Page 133 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia
P. 133
Center for Connected Health Policy
STATE LAW/REGULATIONS MEDICAID PROGRAM
Site/Transmission Fee
No reference found. No reference found.
Miscellaneous
New York hospitals acting as originating (spoke) sites
must ensure that all physicians at distant (hub) sites are
appropriately credentialed and privileged.
Originating sites may contract with an outside entity for
professional application and verification, but not for peer
review, quality assurance/quality improvement activities,
and granting medical staff membership or professional
privileges.
Source: NY Dept. of Health, 2011 DOH Medicaid Updates, Volume
27
Comments:
New York is in the process of updating its Medicaid reimbursement policies for telehealth. We have
been informed by a source in the State Department of Health that the updated policy will expand the
settings and provider types for which live video services can be reimbursed.
Telemedicine/telehealth reimbursement in managed care is optional.
A review of Web resources of 18 MMC Plans reveals policy statements of telemedicine coverage for
at least the following insurance providers:
• Amerigroup New York
• BlueCross Blue Shield of Western New York
• MVP Health Plan
• United Healthcare
• Univera Community Health
• WellCare of New York
Source: Northeast Telehealth Resource Center.
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