Page 42 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 42
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Idaho
PARITY:
Private Insurance F Bordered by MT and OR which have
Medicaid 68-70 F private insurance parity laws. No
State Employee Health Plan F telemedicine parity law and no
MEDICAID SERVICE history of proposed legislation within
COVERAGE & CONDITIONS the past 2 years.
OF PAYMENT:
Patient Setting A Medicaid
Eligible Technologies F Covers limited physician-provided
Distance or Geography C mental and behavioral health
Restrictions services, as well as some services for
Eligible Providers F children with developmental
Physician-provided Services B disabilities.
Mental/behavioral Health B Although no specific patient setting is
Services specified, coverage is limited to
Rehabilitation F patients located in rural areas or
Home Health F outside of a metropolitan statistical
Informed Consent F area.
Telepresenter A Coverage for interactive audio-video
INNOVATIVE PAYMENT only.
OR SERVICE DELIVERY Requires written informed consent.
MODELS:
State-wide Network
Medicaid Managed Care
Medicare-Medicaid Dual
Eligibles
Health Home
HCBS Waiver
Corrections
Other
Page | 37
American Telemedicine Association
2015
