Iowa Medicaid Telehealth Reimbursement

 Medicaid Reimbursement / Posted 1 year ago by Telehealthist

(adsbygoogle = window.adsbygoogle || []).push({});

Iowa Medicaid pays for telehealth as long as it meets accepted health care practices and standards. The Medicaid program does not have a definition for telehealth, and therefore it is unknown if the term encompasses store-and-forward or remote patient monitoring. Managed care plans in Iowa’s Healthy and Well Kids in Iowa (Hawki) program, may cover telehealth and telemonitoring services, but do not appear to be mandated.

Definitions
No reference found.

Live Video
Policy
Department of Human Services is required to adopt rules to provide telehealth coverage under Medicaid. Such rules must provide that in-person contact between a health care professional and a patient is not required as a prerequisite for payment.

Eligible Services/Specialties
No reference found.

Eligible Providers
Click for list of distant site providers.

Eligible Sites
Click for list of eligible sites.

Geographic Limits
No reference found.

(adsbygoogle = window.adsbygoogle || []).push({});

Facility/Transmission Fee
Originating sites are paid a facility fee for telehealth services. FQHCs and RHCs would not bill Q3014 as a separate service because reimbursement for the related costs would occur through the annual cost settlement process.

Store-and-Forward
Policy
No reference found.

Eligible Services/Specialties
No reference found.

Geographic Limits
No reference found.

Transmission Fee
No reference found.

Remote Patient Monitoring
Policy
Beginning July 1, 2019, managed care plans in Iowa’s Healthy and Well Kids in Iowa (Hawk-I) program, may cover telehealth and telemonitoring services, but do not appear to be mandated.

Conditions
No reference found.

Provider Limitations
No reference found.

Other Restrictions
No reference found.

Email/Phone/Fax
Note that in almost all program-specific manuals, telephonic interpretive services are allowed.

Consent
No reference found.

Out of State Providers
No reference found.

Miscellaneous
Iowa Medicaid uses the 02 POS code adopted by Medicare.

(adsbygoogle = window.adsbygoogle || []).push({});