Page 62 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 62
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
New York
PARITY:
Private Insurance B New York parity law enacted in 2014
Medicaid B and amended in 2015. The law
State Employee Health Plan B requires telehealth parity under
MEDICAID SERVICE private insurance, Medicaid, and state
COVERAGE & CONDITIONS employee health plans. The law does
OF PAYMENT: restrict the patient setting as a
Patient Setting C condition of payment. 166-167
Eligible Technologies B Medicaid
Distance or Geography A
Restrictions The new law permits Medicaid to
Eligible Providers C cover telehealth via interactive audio-
video, store-and-forward, and home
Physician-provided B 168
171
Services remote patient monitoring.
Mental/behavioral Health B Restrictions are placed on the patient
Services settings and types of providers
Rehabilitation B eligible to render the service and
reimburse.
Home Health F Speech language pathologist and
Informed Consent A audiologist are covered under the new
Telepresenter A law.
INNOVATIVE PAYMENT Innovation
OR SERVICE DELIVERY CMS approved duals proposal
MODELS: includes coverage for telemedicine.
169
State-wide Network CMS approved health home proposal
172
Medicaid Managed Care ✔ gives provider the option to use
Medicare-Medicaid Dual ✔ technology conferencing tools
Eligibles including audio, video and/or web
Health Home ✔ deployed solutions to support care
HCBS Waiver management/coordination
Corrections activities. 170
Other
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American Telemedicine Association
2015
