Page 70 50 State Telemedicine Gaps Analysis Coverage and Reimbursement

50 State Telemedicine Gaps Analysis: Coverage & Reimbursement

Telemedicine in

South Carolina

PARITY:
Private Insurance F  Bordered by GA which has a parity
Medicaid C law. No telemedicine parity
200
State Employee Health Plan F legislation introduced in 2015.
MEDICAID SERVICE
COVERAGE & CONDITIONS Medicaid
OF PAYMENT:  Medicaid imposes restrictions on the
Patient Setting C covered services, patient settings and
Eligible Technologies C designates eligible distant site

Distance or Geography A providers as a condition of payment.
Restrictions  Coverage for interactive audio-video
Eligible Providers F only and RPM for chronic disease
Physician-provided B management in the home under their
Services HCBS waiver.
Mental/behavioral Health B  Medicaid requires a telepresenter for
all audio-video related telemedicine
Services
Rehabilitation N/A encounters.
Home Health F Innovation
Informed Consent A  State-wide telepsychiatry network. 199
Telepresenter C  OB/GYN Telemedicine
INNOVATIVE PAYMENT demonstration project went into
OR SERVICE DELIVERY effect in July 2014. The project will
MODELS: leverage telemedicine to enhance
State-wide Network ✔ access to obstetric and gynecological
Medicaid Managed Care services for women in 4 rural

Medicare-Medicaid Dual counties.
Eligibles
Health Home
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HCBS Waiver ✔
Corrections
Other ✔

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American Telemedicine Association
2015