The Role of Telehealth in an Evolving Health Care Environment Workshop Summary (2012) / Chapter Skim
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10 State-Based Perspectives
10 State-Based Perspectives
Pages 89-98
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From page 89... ...
Virginia Medicaid serves nearly a million people with a budget of almost $8 billion. Virginia Medicaid telemedicine coverage started in 1995 as a small pilot with a small number of services.
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From page 90... ...
Recently, even more services have been added to the Medicaid telemedicine program based on services available in the commercial market. Over time, as Virginia has moved farther away from fee-for-service payment systems toward managed care (Virginia Medicaid is about 70 percent managed care)
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From page 91... ...
The bill required state-regulated private payers and Medicaid to cover services delivered through telehealth as they would if delivered in person. Furthermore, private payers would not be permitted to require preauthorization for telehealth services, nor could they limit these services to just rural areas.
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From page 92... ...
Assumptions included everything from realtime interface to S&F technologies to home health monitoring, especially in light of long-term care rebalancing efforts currently happening in the state. Prior to all of this, Maryland did cover telemental health services in 12 rural counties, but the originating site could only come from an outpatient mental health service hospital or a federally qualified health center and the distant provider could only be a psychiatrist.
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From page 93... ...
. La Red Health Center, a federally qualified health center in Sussex County, has received a Rural Health Services Outreach grant to provide telepsychiatry services.
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From page 94... ...
is a leader in media and telecommunications policy and advocacy for minority and underserved communities. MMTC started out advocating for minority ownership and diversity of voices in the media, and has expanded into broadband adoption and advocacy and telecommunications policies that are designed to address the individuals who do not have the most advanced technologies available to them.
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From page 95... ...
The NOBEL Women have chosen to work on establishing a "level playing field." In July 2012, the NOBEL Women formally launched their goal to expand their telemedicine legislative initiative to every state where a NOBEL Woman serves. The NOBEL Women's 2013 Telemedicine Group Action Plan includes addressing legislation on state-by-state basis.
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From page 96... ...
At the federal level, the strategy is to advocate for federal legislation to improve Medicare coverage for urban beneficiaries, homebased services, S&F telehealth (for both rural and urban populations) , and telehealth payment and service models for dually eligible patients; to work with the FCC on rural health programs to enable wider broadband access; and to support nationwide portability for health care professional licensure.
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From page 97... ...
Jones agreed that sometimes we get carried away in jumping to the most sophisticated technologies, and that there are significant areas of Virginia where people still have problems with Internet access. She said the secretary of technology surveyed Virginia health care providers about their capabilities on a variety of issues, including electronic health records, and found many holes.
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From page 98... ...
Landgraf added that while Delaware Medicaid was able to achieve coverage of telehealth services through policy, she believes coverage needs to be codified as a state law, so that it does not depend on the support of the sitting administration. Another participant asked Herrera if they planned to engage with providers to increase their interest in and use of telehealth.
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