Page 56 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 56



50 State Telemedicine Gaps Analysis: Coverage & Reimbursement




Telemedicine in




Montana



PARITY:

Private Insurance A  MT’s private insurance parity law
Medicaid C was enacted in 2013 and includes
139
State Employee Health Plan A coverage for state employee health
138
MEDICAID SERVICE plans.
COVERAGE & CONDITIONS
OF PAYMENT: Medicaid
Patient Setting A  Coverage for telemedicine under
Eligible Technologies F Medicaid is about average. The
Distance or Geography A agency imposes restrictions on
Restrictions covered services when provided by
Eligible Providers F physicians only.
Physician-provided B  Coverage for interactive audio-video
Services only.
Mental/behavioral Health B
Services
Rehabilitation F
Home Health F
Informed Consent A
Telepresenter A

INNOVATIVE PAYMENT
OR SERVICE DELIVERY
MODELS:
State-wide Network
Medicaid Managed Care ✔
Medicare-Medicaid Dual
Eligibles
Health Home
HCBS Waiver
Corrections
Other





Page | 51
American Telemedicine Association
2015

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