Page 41 50 State Telemedicine Gaps Analysis Coverage and Reimbursement

50 State Telemedicine Gaps Analysis: Coverage & Reimbursement

Telemedicine in

Hawaii

PARITY:
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Private Insurance A  Hawaii’s private insurance parity law
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Medicaid F was enacted in 1999. In 2014, the
State Employee Health Plan B Governor approved legislation

MEDICAID SERVICE improving the existing parity law
COVERAGE & CONDITIONS with requirements for payment parity
OF PAYMENT: and inclusion of other health care
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Patient Setting C providers.
Eligible Technologies F  HI self-funds some of their state
Distance or Geography C employee health plan offerings but
Restrictions has fully insured HMO. The parity
Eligible Providers C law applies to those plans offered
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Physician-provided Services B under the HMO.
Mental/behavioral Health B
Services Medicaid
Rehabilitation F  Coverage for telemedicine under
Home Health F Medicaid is about average. The
Informed Consent A agency imposes restrictions on
Telepresenter A covered services and is limited to

INNOVATIVE PAYMENT originating sites located in rural
OR SERVICE DELIVERY areas.
MODELS:  Medicaid also places frequency limits
State-wide Network on some covered telemedicine
Medicaid Managed Care services.
Medicare-Medicaid Dual  Coverage for interactive audio-video
Eligibles only.
Health Home
HCBS Waiver
Corrections
Other

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American Telemedicine Association
2015