Virginia Private Pay & Parity Rules

 Private Pay & Parity Rules / Posted 1 year ago by Telehealthist

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Definitions
Telemedicine services means the use of electronic technology or media, including interactive audio or video for the purpose of diagnosing or treating a patient, providing remote patient monitoring services, or consulting with other health care providers regarding a patient’s diagnosis or treatment. ‘Telemedicine services’ does not include an audio-only telephone, electronic mail message, facsimile transmission, or online questionnaire.

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Requirements
An insurer shall not exclude a service for coverage solely because the service is provided through telemedicine services.

Parity
The treating provider or consulting provider must be reimbursed on the same basis that the insurer is responsible for coverage for the provision of services face-to-face.

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