Live Video Reimbursement (see Medicaid column) Forward Health will reimburse for medical and mental/behavioral health services via live video. Eligible services: • Office or other outpatient services; • Office or other outpatient consults; • Initial inpatient consults; • Outpatient mental health services; • Health and behavior assessment/intervention; • End stage renal disease-related services; • Outpatient substance abuse services. Eligible providers: • Physicians and physician clinics; 1 ]]> For mental/behavioral health services, BadgerCare Plus, a plan under Forward Health, will reimburse mental health and substance abuse services the same way it reimburses for in-person. BadgerCare Plus reimburses only one of the sites, not both. BadgerCare Plus will not accept claims from individual professionals in private practice. Source: WI Forward Health, Wisconsin Medicaid Provider Manual, Adult Mental Health Day Treatment, Policy 510. (accessed Jan. 21, 2015) Please note: The same information is repeated in other mental/behavioral health provider manuals. < https://www.forwardhealth.wi.gov/WIPortal/Online%20Handbooks/D isplay/tabid/152/Default.aspx?ia=1&p=1&sa=1&s=2&c=61&nt=Tele medicine> 2 ]]> Remote Patient Monitoring Reimbursement No reference found. No reference found. Email/Phone/FAX "Telehealth" does not include telephone conversations No reimbursement for email or Internet-based or Internet-based communications between providers or communications. between providers and individuals. No reimbursement for telephone. No reference found for FAX. Source: Wisconsin Statute 94.45 (29w). Source: WI Forward Health, Covered and non-covered services, Physician, (accessed Jan. 21, 2015). Online Prescribing No reference found. No reference found. Consent No reference found. Providers should develop their own methods of informed consent. Source: WI Forward Health, Covered and non-covered services, Physician, (accessed Jan. 21, 2015). Location No reference found. No reference found. Cross-State Licensing No reference found. No reference found. Private Payers No reference found. No reference found. Site/Transmission Fee No reference found. Reimbursement for originating site facility fees. Eligible originating sites: • Physician offices; • Hospitals (inpatient or outpatient, excluding emergency rooms); • Any other appropriate place of service with necessary equipment and staffing. The originating site may not be an emergency room. An originating site facility fee is not an RHC/FQHC service, and may not be reported as an encounter on cost reports. Any reimbursement for the originating site facility fee must be reported as a deductive value. Outpatient hospitals will receive only a facility fee. Wisconsin Medicaid will not separately reimburse the rate-per-visit for that member, unless the patient receives other covered services on the same date. Source: WI Forward Health, Covered and non-covered services, Physician, (accessed Jan. 21, 2015). Miscellaneous 4 ]]> 5 ]]>