Page 32 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
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50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Arizona
PARITY:
Private Insurance C Arizona’s partial parity law was
Medicaid 24-25 B enacted in 2013. Coverage under
State Employee Health Plan C private plans is much more
MEDICAID SERVICE prescriptive and applies to rural areas
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COVERAGE & CONDITIONS and only 7 health services.
OF PAYMENT:
Patient Setting A Medicaid
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Eligible Technologies B Arizona is a unique state with
Distance or Geography A considerable and varying service
Restrictions coverage under its Medicaid FFS,
Eligible Providers C managed care plans, and Indian
Physician-provided B Health Service.
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Services Service coverage is unique in that it
Mental/behavioral Health B includes echocardiography, retinal
Services screening, medical nutrition therapy
Rehabilitation F and patient education for diabetes and
Home Health B chronic kidney disease care.
Informed Consent B The eligible distant site provider and
Telepresenter C patient site varies according to the
INNOVATIVE PAYMENT participating AHCCCS program.
OR SERVICE DELIVERY Does not cover for the use of RPM.
MODELS:
State-wide Network ✔ Innovation
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Medicaid Managed Care ✔ AZ Telemedicine Program offers
Medicare-Medicaid Dual clinical, educational, and
Eligibles administrative services via
Health Home telemedicine across the state.
HCBS Waiver
Corrections ✔
Other
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American Telemedicine Association
2015
