Page 45 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
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50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Iowa
PARITY:
Private Insurance F Bordered by MO which has a private
Medicaid C insurance parity law. In 2015,
State Employee Health Plan F numerous bills were introduced to
MEDICAID SERVICE ensure telemedicine parity coverage
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COVERAGE & CONDITIONS for private insurance and Medicaid.
OF PAYMENT:
Patient Setting A Medicaid
Eligible Technologies F IA Medicaid will cover some mental
Distance or Geography B health services via telemedicine
Restrictions offered through their contracted
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Eligible Providers F plan.
Physician-provided Services F
Mental/behavioral Health B Innovation
Services IA’s health home proposal was
Rehabilitation F approved by CMS. IA will provide
Home Health F services to individuals with 2 chronic
Informed Consent A conditions including 24/7 access to
Telepresenter B the care team that includes but is not
INNOVATIVE PAYMENT limited to a phone triage system with
OR SERVICE DELIVERY appropriate scheduling during/after
MODELS: regular business hours to avoid
State-wide Network unnecessary ER visits and
Medicaid Managed Care hospitalizations. Use of email, text
Medicare-Medicaid Dual messaging, patient portals and other
Eligibles technology as available to the
Health Home ✔ practice to communicate with patients
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HCBS Waiver is encouraged.
Corrections
Other
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American Telemedicine Association
2015
