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ID Regulation Telemedicine/Telehealth Definition

“Telehealth is an electronic real-time synchronized audio-visual contact between a consultant and participant related to the treatment of the participant. The consultant and participant interact as if they were having a face-to-face service.”

Source: ID Administrative Code

ID Medicaid Program Telemedicine/Telehealth Definition

Telehealth is an electronic, real time, synchronized, audio-visual contact between a qualified provider and a participant using specialized equipment.

Source: Medicaid Telehealth Policy. 3/5/2013.
ID Medicaid Program Store and Forward Reimbursement

Idaho Medicaid will only reimburse for interactive audio and video permitting “real-time communication”, therefore excluding store and forward from coverage.

Source: Medicaid Telehealth Policy. 3/5/2013.

ID Medicaid Program Live Video Reimburseemnt

Idaho Medicaid will reimburse for a limited number of mental health and developmental disabilities (DD) services. They include:

Psychotherapy with evaluation and management
Psychiatric diagnostic interview
Pharmacological management
DD therapeutic consultation
DD crisis intervention

Services are only covered for participants who live in a rural HPSA or MSA where there is a shortage of qualified providers. The provider must document when there is no provider available to provide the services in person.

Source: Medicaid Telehealth Policy. 3/5/2013. (accessed Feb. 2014)

Source (Mental Health Services): Idaho MMIS Provider Handbook: Allopathic and Osteopathic Physicians. Aug. 2010, p. 15.
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