Page 58 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
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50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Nevada
PARITY:
Private Insurance F Bordered by AZ, CA and OR which
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Medicaid C have parity laws. Legislation
State Employee Health Plan F introduced in 2015 to ensure
MEDICAID SERVICE telemedicine parity under private
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COVERAGE & CONDITIONS insurance and Medicaid.
OF PAYMENT: Regulations were approved in 2014 to
Patient Setting C require coverage of telemedicine for
Eligible Technologies F injured employees as a condition of
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Distance or Geography A workers compensation.
Restrictions
Eligible Providers C Medicaid
Physician-provided C Medicaid removed the rural only
Services restriction and now covers
Mental/behavioral Health B telemedicine state-wide.
Services The program still imposes restrictions
Rehabilitation F on the patient setting, covered
Home Health F services and designates eligible
Informed Consent A distant site providers as a condition of
Telepresenter A payment.
INNOVATIVE PAYMENT Medicaid also places frequency limits
OR SERVICE DELIVERY on some covered telemedicine
MODELS: services.
State-wide Network Some telemedicine services require at
Medicaid Managed Care least 1 in-person visit.
Medicare-Medicaid Dual Coverage for interactive audio-video
Eligibles only.
Health Home Requires telepresenter on premises
HCBS Waiver and unspecified method of obtaining
Corrections ✔ patient informed consent.
Other
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American Telemedicine Association
2015
