Page 60 50 State Telemedicine Gaps Analysis Coverage and Reimbursement

50 State Telemedicine Gaps Analysis: Coverage & Reimbursement

Telemedicine in

New Jersey

PARITY:
Private Insurance F  No telemedicine parity law. 2015
157
Medicaid C legislation introduced to provide
State Employee Health Plan F parity under private insurance,
MEDICAID SERVICE managed care plans and state
156
COVERAGE & CONDITIONS employee plans.
OF PAYMENT:
Patient Setting F Medicaid
Eligible Technologies F  Authorized coverage of telemedicine-
Distance or Geography A provided services for the first time in
Restrictions December 2013. Coverage offered
Eligible Providers F under managed care plans but not

Physician-provided B FFS.
Services  Coverage for telepsychiatry only by
Mental/behavioral Health B psychiatrist or psychiatric advance
Services nurse practitioner.
Rehabilitation N/A  Patient setting must be a mental
Home Health F health clinic or outpatient hospital.
Informed Consent B  Coverage for interactive audio-video
Telepresenter B only.
INNOVATIVE PAYMENT  Medicaid requires telepresenter on
OR SERVICE DELIVERY premises and unspecified method of
MODELS: obtaining patient informed consent.
State-wide Network
Medicaid Managed Care ✔
Medicare-Medicaid Dual
Eligibles
Health Home

HCBS Waiver
Corrections
Other

Page | 55
American Telemedicine Association
2015