Page 55 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
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50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Missouri
PARITY:
Private Insurance A MO’s private insurance parity law
Medicaid C was enacted in 2013 and included
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State Employee Health A coverage for state employee health
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Plan plans.
MEDICAID SERVICE
COVERAGE & CONDITIONS Medicaid
OF PAYMENT: Coverage for telemedicine under
Patient Setting C Medicaid is about average. The
Eligible Technologies F agency imposes restrictions on
Distance or Geography A covered services and designates
Restrictions certain patient settings (excluding the
Eligible Providers F home and school) and eligible distant
Physician-provided B site providers (physicians, advanced
Services registered nurse practitioners, and
Mental/behavioral Health B psychologists as a condition of
Services 134-136 payment.
Rehabilitation F Coverage for interactive audio-video
Home Health F only.
Informed Consent F Requires written informed consent
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Telepresenter B and telepresenter on premises.
INNOVATIVE PAYMENT A number of bills have been
OR SERVICE DELIVERY introduced in 2015 to expand
MODELS: telehealth coverage in schools, home,
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State-wide Network ✔ as well as home RPM and store-and-
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Medicaid Managed Care forward.
Medicare-Medicaid Dual
Eligibles Innovation
Health Home Missouri Telehealth Network offers
HCBS Waiver clinical, educational, emergency and
Corrections ✔ disaster preparedness, and technical
Other assistance via telemedicine across the
state.
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American Telemedicine Association
2015
