Health Policy

           Delaware


           Medicaid Program:  Delaware Medical Assistance Program

           Program Administrator:  Delaware Health and Social Services Dept., Division of Social Services

           Regional Telehealth Resource Center:
           Mid-Atlantic Telehealth Resource Center
           PO Box. 800711
           Charlottesville, VA 22908-0711
           (434) 906-4960 / (855) MATRC4U
           www.matrc.org

           Recent Policy Developments:
           In July 2012, the state Medicaid program began reimbursing for telemedicine services. This decision was made
           administratively, with no change in state law.

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM
            Definition of telemedicine/telehealth
            “Telehealth, as set forth in the Board’s rules and   “Telemedicine is the use of telecommunication and
            regulations, means the use of electronic           information technologies to provide clinical health care
            communications to provide and deliver a host of health-  at a distance”.
            related information and healthcare services, including
            physical therapy and athletic training related information   Source: DE Dept. of Health and Social Svcs., Press Release
            and services, over large and small distances.      DHSS-59-2012, (Jun. 27, 2012).
            Telehealth encompasses a variety of healthcare and
            health promotion activities, including education, advice,
            reminders, interventions, and monitoring of intervention.”

            Source: DE Code. Title 24, Sec. 2602.

            Live Video Reimbursement
            No reference found.                                The Delaware Medical Assistance Program will
                                                               reimburse for “telemedicine-delivered services.”

                                                               Source: DE Dept. of Health and Social Svcs., Press Release
                                                               DHSS-59-2012, (Jun. 27, 2012).

                                                               The GT modifier (which indicates the service occurred
                                                               via interactive audio and video telecommunication
                                                               system) can be used for Early and Periodic Screening,
                                                               Diagnostic and Treatment Services through the School
                                                               Based Health Services program.

                                                               Source: DE School Based Health Services Specific Policy Manual,
                                                               pg. 62  (May 19, 2013).
            Store and Forward Reimbursement
            No reference found.                                No reference found.

            Remote Patient Monitoring Reimbursement
            No reference found.                                No reference found.
            Email/Phone/FAX

            No reference found.                                Federally Qualified Health Centers

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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

                                                               Telephone consultations are covered services that are
                                                               included in the payment made to the FQHC and should
                                                               not be billed as an encounter.

                                                               Source: Delaware FQHC Provider Specific Policy Manual, pg. 5
            Online Prescribing
            Pharmacists are prohibited from dispensing prescription  No reference found.
            drug orders through an Internet pharmacy if the
            pharmacist knows that the prescription order was issued
            solely on the basis of an Internet consultation or
            questionnaire, or medical history form submitted to an
            Internet pharmacy through an Internet site.

             Source: DE Code, Title 16 Sec. 4744 (2012).
            Consent

            No reference found.                                No reference found.
            Location

            No reference found.                                Eligible originating sites:
                                                                   •   Hospitals;
                                                                   •   Federally qualified health centers (FQHC);
                                                                   •   Public health clinics;
                                                                   •   Program for All-Inclusive Care for the Elderly
                                                                       (PACE) centers.

                                                               Source: DE Dept. of Health and Social Svcs., Press Release
                                                               DHSS-59-2012, (Jun. 27, 2012).
            Cross-State Licensing

            No reference found.                                No reference found.
            Private Payers
            No reference found.                                No reference found.

            Site/Transmission Fee
            No reference found.                                The originating site will be reimbursed a facility fee for
                                                               the telemedicine space and equipment.

                                                               Source: DE Dept. of Health and Social Svcs., Press Release
                                                               DHSS-59-2012, (Jun. 27, 2012).
            Miscellaneous


           Comments:

                         New Legislation Passed Relating to:
                             •   Physical Therapists and Athletic Trainers (Source: DE Statute Title 24, Sec. 2602)







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