Kansas Telehealth State Laws & Reimbursement Policies
Medicaid Telehealth Reimbursement
Summary
Kansas Medicaid covers live video telemedicine for certain services. Additionally, they also cover remote patient monitoring that is in real-time through home health agencies and with prior authorization.
“Telemedicine is the use of communication equipment to link health care practitioners and patients in different locations. This technology is used by health care providers for many reasons, including increased cost efficiency, reduced transportation expenses, improved patient access to specialists and mental health providers, improved quality of care, and better communication among providers.”
Providers may use T1030 and T1031 for the provision of telehealth visits to provide long-term care home health services and to assist beneficiaries in managing their diabetes.
Services must be provided by a registered nurse or licensed practical nurse. Agencies may bill skilled nursing services on the same date of service as telehealth services.
Providers must submit literature to the fiscal agent’s Provider Enrollment team pertaining to the telecommunication equipment the agency has chosen that will allow thorough physical assessments such as: assessment of edema, rashes, bruising, skin conditions, and other significant changes in health status.
The Department of Health and Environment is required to prepare an impact report that assesses the financial and social effects of Kansas Medicaid’s coverage of speech-language pathology and audiology services via telemedicine on or before January 13, 2020.
‘‘Telemedicine,’’ including ‘‘telehealth,’’ means the delivery of healthcare services or consultations while the patient is at an originating site and the healthcare provider is at a distant site.
Insurers cannot exclude from coverage a service solely because the service is provided through telemedicine, rather than in-person contact or based upon the lack of a commercial office for the practice of medicine, when such service is delivered by a healthcare provider.
Payment can be limited to only services that are medically necessary, subject to the terms and conditions of the covered individual’s health benefits plan.
‘‘Telemedicine,’’ including ‘‘telehealth,’’ means the delivery of healthcare services or consultations while the patient is at an originating site and the healthcare provider is at a distant site.
The same laws and regulations that apply to the prescribing of drugs by means of in-person contact shall apply to the prescribing of drugs by means of telemedicine.
Our telemedicine services can be applied to big cities as well as rural locations. We contract with the highest quality health professionals and partner with hospitals, clinics, and other healthcare facilities throughout the Nation.