Page 76 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
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50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Virginia
PARITY:
218
Private Insurance A VA’s parity law was enacted in 2010
224
Medicaid B and includes coverage for
State Employee Health Plan A telemedicine under state employee
219
MEDICAID SERVICE health plans as well.
COVERAGE & CONDITIONS
OF PAYMENT: Medicaid
Patient Setting C Coverage for telemedicine under
Eligible Technologies C Medicaid extends to managed care
Distance or Geography A plans as well. The agency imposes
Restrictions restrictions on the patient setting.
Eligible Providers C Medicaid restrictions on covered
Physician-provided B services and designates eligible
Services 225-226 distant site providers as a condition of
Mental/behavioral Health B payment. However Virginia is 1 of 3
Services states that includes specific coverage
Rehabilitation B of obstetric and gynecological
220
Home Health F services including ultrasounds.
Informed Consent A Covers speech-language therapy
Telepresenter A under its school-based program. 221-223
INNOVATIVE PAYMENT Coverage for interactive audio-video
OR SERVICE DELIVERY and store-an-forward for diabetic
MODELS: retinopathy and dermatological
227
State-wide Network ✔ services.
Medicaid Managed Care ✔
228
Medicare-Medicaid Dual ✔ Innovation
229
Eligibles CMS approved VA plan to waive
Health Home Medicare telemedicine statutory
HCBS Waiver restrictions (1834m) for dual eligible
230
Corrections ✔ population.
Other
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American Telemedicine Association
2015
