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                                                                                 Center for Connected Health Policy

           Wyoming


             Program Name: Wyoming Medicaid

           Administrator: Office of Equality Care, under the Wyoming Dept. of Health.

           Regional Telehealth Resource Center:
           Northwest Regional Telehealth Resource Center
                  th
           2900 12  Ave. N., Ste. 30W
           Billings, MT 59101
           (888) 662-5601
           www.nrtrc.org


            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

            Definition of telemedicine/telehealth
            "Telemedicine means the practice of medicine by    “Telehealth is the use of an electronic media to link
            electronic communication or other means from a     beneficiaries with health professionals in different
            physician in a location to a patient in another location,   locations.”
            with or without an intervening health care provider.”
                                                               Source: WY Dept. of Public Health Insurance, Medicaid, General
            Source: WY Statutes Sec. 33-26-102.                Provider Information, p. 108 (Dec. 11, 2014).

            Live Video Reimbursement
            No reference found.                                Reimbursement is made for exams performed via a real-
                                                               time interactive audio and video telecommunications
                                                               system. The patient must be able to see and interact
                                                               with the off-site practitioner during the exam. A medical
                                                               professional is not required to be present with the client
                                                               at the originating site unless medically indicated.


                                                               Source: WY Dept. of Public Health Insurance, Medicaid, General
                                                               Provider Information, p. 107-108 (Dec. 11, 2014).

                                                               Eligible providers:

                                                                   •   Physicians;
                                                                   •   Advanced practice nurses with a specialty of
                                                                       psychiatry/mental health;
                                                                   •   Physician’s assistant (billed under the
                                                                       supervising physician);
                                                                   •   Psychologists and neuropsychologists;
                                                                   •   Mental health professionals (LCSW, LPC,
                                                                       LMFT, LAT).
                                                                   •   Speech therapist

                                                               Provisionally licensed mental health professionals
                                                               cannot bill Medicaid directly, but must provide services
                                                               through a supervising provider.

                                                               For end-stage renal disease-related services, there must
                                                               be at least one in-person exam per month of the vascular
                                                               access site.


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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

                                                               Quality assurance/improvement activities relative to
                                                               telehealth delivered services need to be identified,
                                                               documented and monitored. An evaluation process must
                                                               also be instituted.

                                                               Progress notes should indicate the visit took place via
                                                               teleconference.

                                                               Source: WY Dept. of Public Health Insurance, Medicaid, General
                                                               Provider Information, p. 108-111 (Dec. 11, 2014).
            Store and Forward Reimbursement

            No reference found.                                Wyoming Medicaid states that reimbursement is made for
                                                               exams performed via a real-time interactive audio and
                                                               video.

                                                               Source: WY Dept. of Public Health Insurance, Medicaid, General
                                                               Provider Information, p. 108-111 (Dec. 11, 2014).
            Remote Patient Monitoring Reimbursement
            No reference found.                                No reference found.

            Email/Phone/FAX
            No reference found.                                No reimbursement for email.
                                                               No reimbursement for telephone.
                                                               No reimbursement for FAX.

                                                               Source: WY Dept. of Public Health Insurance, Medicaid, General
                                                               Provider Information, p. 109 (Dec. 11, 2014).
            Online Prescribing

                                                               No reference found.
            Prescribing a controlled substance through the Internet,
            World Wide Web or any similar proprietary or common
            carrier electronic system without a documented
            physician-patient relationship is subject to review,
            discipline and consequences to license.

            Source: WY Statutes Annotated Sec. 33-26-402 (2012).
            Consent
            Written or oral consent required for physical therapy.   If the patient and/or legal guardian indicate at any point
                                                               that he/she wants to stop using the technology, the
            Source: Code of WY Rules 006-062-001 (2012).       service should cease immediately and an alternative
                                                               appointment set up.

                                                               Source: WY Dept. of Public Health Insurance, Medicaid, General
                                                               Provider Information, p. 110 (Dec. 11, 2014).
            Location
            No reference found.                                Eligible originating sites:

                                                                   •   Hospitals;
                                                                   •   Physician or practitioner offices (includes
                                                                       medical clinics);


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                                                                                 Center for Connected Health Policy

            STATE LAW/REGULATIONS                              MEDICAID PROGRAM

                                                                   •   Psychologists or neuropsychologists offices;
                                                                   •   Community mental health or substance abuse
                                                                       treatment centers (CMHC/SATC);
                                                                   •   Advanced practice nurses with specialty of
                                                                       psychiatry/mental health offices;
                                                                   •   Office of a Licensed Mental Health Professional;
                                                                   •   Federally Qualified Health Centers;
                                                                   •   Rural Health Clinics;
                                                                   •   Skilled nursing facilities;
                                                                   •   Indian Health Services Clinics;
                                                                   •   Hospital-based or Critical Access Hospital-
                                                                       based renal dialysis centers (including
                                                                       satellites).
                                                                   •   Development Center

                                                               Independent renal dialysis facilities are not eligible
                                                               originating sites.

                                                               A medical professional is not required to be present at
                                                               the originating site, unless medically indicated.

                                                               Each site is able to bill their own services as long as they
                                                               are an enrolled Medicaid provider (includes out-of-state
                                                               Medicaid providers).

                                                               Source: WY Dept. of Public Health Insurance, Medicaid, General
                                                               Provider Information, p. 108-111 (Dec. 11, 2014).
            Cross-State Licensing
            No reference found.                                No reference found.

            Private Payers
            No reference found.                                No reference found.
            Site/Transmission Fee

            No reference found.                                Yes, for originating site fees.
                                                               No reimbursement for transmission fees.

                                                               Source: WY Dept. of Public Health Insurance, Medicaid, General
                                                               Provider Information, p. 110 (Dec. 11, 2014).
            Miscellaneous

                                                               No reimbursement for patient attendants who instruct
                                                               the patient on the use of equipment or
                                                               supervises/monitors a patient during the telehealth
                                                               encounter.

                                                               No reimbursement for consults between health
                                                               professionals.

                                                               Source: WY Dept. of Public Health Insurance, Medicaid, General
                                                               Provider Information, p. 110 (Dec. 11, 2014).





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