Page 79 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 79
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Wisconsin
PARITY:
Private Insurance F No telemedicine parity law and no
241
Medicaid B history of proposed legislation within
State Employee Health Plan F the past 2 years.
MEDICAID SERVICE
COVERAGE & CONDITIONS Medicaid
OF PAYMENT: Coverage for telemedicine under
Patient Setting A Medicaid is above average which
Eligible Technologies F includes coverage under the managed
Distance or Geography A care plan. The agency imposes no
Restrictions restrictions on the patient setting or
Eligible Providers F originating site and defers to the
Physician-provided B universal place of service (POS) used
Services by most payors. This list includes the
Mental/behavioral Health B home and schools.
Services Medicaid restrictions on covered
Rehabilitation F services and designates eligible
Home Health F distant site providers as a condition of
Informed Consent B payment.
Telepresenter A Medicaid requires informed consent
INNOVATIVE PAYMENT from the patient but does not specify
OR SERVICE DELIVERY how the consent should be obtained.
MODELS: Coverage for interactive audio-video
State-wide Network only.
Medicaid Managed Care ✔
Medicare-Medicaid Dual
Eligibles
Health Home
HCBS Waiver
Corrections
Other
Page | 74
American Telemedicine Association
2015
