Page 61 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 61
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
New Mexico
PARITY:
Private Insurance A NM’s parity law was enacted in
Medicaid A 2013.
160
158
State Employee Health Plan A
MEDICAID SERVICE Medicaid
COVERAGE & CONDITIONS True parity under NM Medicaid for
OF PAYMENT: FFS and managed care plans. All
Patient Setting A services are covered via telemedicine
Eligible Technologies C including school-based, dental, home
159
Distance or Geography A health, hospice, and rehabilitation.
Restrictions 1 of 3 states with coverage for
Eligible Providers A services provided by a behavioral
Physician-provided A analyst. These specialists are critical
Services for the treatment of autism spectrum
Mental/behavioral Health A disorders.
161
Services No limits on patient setting.
Rehabilitation A No coverage for phone calls or
162
Home Health B remote patient monitoring.
Informed Consent A No coverage for skilled nursing,
Telepresenter A therapies, or RPM under home health
INNOVATIVE PAYMENT benefit.
OR SERVICE DELIVERY
MODELS: Innovation
State-wide Network ✔ New Mexico Telehealth Alliance
163
Medicaid Managed Care 164- ✔ offers technical and program support
165 to ensure coordinated services via
Medicare-Medicaid Dual telemedicine across the state.
Eligibles
Health Home
HCBS Waiver
Corrections ✔
Other
Page | 56
American Telemedicine Association
2015
