Page 3 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
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50 State Telemedicine Gaps Analysis: Coverage & Reimbursement


Table of Contents

Executive Summary ........................................................................................................................ 1
Purpose ............................................................................................................................................ 4

Overview ......................................................................................................................................... 4

Assessment Methods ....................................................................................................................... 5
Scoring ........................................................................................................................................ 5

Limitations .................................................................................................................................. 5

Indicators ........................................................................................................................................ 6
Parity ........................................................................................................................................... 6

Private Insurance ..................................................................................................................... 6
Medicaid .................................................................................................................................. 7

State Employee Health Plans ................................................................................................... 8

Medicaid Service Coverage & Conditions of Payment .............................................................. 9
Patient Setting .......................................................................................................................... 9

Eligible Technologies ............................................................................................................ 12
Distance or Geography Restrictions ...................................................................................... 13

Eligible Providers .................................................................................................................. 14

Physician-provided Telemedicine Services ........................................................................... 16
Mental and Behavioral Health Services ................................................................................ 17

Rehabilitation Services .......................................................................................................... 18

Home Health Services ........................................................................................................... 19
Informed Consent .................................................................................................................. 21

Telepresenter ......................................................................................................................... 21
Innovative Payment or Service Delivery Models ..................................................................... 22

State Report Cards ........................................................................................................................ 24
Alabama .................................................................................................................................... 25

Alaska ........................................................................................................................................ 26

Arizona ...................................................................................................................................... 27
Arkansas .................................................................................................................................... 28

California ................................................................................................................................... 29

Colorado .................................................................................................................................... 30
American Telemedicine Association
2015

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