Page 72 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 72
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Tennessee
PARITY:
Private Insurance A TN parity law enacted in 2014 which
Medicaid B includes telemedicine coverage for
State Employee Health Plan A Medicaid, including managed care
MEDICAID SERVICE plans, and state employee health
207
COVERAGE & CONDITIONS plans.
OF PAYMENT:
Patient Setting A Medicaid
Eligible Technologies C Parity law goes into effect 2015. It
Distance or Geography A does not specify patient settings but
Restrictions does include telemedicine when
Eligible Providers A provided to schools and the home
Physician-provided A under the home health benefit. Most
of the state’s Medicaid program
Services operates under managed care.
Mental/behavioral Health A Home health does not include
Services coverage for RPM under new parity
Rehabilitation A law.
Home Health B
Informed Consent A Coverage for interactive audio-video
and store-and-forward.
Telepresenter A
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
