Page 50 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
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50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Maryland
PARITY:
Private Insurance A Maryland’s private insurance parity
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Medicaid C law was enacted in 2012.
State Employee Health Plan B The parity law also applies to the
MEDICAID SERVICE fully insured health plan offerings for
COVERAGE & CONDITIONS Maryland’s state employees.
OF PAYMENT:
Patient Setting C Medicaid
Eligible Technologies F MD Medicaid issued new rules
Distance or Geography A effective October 2014. Despite
Restrictions having statutory authority to cover
Eligible Providers F and reimburse for all services
Physician-provided Services B appropriately provided via
Mental/behavioral Health B telemedicine the new rules place
Services limits on allowable patient settings
Rehabilitation N/A and types of providers who may
Home Health F render and get reimbursed for
Informed Consent A telemedicine.
Telepresenter B The state no longer has 2 distinct
INNOVATIVE PAYMENT telemedicine programs for rural
OR SERVICE DELIVERY patients and stroke/cardiovascular
MODELS: services.
State-wide Network Telemedicine must enable the patient
Medicaid Managed Care ✔ “to see and interact” with the health
Medicare-Medicaid Dual care provider. The agency does not
Eligibles cover RPM or store-and-forward.
Health Home Distant site and originating site
HCBS Waiver providers must have formal
Corrections ✔ agreements detailing their
telemedicine service delivery plan.
Other
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American Telemedicine Association
2015
