Page 63 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 63
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
North Carolina
PARITY:
Private Insurance F Bordered by GA and VA which have
175
Medicaid B private insurance parity laws. HB
State Employee Health Plan F 723 introduced in 2015 would
MEDICAID SERVICE establish telehealth parity for all
173
COVERAGE & CONDITIONS health insurers in the state.
OF PAYMENT:
Patient Setting C Medicaid
Eligible Technologies F Medicaid imposes restrictions on the
Distance or Geography A patient settings, covered services and
Restrictions designates eligible distant site
Eligible Providers F providers as a condition of payment.
Physician-provided B Coverage for interactive audio-video
Services only.
Mental/behavioral Health B Requires a provider to be on the
Services premises with the patient.
Rehabilitation N/A
Home Health F Innovation 174
Informed Consent A State-wide telepsychiatry network.
Telepresenter B
INNOVATIVE PAYMENT
OR SERVICE DELIVERY
MODELS:
State-wide Network ✔
Medicaid Managed Care
Medicare-Medicaid Dual
Eligibles
Health Home
HCBS Waiver
Corrections
Other
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American Telemedicine Association
2015
