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