Page 71 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 71
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
South Dakota
PARITY:
Private Insurance F Bordered by MT which has a parity
Medicaid B law. No history of proposed
203
State Employee Health Plan F legislation within the past 2 years.
MEDICAID SERVICE
COVERAGE & CONDITIONS Medicaid
OF PAYMENT: Coverage for telemedicine under
Patient Setting C Medicaid is above average. The
Eligible Technologies 204-205 B agency imposes restrictions on the
Distance or Geography A patient settings, covered services and
Restrictions designates eligible distant site
Eligible Providers A providers as a condition of payment.
Physician-provided B SD Medicaid no longer includes
Services phone calls and store-and-forward
Mental/behavioral Health B under its telemedicine definition.
Coverage for interactive audio-video
Services and RPM only.
Rehabilitation F
206
Home Health F Innovation
Informed Consent A Received grant from US Bureau of
Telepresenter A Justice Assistance to implement
INNOVATIVE PAYMENT telehealth drug treatment program for
202
OR SERVICE DELIVERY nonviolent offenders.
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
