Page 39 50 State Telemedicine Gaps Analysis Coverage and Reimbursement

50 State Telemedicine Gaps Analysis: Coverage & Reimbursement

Telemedicine in

Florida

PARITY:
Private Insurance F  Bordered by GA which has a private
59
Medicaid C insurance parity law. No parity
State Employee Health Plan F legislation introduced in 2015.
MEDICAID SERVICE
COVERAGE & CONDITIONS Medicaid
OF PAYMENT:  Covers a limited number of services

Patient Setting F provided by physicians, NPs, and
Eligible Technologies F PAs.
Distance or Geography A  Originating patient sites are limited to
Restrictions hospitals and physician’s office.
Eligible Providers F  Coverage for interactive audio-video
Physician-provided Services B only.
Mental/behavioral Health B  Requires written informed consent
Services and telepresenter.
Rehabilitation F  FL Medicaid has transitioned a
Home Health F majority of their beneficiaries to
Informed Consent F managed care. Therefore, providers
Telepresenter C have more flexibility to negotiate
INNOVATIVE PAYMENT coverage for telehealth-provided
OR SERVICE DELIVERY services.
MODELS:
State-wide Network
Medicaid Managed Care
Medicare-Medicaid Dual
Eligibles
Health Home

HCBS Waiver
Corrections
Other ✔

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American Telemedicine Association
2015