Page 20 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia

Center for Connected Health Policy

STATE LAW/REGULATIONS MEDICAID PROGRAM

and the originating site is located in a rural region. • Endocrinology;
Allowed Conditions • Hematology/oncology;
• Trauma • Home Health
• Burn • Infectious diseases;
• Cardiology • Neurology;
• Infectious diseases • Obstetrics/gynecology;
• Mental health disorders • Oncology/radiation;
Ophthalmology;
•
• Neurologic diseases including strokes • Orthopedics;
• Dermatology • Pain clinic;
• Pathology;
A rural region is defined as: • Pediatrics and pediatric sub-specialties;
• An area that is located in a county with a • Radiology;
population of less than nine hundred thousand • Rheumatology;
persons; or • Surgery follow-up and consults;
• A city or town that is located in a county with a
population of nine hundred thousand persons or Source: AZ Health Care Cost Containment System, AHCCCS Fee-
For-Service Provider Manual, Ch. 10: Professional and Technical
more and whose nearest boundary is more than Services, p. 38 (Nov. 2014).
thirty miles from the boundary of a city that has
a population of five hundred thousand persons Behavioral health services are covered for AHCCS and
or more. KidsCare patients.

Covered behavioral health services:
Source: AZ Statutes 20-841.09.
• Diagnostic consultation and evaluation;
• Psychotropic medication adjustment and
monitoring;
• Individual and family counseling;
• Case management.

The patient’s primary care provider (PCP), attending
physician, other medical professional employed by the
PCP, or an attending physician who is familiar with the
patient’s condition, must be present.

Other medical professionals:

• Registered nurses;
• Licensed practical nurses;
• Clinical nurse specialists;
• Registered nurse midwives;
• Registered nurse practitioners;
• Physician assistants;
• Physical, occupational, speech, and respiratory
therapists;
• Trained telepresenter familiar with the
recipient’s medical condition.

For behavioral health services, the patient’s physician,
case manager, behavioral health professional, or tele-
presenter must be present.

Source: AZ Health Care Cost Containment System, AHCCCS Fee-
For- Service Provider Manual, Ch. 10: Professional and Technical

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