Page 74 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 74
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Utah
PARITY:
Private Insurance F Bordered by AZ and CO which have
Medicaid C parity laws for private insurance. UT
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State Employee Health Plan F has no history of proposed parity
MEDICAID SERVICE legislation within the past 2 years.
COVERAGE & CONDITIONS
OF PAYMENT: Medicaid
Patient Setting A Medicaid issued a notice clarifying
Eligible Technologies F CMS guidance on telemedicine
Distance or Geography A coverage. UT will cover physician
Restrictions and NP services delivered via
Eligible Providers F telemedicine. However non-medical
Physician-provided A mental and behavioral health
providers are not included in this
Services coverage.
Mental/behavioral Health B
Services No restrictions imposed on patient or
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Rehabilitation F provider settings.
Home Health C Coverage for skilled nursing services
and medication management under
Informed Consent A the skilled nursing home telemedicine
Telepresenter A pilot. 211-212
INNOVATIVE PAYMENT Coverage for interactive audio-video
OR SERVICE DELIVERY only.
MODELS:
State-wide Network ✔ Innovation
Medicaid Managed Care Utah Telehealth Network offers
Medicare-Medicaid Dual clinical, educational, and
Eligibles administrative services via
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Health Home telemedicine across the state.
HCBS Waiver
Corrections
Other
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American Telemedicine Association
2015
