Medicaid Telehealth Reimbursement
Summary
Alaska reimburses for Live Video, Store & Forward & Remote Patient Monitoring, although some restrictions apply.
Definitions
Click for telemedicine definitions.
Live Video
Policy
Alaska’s Medicaid program will reimburse for services “provided through the use of camera, video, or dedicated audio conference equipment on a real-time basis.”
Eligible Services/Specialties
Click for a list of eligible services/specialties.
Eligible Providers
Office consultations performed by a provider of the same specialty within the same organization are not covered.
Eligible Sites
No reference found.
Geographic Limits
No reference found.
Facility/Transmission Fee
The department will pay only for professional services for a telemedicine application of service. The department will not pay for the use of technological equipment and systems associated with a telemedicine application to render the service.
Store-and-Forward
Policy
Alaska Medicaid will reimburse for Store & Forward telehealth as long as the service is provided through transferring digital images, sounds, or previously recorded video from one location to another.
Eligible Services/Specialties
No reference found.
Geographic Limits
No reference found.
Transmission Fee
The department will pay only for professional services for a telemedicine application of service. The department will not pay for the use of technological equipment and systems associated with a telemedicine application to render the service.
Remote Patient Monitoring
Policy
Alaska Medicaid will reimburse for services delivered through self-monitoring, where the patient is monitored in their home via a telemedicine application, with the provider indirectly involved from another location.
Conditions
No reference found.
Provider Limitations
No reference found.
Other Restrictions
No reference found.
Email/Phone/Fax
No reimbursement for telephone when not part of a dedicated audio conference system. No reimbursement for FAX.
Consent
No reference found.
Out of State Providers
No reference found.
Miscellaneous
Click for a list of documentation requirements for telemedicine consultations.
Private Payer Laws
Definitions
No reference found.
Requirements
No reference found.
Parity
No reference found.
Professional Regulation/Health & Safety
Definitions
No reference found.
Consent
No reference found.
Online Prescribing
The guiding principles for telemedicine practice in the American Medical Association (AMA), Report 7 of the Council on Medical Service (A-14), Coverage of and Payment for Telemedicine, dated 2014, and the Federation of State Medical Boards (FSMB), Model Policy for the Appropriate Use of Telemedicine Technologies in the Practice of Medicine, dated April 2014, are adopted by reference as the standards of practice when providing treatment, rendering a diagnosis, prescribing, dispensing, or administering a prescription or controlled substance without first conducting an in-person physical examination.
Cross State Licensing
No reference found.
Miscellaneous
The Department of Commerce, Community and Economic Development is required to adopt regulations for establishing and maintaining a registry of businesses performing telemedicine in the state.
Source: Center for Connected Health Policy
https://www.cchpca.org