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Washington

WA Regulation Telemedicine/Telehealth Definition

“Telemedicine means the use of tele-monitoring to enhance the delivery of certain home health skilled nursing services through:

The collection of clinical data and the transmission of such data between a patient at a distant location and the home health provider through electronic processing technologies. Objective clinical data that may be transmitted includes, but is not limited to, weight, blood pressure, pulse, respirations, blood glucose, and pulse oximetry;
The provision of certain education related to health care services using audio, video, or data communication instead of a face-to-face visit.”

Source: WA Admin. Code Sec. 182-551-2010

“Telehealth means providing physical therapy via electronic communication where the physical therapist or physical therapist assistant and the patient are not at the same physical location.”

Source: WA Admin. Code Sec. 246-915-187

WA Medicaid Program Telemedicine/Telehealth Definition

“Telemedicine is when a health care practitioner uses interactive real-time audio and video telecommunications to deliver covered services that are within his or her scope of practice to a client at a site other than the site where the provider is located.”

Source: WA State Health Care Authority, Medicaid Provider Guide, Physician-Related Svcs./Health Care Professional Svcs., p. 62 (Jan. 1, 2014).
WA Medicaid Program Live Video Reimbursement

Yes, for patients with fee-for-service coverage.

Eligible services:

Consultations;
Office or other outpatient visits;
Psychiatric intake and assessment;
Individual psychotherapy;
Pharmacologic management.

Eligible Providers at the Distant Site are:

Physicians (including Psychiatrists); and
Advanced Registered Nurse Practitioners

Patients must be present and participate in the visit.

For patients with managed care plan coverage, telehealth services will not be reimbursed separately. All services must be arranged and provided by primary care providers. It is not mandatory that the plan pay for telehealth services.

Source: WA State Health Care Authority, Medicaid Provider Guide, Physician-Related Svcs./Health Care Professional Svcs., p. 63-64 (Jan. 1, 2014).
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