Page 40 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
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50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Georgia
PARITY:
Private Insurance A Georgia’s parity law was enacted in
Medicaid C 2006 which includes coverage under
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State Employee Health Plan A state-employee health plans.
MEDICAID SERVICE
COVERAGE & CONDITIONS Medicaid
OF PAYMENT: Medicaid imposes restrictions on the
Patient Setting C patient settings, covered services and
Eligible Technologies F designates eligible distant site
Distance or Geography A providers and provider settings as a
Restrictions condition of payment.
Eligible Providers F Includes school-based clinic as an
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Physician-provided Services C originating site.
Mental/behavioral Health B Medicaid also places frequency limits
Services on some covered telemedicine
Rehabilitation N/A services.
Home Health F Coverage for interactive audio-video
Informed Consent F only.
Telepresenter B Requires written informed consent
INNOVATIVE PAYMENT and provider on the premises.
OR SERVICE DELIVERY
MODELS: Innovation
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State-wide Network ✔ Georgia Partnership for Telehealth
Medicaid Managed Care creates and provides multi-point web
Medicare-Medicaid Dual ✔ access to new and existing
Eligibles telemedicine providers all over the
Health Home state.
HCBS Waiver The state will cover mental health
Corrections ✔ services via telemedicine for dual
Other eligible beneficiaries in SNFs.
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American Telemedicine Association
2015
