Page 30 50 State Telemedicine Gaps Analysis Coverage and Reimbursement

50 State Telemedicine Gaps Analysis: Coverage & Reimbursement

Telemedicine in

Alabama

PARITY:

Private Insurance F  AL is bordered by GA, MS, and TN
Medicaid C which enacted private insurance parity
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State Employee Health Plan F laws. AL has not proposed parity
MEDICAID SERVICE legislation within the past 2 years.
COVERAGE & CONDITIONS
OF PAYMENT: Medicaid
Patient Setting C  Limited patient settings include hospital,
physician’s office, FQHC, CAH, RHC,
Eligible Technologies B CMHC. The home is recognized as an
Distance or Geography A originating site under the Health Home
Restrictions model for RPM use only.
Eligible Providers F  Eligible providers are restricted to
Physician-provided Services B MDs/DOs, PAs, and NPs for physician
Mental/behavioral Health B and mental health services.
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Services  Requires written informed consent and a
Rehabilitation F telepresenter on the premises.
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Home Health F
Informed Consent F Innovation
Telepresenter B  CMS approved Health Home program

INNOVATIVE PAYMENT based off of the successful Patient 1st
medical home model uses home health
OR SERVICE DELIVERY nurses employed by the Department of
MODELS: Health to remotely monitor vital signs
State-wide Network for patients with diabetes, hypertension,
Medicaid Managed Care and congestive heart disease. Although
Medicare-Medicaid Dual the use of RPM was approved for this
Eligibles program, there is no mention of using
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Health Home ✔ other telemedicine modalities.
HCBS Waiver

Corrections ✔
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Other ✔

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American Telemedicine Association
2015