Page 80 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia
P. 80
Center for Connected Health Policy
STATE LAW/REGULATIONS MEDICAID PROGRAM
Source: LA Dept. of Health and Hospitals, Professional Svcs.
Provider Manual, Chapter Five of the Medicaid Svcs. Manual, p.
156 (As revised on Aug. 21, 2014).
Store and Forward Reimbursement
There is no reimbursement requirement based upon the Louisiana Medicaid will not provide reimbursement for
definition of “telemedicine” which describes telemedicine store and forward based upon the definition of
as an interaction “via two-way video and audio “telemedicine” which describes telemedicine as
transmission”. including “audio and video equipment permitting two-
way, real time interactive communication” therefore
Source: LA Revised Statutes 37:1262 (2012). excluding store and forward.
Source: LA Dept. of Health and Hospitals, Professional Svcs.
Provider Manual, Chapter Five of the Medicaid Svcs. Manual, p.
156 (As revised on Aug. 21, 2014).
Remote Patient Monitoring Reimbursement
No reference found. Under the Community Choices Waiver, Louisiana
Medicaid will reimburse an installation fee and a monthly
maintenance fee for:
• TeleCare Activity and Sensor Monitoring,
• Health status monitoring, and
• Medication and monitoring.
Activity and Sensor Monitoring
At a minimum the system must:
• Monitor the home’s points of egress and
entrance;
• Detect falls;
• Detect movement or lack of movement;
• Detect whether doors are opened or closed; and
• Provide a push button emergency alert system.
Providers of assistive devices and medical equipment
must be a licensed home health agency.
Certain standards apply for the medical equipment and
supplies used.
Limitations
• Services must be pre-approved
• Services must be based on verified need.
• Benefit must be determined by an independent
assessment on any item that costs over $500.
• All items must reduce reliance on other
Medicaid state plan or waiver services
• All items must meet applicable standards of
manufacture, design and installation
• The items must be on the Plan of Care
developed by the support coordinator.
A recipient is not able to receive Telecare Activity and
Sensor Monitoring services and traditional PERS
services.
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