Page 44 50 State Telemedicine Gaps Analysis Coverage and Reimbursement

50 State Telemedicine Gaps Analysis: Coverage & Reimbursement

Telemedicine in

Indiana

PARITY:
Private Insurance F  Bordered by KY which has a private
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Medicaid B insurance parity law. Telemedicine
State Employee Health Plan F parity legislation HB 1451 and HB
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MEDICAID SERVICE 1269 introduced in 2015.
COVERAGE & CONDITIONS
OF PAYMENT: Medicaid
Patient Setting A  2013 law expanded distant site
Eligible Technologies C providers to include, FQHC, RHC,
Distance or Geography B CMHC, CAH, and home health
Restrictions agency. Rulemaking exempts only
Eligible Providers C those facilities from the 20 mile
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Physician-provided Services B distance restriction.
Mental/behavioral Health B  Agency issued final regulations on
Services “telehealth” coverage under the home
Rehabilitation F health benefit including remote
Home Health F patient monitoring but will not extend
Informed Consent F telemedicine coverage under the
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Telepresenter A benefit.
INNOVATIVE PAYMENT  Requires at least 1 in-person follow-
OR SERVICE DELIVERY up by a physician.
MODELS:  Coverage for interactive audio-video
State-wide Network and RPM.
Medicaid Managed Care ✔  Requires written informed consent.
Medicare-Medicaid Dual
Eligibles
Health Home
HCBS Waiver

Corrections
Other

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American Telemedicine Association
2015