Page 35 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 35
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Colorado
PARITY:
Private Insurance A Colorado enacted a law to improve
Medicaid 49-50 B the existing parity law and remove
State Employee Health Plan A the rural restrictions. Effective 2017,
MEDICAID SERVICE the state will have state-wide
COVERAGE & CONDITIONS telehealth parity coverage for all
OF PAYMENT: private and state employee health
45
Patient Setting A plans in the state.
Eligible Technologies C
Distance or Geography A Medicaid
Restrictions CO Medicaid imposes restrictions on
Eligible Providers C covered services and designates
Physician-provided Services B certain provider types to render the
Mental/behavioral Health B service.
Services The program will pay certain
Rehabilitation B facilities an originating site but that
Home Health C does not limit reimbursement to a
Informed Consent F distant site provider if a patient is
Telepresenter A located elsewhere.
INNOVATIVE PAYMENT Coverage for interactive audio-video
OR SERVICE DELIVERY only for physician, mental/behavioral
MODELS: health services, and speech therapy
51
State-wide Network ✔ services.
Medicaid Managed Care ✔ Coverage only for RPM for chronic
52
Medicare-Medicaid Dual disease management under the home
46-48
health benefit.
Eligibles
Health Home Requires written informed consent.
HCBS Waiver Rural and distance restrictions are
Corrections applied under managed care plan.
Other
Innovation
Colorado Telehealth Network
supports broadband connections of
many institutions state-wide.
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American Telemedicine Association
2015
