Page 65 50 State Telemedicine Gaps Analysis Coverage and Reimbursement

50 State Telemedicine Gaps Analysis: Coverage & Reimbursement

Telemedicine in

Ohio

PARITY:
Private Insurance F  No telemedicine parity law. SB 32
Medicaid C introduced in 2015 to establish
State Employee Health Plan F telehealth parity under private
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MEDICAID SERVICE insurance and Medicaid.
COVERAGE & CONDITIONS Medicaid
OF PAYMENT:  New Medicaid regulations expand
Patient Setting C telemedicine coverage to include
Eligible Technologies F consultations by physicians and a
Distance or Geography B limited selection of practitioners. The
Restrictions new rules also requires that the distant
Eligible Providers C and originating site be at least 5 miles
Physician-provided B away. 180
Services  Coverage also includes school-based
Mental/behavioral Health B speech therapy, behavioral health
Services 183-187 counseling and therapy, mental health
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Rehabilitation B assessment, pharmacological
Home Health F management, and community

Informed Consent F psychiatric supportive treatment
Telepresenter A service via interactive audio-video
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INNOVATIVE PAYMENT only.
OR SERVICE DELIVERY  Medicaid allows beneficiaries to
MODELS: choose the patient location when
State-wide Network telemedicine is used for some
mental/behavioral health services.
Medicaid Managed Care ✔  Requires written informed consent for
Medicare-Medicaid Dual mental and behavioral health services.
Eligibles
Health Home ✔ Innovation

HCBS Waiver  CMS approved health home proposal
Corrections ✔ allows service delivery via in-person,
Other by telephone, or by video
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conferencing.

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American Telemedicine Association
2015