Page 49 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 49
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Maine
PARITY:
Private Insurance A Maine’s parity law for Medicaid and
Medicaid 102-103 A private insurance was enacted in 2009
State Employee Health Plan A and also includes coverage for state
100
MEDICAID SERVICE employee health plans.
COVERAGE & CONDITIONS
OF PAYMENT: Medicaid
Patient Setting A No limits on patient setting, covered
Eligible Technologies C services, or eligible providers.
Distance or Geography A Coverage for interactive audio-video
Restrictions as well as audio-only under certain
Eligible Providers A circumstances.
Physician-provided Services A
Mental/behavioral Health A Innovation
Services Maine Telemedicine Services is an
Rehabilitation A open and interoperable network that
Home Health B offers clinical, educational, and
Informed Consent A administrative services via
Telepresenter A telemedicine across the state.
INNOVATIVE PAYMENT Health home proposal was approved
OR SERVICE DELIVERY by CMS. Model includes support for
MODELS: care management/coordination
104
State-wide Network ✔ activities. The health home practice
Medicaid Managed Care and community care team will have
Medicare-Medicaid Dual the option of utilizing technology
Eligibles conferencing tools including audio,
Health Home ✔ video and/or web deployed solutions
to support care
HCBS Waiver management/coordination
Corrections ✔ activities.
101
Other
Page | 44
American Telemedicine Association
2015
