Page 51 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 51
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Massachusetts
PARITY:
Private Insurance F MA is bordered by NH and VT which
Medicaid B have private insurance parity laws.
State Employee Health Plan F No telemedicine parity law despite a
MEDICAID SERVICE number of bills introduced in 2015 to
COVERAGE & CONDITIONS achieve parity under private
OF PAYMENT: insurance, Medicaid and state
107
Patient Setting A employee plans.
Eligible Technologies C
Distance or Geography A Medicaid
Restrictions Offers coverage under select
Eligible Providers A managed care plans but not under
Physician-provided Services A FFS. 108-109
Mental/behavioral Health B Authorized to cover remote
Services monitoring for home health agencies.
Rehabilitation F Rules are in development
Home Health F
Informed Consent A Innovation
Telepresenter A Received grant to establish a National
INNOVATIVE PAYMENT Sexual Assault TeleNursing Center
OR SERVICE DELIVERY that will use telemedicine technology
MODELS: to provide 24/7, 365 day remote
State-wide Network ✔ expert consultation by 24-25 MA
Medicaid Managed Care ✔ Sexual Assault Nurse Examiners
Medicare-Medicaid Dual (SANEs) to clinicians caring for adult
and adolescent sexual assault patients
Eligibles in remote and/or underserved regions
Health Home of the United States.
110
HCBS Waiver Partners Telestroke Network –
Corrections ✔ members receive 24-hour acute
Other neurology/stroke expertise-on-
demand. 111
Page | 46
American Telemedicine Association
2015
