(Accessed Nov. 2022). Face-to-face encounters may occur through telemedicine, which is defined as the two-way, real time interactive electronic communication between the member and the Provider located at a site distant from the member. of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Available in multiple manuals, including physician/practitioner, see overview for full list), (Oct. 2022) (Accessed Nov. 2022). Practitioners issuing prescriptions as part of telemedicine services should include direct contact for the prescriber or the prescribers agent on the prescription. The telehealth originating site facility fee is not authorized. The National Telehealth Policy Resource Center project is made possible by Grant #U6743496 from the Office for the Advancement of Telehealth, Health Resources and Services Administration, DHHS. Section 38.2-3418.16 defines telemedicine as 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 patients diagnosis or treatment, regardless of the originating site and whether the patient is accompanied by a health care provider at the time such services are provided. To practice telemedicine into Virginia requires a license from the Board of Medicine. Treatment and consultation recommendations made in an online setting, including issuing a prescription via electronic means, will be held to the same standards of appropriate practice as those in traditional, in-person encounters. VA Medicaid reimburses for Continuous Glucose Monitoring. VA Board of Medicine. HEALTH 38.2-3418.16 (Accessed Nov. 2022). General Services Administration : OMB Circular A-135 Guidance and Instructions on Managing FACs General Services Administration : FACA Final Rule General Services Administration : Unfunded Mandates Reform Act General Services Administration : Instructions for Implementing Section 204 of Title II of P.L. seq. National Telehealth Resource Center Partners, Continuing COVID flexibilities based on federal authority, Virginia Medicaid FAQs for Accessing ARTS Services during COVID-19, Virginia Medicaid FAQs for Accessing Behavioral Health Services During COVID-19, Virginia Medicaid Recommendations for Therapeutic Day Treatment Service Delivery During COVID-19, New 1135 Waiver and Administrative Provider Flexibilities (5/26), Appendix K Commonwealth Coordinated Care Plus, Family and Individuals Supports, Community Living, and Building Independence, Appendix K Addendum Commonwealth Coordinated Care Plus, Family and Individuals Supports, Community Living, and Building Independence, Behavioral Health and ARTS Provider Flexibilities Related to COVID-19 (3/27), Home and Community Based Services Waivers (HCBS) COVID-19 Policy Continuation and Timeline, COVID Active Flexibilities Update for April 19, 2022, Frequently Asked Questions: Personal Care/Assistance, Respite, and Companion Services, ew 1135 Waiver and Administrative Provider Flexibilities (5/26), Delivery of Group Based Services in Behavioral Health and Addiction (ARTS) during COVID-19 (7/1), Commonwealth Coordinated Care Plus, Family and Individual Supports, Community Living, and Building Independence, Commonwealth Coordinated Care Plus, Family and Individuals Supports, Community Living, and Building Independence. Remote patient monitoring services means the use of digital technologies to collect medical and other forms of health data from patients in one location and electronically transmit that information securely to health care providers in a different location for analysis, interpretation, and recommendations, and management of the patient. # 85-12. VA Dept. Store-and-forward means the asynchronous transmission of a members medical information from an originating site to a health care Provider located at a distant site. By law, the persons licensed as health care practitioners have a duty to report to the Virginia Department of Social Services or the local departments of social services any known or suspected incidences of abuse, neglect, or exploitation of children or elderly and incapacitated adults. The individual may be trained as a nurse, as a nursing assistant, or as a home health aide (in accordance with federal standards for Medicare-certified agencies). Oct. 23, 2019, (Accessed Nov. 2022). (Nov. 2016) (Accessed Nov. 2022). A nurse practitioner or physician assistant working under the licensed psychiatrist may provide this coverage for the psychiatrist. Providers must maintain a practice at a physical location in the Commonwealth or be able to make appropriate referral of patients to a Provider located in the Commonwealth in order to ensure an in-person examination of the patient when required by the standard of care. Additional requirements apply. Additions to the Telehealth Supplement include defining virtual check-in services, identifying covered codes, specifying reimbursement requirements, and outlining fee-for-service (FFS) billing details. Regulations See Appendix D of the Physician/Practitioner manual for details on the current service authorization contractor and accessing the provider portal. No insurer, corporation, or health maintenance organization shall require a provider to use proprietary technology or applications in order to be reimbursed for providing telemedicine services. Home attendants are also known as home care aides, home health aides, and personal care aides. The assessment includes documented recent history of the severity, intensity, and duration of symptoms and surrounding psychosocial stressors. Billing Instructions, (Oct. 2021), (Accessed Nov. 2022). SOURCE: VA Department of Medical Assistant Services. of Medical Assistance Svcs. WebThe West Virginia Medicaid Home Health Program does not reimburse for Medical social services or follow the Medicare guideline definition for homebound status. of Medical Assistant Svcs. The establishment of a new practitioner-patient relationship requires a Virginia license and must comport with the requirements for telemedicine found in 54.1-3303 of the Code of Virginia. Regulations Telemedicine is the real-time or near real-time exchange of information for diagnosing and treating medical conditions. Reauthorizations will be permitted for select services, as appropriate and as per criteria in the DMAS Form DMAS-P268. Occupational Therapy Compact Map (Accessed Nov. 2022). * See Compact websites for implementation and license issuing status and other related requirements. VA Code Annotated Sec. Regulations and Provider Manual - Virginia Specifically, emergency ambulance transportationproviders may submit a claim for providing a telemedicine originating site fee service (CPT Q3014) under the following conditions: Emergency Ambulance Transport providers should submit a claim for providing an originating site fee service in one of two ways: Emergency Ambulance Transport providers should maintain the Pre-hospital Patient Care Report (PPCR) documentation that includes identifying information of the Provider of telemedicine services (e.g., NPI), evidence that emergency transportation was or was not recommended by the telemedicine provider, and whether the member did or did not receive emergency ambulance transportation services subsequent to and based on the facilitated telemedicine consultation. For Providers See Update for list of codes. # 85-12. Providers delivering services using telemedicine shall follow the requirements set forth in the DMAS Telehealth Services Supplemental Manual. (Accessed Nov. 2022). VA Board of Medicine. VA Dept. (Accessed Nov. 2022). Home care agencies must follow hiring and training requirements set down in state code. (Accessed Nov. 2022). (Accessed Nov. 2022). HOME HEALTH Prescribing controlled substances requires the establishment of a bona fide practitioner-patient relationship in accordance with 54.1-3303 (A) of the Code of Virginia. The Emergency Ambulance Transport provider must be enrolled as such with DMAS. This electronic communication must include, at a minimum, the use of audio and video equipment. STATUS: Webpage no longer reflects COVID-19 announcements only. Virginia home care agencies are licensed unless they fall under an exemption. Physical Therapy Compact. SOURCE: VA Dept. WebFor Providers Addiction Recovery and Treatment Services, Behavioral Health, Dental, Foster Care, High Needs Support, Long Term Care, Managed Care, Maternal and Child Health, Pharmacy Services and more DMAS - Department of Medical Assistance Services Cardinal CareVirginia's Medicaid Program Department of Medical Assistance Services Covered Services components of Community Stabilization include: At the start of services, a LMHP, LMHP-R, LMHP-RP or LMHP-S must conduct an assessment to determine the individuals appropriateness for the service. DMAS also has clarified guidance on select Behavioral Health codes eligible for telemedicine delivery included in the Telehealth Supplement. WebMCH213G reviewed 10/2020 1 Part I HEALTH INFORMATION FORM State law (Ref. of Medical Assistant Svcs. The Unit Manager will oversee clinical operations of the unit and is responsible for staff supervision of nurses and CNAs, as well as interfacing with physicians, QI reporting and follow-up, and providing The practice of medicine occurs where the patient is located at the time telemedicine services are used, and insurers may issue reimbursements based on where the practitioner is located. VA Board of Medicine. Such services shall include those covered under the state plan for medical assistance services or by the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), and shall include a provision for payment of medical assistance for health care services provided through telemedicine services. (Accessed Nov. 2022). A home care organization does not include any family members, SOURCE: EMS Compact (Accessed Nov. 2022). Preferred OBAT Providers, previously known as Preferred OBOTs, deliver addiction treatment services to members with OUD as well as other primary SUD. STATUS: Extends Waivers out to six months after end of PHE. See Telehealth Supplement for requirements. (Accessed Nov.2022). If there is any skill that the home health aide cannot perform satisfactorily, he or she will be unable to carry it out independently until performance reaches the satisfactory level. 54.1-3408.3. Elizabeth Broughal - Licensed Physical Therapist Assistant - LinkedIn SOURCE: VA Statute 54.1-2711, (Accessed Nov. 2022). Join us for partnership and thought leadership as we unpack todays child care challenges and opportunities. 54.1-2937 (Temporary licenses to interns and residents in hospitals and other organizations) Va. Code Ann. 2022), (Accessed Nov. 2022). Webalso covered by Medicare may be recovered by the home health agency if the member resides outside of a 15-mile radius of the home health agency. VA Dept. WebLegislation Clinical Laboratory Improvement Amendments (CLIA) Conditions for Coverage (CfCs) & Conditions of Participations (CoPs) Deficit Reduction Act Economic Recovery Act of 2009 Promoting Interoperability (PI) Programs Emergency Medical Treatment & Labor Act (EMTALA) Freedom of Information Act (FOIA) Legislative Update 2022). of Medical Assistance Services (DMAS) Regional Telehealth Resource Center: Mid-Atlantic Telehealth Resource Center. Telehealth shall not include by telephone or email. Virginia Department of Health Virginia Administrative Code. (Accessed Nov. 2022). InternationalPuerto RicoOther US TerritoryAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming. 32.1-325, (Accessed Nov. 2022). There is nothing explicit however that indicates FQHCs are eligible for these codes. (Mar. SOURCE: VA Code Annotated Sec. Doc. The organization shall provide a program of home health services that shall include one or more of the following: 1. The Board, subject to the approval of the Governor, is authorized to prepare, amend from time to time, and submit to the U.S. Secretary of Health and Human Services a state plan for medical assistance services. Doc. Doc. Become a CCAoA advocate! VA Department of Medical Assistant Services. Web4.2.a. We encourage you to perform your own of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Available in multiple manuals, including physician/practitioner, see overview for full list), p. 2 (Oct. 2022) (Accessed Nov. 2022). DMAS recognizes telemedicine as a means for delivering some covered Medicaid services. Web ABQ VA: Veteran Services: 7 week outpatient clinical/ home health PT maintaining +75% of the caseload. A. Medicaid Provider Manual, Durable Medical Equipment and Supplies Manual, Covered Svcs. PLEASE NOTE: CCHP is providing the following for informational purposes only. (Accessed Nov. 2022). In the event it is medically necessary for a Provider to be present at the originating site at the time a synchronous telehealth service is delivered, said Provider may bill an originating site fee (via procedure code Q3014). A pharmacist may initiate treatment with, dispense, or administer drugs, devices, controlled paraphernalia, and other supplies and equipment pursuant to this section through telemedicine services, as defined in 38.2-3418.16, in compliance with all requirements of 54.1-3303 and consistent with the applicable standard of care. (Accessed Nov. 2022). The Mobile Preferred OBAT model shall allow Preferred OBAT providers to provide the same services in a Mobile Unit as in a traditional Preferred OBAT setting. The information is reviewed at the Distant Site without the patient present with interpretation or results relayed by the distant site Provider via synchronous or asynchronous communications. VIRGINIA Webresidence. If a Provider, whether at the originating site or distant site, maintains a consent agreement that specifically mentions use of telehealth as an acceptable modality for delivery of services including the information noted above, this shall meet DMASs required documentation of patient consent. See Code for required provisions for statewide telehealth plan. (Accessed Nov. 2022). Adds to the conditions aprescriber must meet for a bona fide practitioner-patient relationshipfor the purpose of prescribing Schedule II through VI controlled substances by an examination through face-to-face interactive, two-way, real-time communications services or store-and-forward technologies. of the Code of Virginia that and are billed using modifiers HK and 32. Telemedicine Guidance. Your donation or partnership can help families access high-quality, affordable child care. (Accessed Nov. 2022). Medicaid: Behavioral Health and ARTS Provider Flexibilities Related to COVID-19 (3/27), Medicaid: Home and Community Based Services Waivers (HCBS) COVID-19 Policy Continuation and Timeline, Medicaid: COVID Active Flexibilities Update for April 19, 2022, Medicaid: Frequently Asked Questions: Personal Care/Assistance, Respite, and Companion Services, Medicaid:Virginia Medicaids Response to COVID-19New Emergency Flexibilities, Medicaid: Delivery of Group Based Services in Behavioral Health and Addiction (ARTS) during COVID-19 (7/1), Medicaid 1915(c) Waiver: Commonwealth Coordinated Care Plus, Family and Individual Supports, Community Living, and Building Independence, Medicaid 1915(c) Waiver:Commonwealth Coordinated Care Plus, Family and Individuals Supports, Community Living, and Building Independence, STATUS: Active, expires six months after the end of the public health emergency. Virginia Department of Health Page 1 of Rules and Services can be provided face-to-face or by telemedicine according to DMAS policy regarding telemedicine. SOURCE: VA Department of Medical Assistant Services. SOURCE: VA Dept. Providers must follow the requirements for the provision of telemedicine described in the Telehealth Services Supplement, including the use of telemedicine modifiers. Aides who have only personal care duties may be trained in accordance with the state personal care curriculum. Payment will be set at a Provider manuals that incorporate the supplement include: See the Provider Manual home page to access all manuals. See guidance for list of what to include. VA Board of Medicine. Regulations 104-4 Multiple organizations provide data to help people identify high-caliber home health agencies. Where these situations may impede members access to treatment, telemedicine may be utilized as clinically appropriate and to help to remove these barriers to treatment. MCOs will adopt equivalent service authorization criteria and quantity limits as FFS. Before providing a telehealth service to a member, the Provider shall inform the patient about the use of telehealth and document verbal, electronic or written consent from the patient or legally-authorized representative, for the use of telehealth as an acceptable mode of delivering health care services. 4.2.b. Attachment A in the Telehealth Supplement lists covered services that may be reimbursed when provided via telehealth. Home health aide services. Prescribing controlled substances, in-person or via telemedicine services, is at the professional discretion of the prescribing practitioner. Web4.2.a. 4.2.b. Home health agencies and personal care agencies are both considered home care. of Medical Assistant Svcs., Medicaid Provider Manual, Physician/Practitioner. (Accessed Nov. 2022). Telehealth includes services delivered in the dental health setting (i.e., teledentistry), and telehealth policies for dentistry are covered in the dental manuals. P. 4 (Aug. 19, 2021). SOURCE: Telemedicine Guidance. Code Ann. Home Health Agency Licensing. WebVirginia Laws Related to Health Care - The Virginia Bar Health (3 days ago) WebVa. The Emergency Ambulance Transport provider assists with initiation of the visit but the presence of the Emergency Ambulance Transportation provider in the actual visit shall be determined by a balance of clinical need and member preference or desire for confidentiality. 2022). of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Available in multiple manuals, including physician/practitioner, see overview for full list), (Oct. 2022) (Accessed Nov. 2022). 23219For Medicaid EnrollmentWeb: www.coverva.orgTel: 1-833-5CALLVATDD: 1-888-221-1590. SOURCE: VA Dept. Preferred OBATs services must have regular access to in-person/on-site visits and services shall not be delivered solely or predominantly through telemedicine. Such plan shall include: Originating site means any location where the patient is located, including any medical care facility or office of a health care provider, the home of the patient, the patients place of employment, or any public or private primary or secondary school or postsecondary institution of higher education at which the person to whom telemedicine services are provided is located. info@cchpca.org Psychiatric evaluation may be provided through telemedicine. Telemedicine Guidance. On this page: Permanent Medicare changes Temporary Medicare changes through December 31, 2024 Temporary changes through the end of the COVID-19 public health emergency The following must be submitted to the VBA: Completed VAF 10-1394, "Application for Adaptive Equipment" Copy of valid driver's license Bill of sale, invoice, lease agreement or registration form Window sticker* Proof of ownership (vehicle title) Proof of release or disposal of a previously-owned vehicle Book C - Schedule for Rating Disabilities. HOME Medication Assisted Treatment (MAT) Outpatient Settings non OTP/OBAT Settings. Does not explicitly specify that an FQHC is eligible. P. 2 & 4-5 (Aug. 19, 2021). (Oct 2022). (Accessed Nov. 2022). (Accessed Nov. 2022). of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Physician/Practitioner), (Oct. 2022) (Accessed Nov. 2022). Please see Section 508.10, Prior Authorization for additional information. (Accessed Nov. 2022). The Board notes that 38.2-3418.16 states Telemedicine services does not include an audio-only telephone, electronic mail message, facsimile transmission, or online questionnaire. Payment will be set at a rate per mile as established by the General Services Administration in the Federal Travel Regulations. VA Department of Medical Assistance Services, Coverage of Virtual Check-In and Audio Only Services/Updates to Telehealth Services Supplement, April 1, 2022. 8 Preferred Office-Based Addiction Treatment Programs, (Accessed Nov. 2022). Telehealth policy changes after the COVID-19 public health Medicaid 1915(c) Waiver: Appendix K Addendum Extension. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. This year's Symposium features five unique learning tracks, preview our concurrent sessions now. The originating site provider cannot bill an originating site fee unless the Member is assisted by a Medicaid enrolled telepresenter at the originating site. SOURCE: VA Code Annotated Sec. # 85-12. of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services, (Oct. 2022) (Accessed Nov. 2022). SOURCE: Compact Map. Telemedicine services does not include an audio-only telephone, electronic mail message, facsimile transmission, or online questionnaire. of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services(Oct. 2022) (Accessed Nov. 2022). (Accessed Nov. 2022). # 85-12. of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Available in multiple manuals, including physician/practitioner, see overview for full list), (Oct. 2022) (Accessed Nov. 2022).