Page 66 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 66
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Oklahoma
PARITY:
Private Insurance A OK’s private insurance parity law
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Medicaid C was enacted in 1997.
State Employee Health Plan F
MEDICAID SERVICE Medicaid
COVERAGE & CONDITIONS Regulations have been proposed and
OF PAYMENT: are under review as of April 2015.
Patient Setting C The rules will remove the originating
Eligible Technologies C site and geography restrictions as
Distance or Geography C well as expand coverage to include
Restrictions other services.
Eligible Providers C Medicaid currently imposes
Physician-provided B restrictions on the patient settings,
Services covered services and designates
Mental/behavioral Health B eligible distant site providers as a
condition of payment.
Services
Rehabilitation N/A 1 of 3 states with coverage for
Home Health F services provided by a behavioral
Informed Consent F analyst. These specialists are critical
for the treatment of autism spectrum
Telepresenter C disorders.
INNOVATIVE PAYMENT Coverage is limited to originating
OR SERVICE DELIVERY sites located in rural areas.
MODELS:
State-wide Network Coverage for interactive audio-video
only.
Medicaid Managed Care ✔ Medicaid requires written informed
Medicare-Medicaid Dual consent from patient before a
Eligibles telemedicine encounter and a
Health Home telepresenter.
HCBS Waiver
Corrections ✔
Other
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American Telemedicine Association
2015
