Page 75 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 75
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Vermont
PARITY:
Private Insurance C VT’s parity law was enacted in 2012.
217
Medicaid B It includes telemedicine coverage for
State Employee Health Plan A state employee health plans.
216
MEDICAID SERVICE VT is 1 of 3 states that cover
COVERAGE & CONDITIONS interactive audio-video only as a
OF PAYMENT: condition of their parity law.
Patient Setting C Although the law does not require
Eligible Technologies C coverage of services via store-and-
Distance or Geography A forward, it does require informed
Restrictions consent from any patient receiving
Eligible Providers A teledermatology and
Physician-provided B teleophthalmology via store-and-
Services forward.
Mental/behavioral Health B The parity law also limits
Services telemedicine coverage to services
Rehabilitation F provided in health care facilities only.
Home Health F
Informed Consent A Medicaid
Telepresenter A Medicaid designates certain patient
INNOVATIVE PAYMENT settings as originating sites when
OR SERVICE DELIVERY using interactive audio-video
MODELS: (excluding the home and school).
State-wide Network Coverage for interactive audio-video
Medicaid Managed Care and home RPM.
Medicare-Medicaid Dual
Eligibles
Health Home
HCBS Waiver
Corrections ✔
Other
Page | 70
American Telemedicine Association
2015
