Page 34 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
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50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
California
PARITY:
Private Insurance A California’s private insurance parity
Medicaid 38-40 B law was enacted in 1996.
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State Employee Health Plan A
MEDICAID SERVICE Medicaid
COVERAGE & CONDITIONS Coverage for interactive audio-video
OF PAYMENT: and store-and-forward for the
Patient Setting A purposes of dermatology,
Eligible Technologies 41-42 C ophthalmology, and dentistry.
Distance or Geography A Also recognizes OT, PT, speech
Restrictions language therapists, and audiologists
Eligible Providers C as eligible providers of telemedicine
Physician-provided Services B but offers no billing details for
Mental/behavioral Health B rehabilitation services via telehealth.
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Services 2014 law allows verbal or written
Rehabilitation F method of collection to satisfy patient
Home Health F informed consent requirements.
Informed Consent B Therefore, a telepresenter is no longer
Telepresenter A necessary to facilitate this
INNOVATIVE PAYMENT requirement. 35-37
OR SERVICE DELIVERY
MODELS: Innovation
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State-wide Network ✔ California Telehealth Network
Medicaid Managed Care ✔ supports broadband connections of
Medicare-Medicaid Dual many institutions state-wide.
Eligibles
Health Home
HCBS Waiver
Corrections ✔
Other
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American Telemedicine Association
2015
