Arizona Medicaid Telehealth Reimbursement

 Medicaid Reimbursement / Posted 6 months ago by Telehealthist

Arizona Health Care Cost Containment System (AHCCCS) reimburses for live video for certain services delivered at specific originating sites by specific providers. They reimburse for store-and-forward for specific specialties and for remote patient monitoring, although restrictions apply.

Definitions
Telemedicine is “the practice of health care deliver, diagnosis, consultation and treatment and the transfer of medical data through interactive audio, video or data communications that occur in the physical presence of the patient, including audio or video communications sent to a health care provider for diagnostic or treatment consultation.”

Live Video
Policy
AHCCCS will reimburse for medically necessary, non-experimental and cost-effective services provided via telehealth in their fee for service program.

Eligible Services/Specialties
Click to see list of eligible services.

Eligible Providers
Click to see lists of eligible providers.

Eligible Sites
Click to see list of eligible sites.

Geographic Limits
There are no geographic restrictions for telehealth. Services delivered via telehealth are covered by AHCCCS in rural and urban regions.

Facility/Transmission Fee
No reference found.

Store-and-Forward
Policy
AHCCCS will reimburse for store-and-forward in their fee-for-service program.

Eligible Services/Specialties
Click to see services covered via asynchronous telehealth.

Geographic Limits
There are no geographic restrictions for telehealth. Services delivered via telehealth are covered by AHCCCS in rural and urban regions.

Transmission Fee
No reference found.

Remote Patient Monitoring
Policy
AHCCCS will reimburse for remote patient monitoring in their fee-for-service program.

Conditions
No reference found.

Provider Limitations
No reference found.

Other Restrictions
Click to see additional limitations.

Email/Phone/Fax

No reference found.

Consent
Informed consent standards for telehealth services should adhere to all applicable statutes and policies governing telehealth.

Out of State Providers
No reference found.

Miscellaneous
Contractors shall promote the use of telehealth to support an adequate provider network.