Pennsylvania reimbursement for telemedicine PDF Print E-mail

Gateway Health Managed Medicaid plan

The Gateway Health Managed Medicaid plan pays for telehealth Specialty Consults.  Read more. This plan is available in the following (40) PA counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Butler, Cambria, Cameron, Clarion, Clearfield, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Lancaster, Lawrence, Lebanon, Lehigh, McKean, Mercer, Northampton, Perry, Potter, Somerset, Venango, Warren, Washington, Westmoreland and York

April 2014 - PA approves use of telepsychiatry in FQHCs and RHCs

"Telepsych Encounter (applicable only to Behavioral Health Managed Care delivery system claims; telepsych encounters are not payable under the fee-for-service delivery system): An encounter between a psychiatrist or a psychologist licensed by the Commonwealth of Pennsylvania and a patient, in which mental health services are provided through the use of approved electronic communication and information technologies to provide or support clinical psychiatric care at a distance. Qualifying telepsych services utilize real-time, two-way interactive audio-video transmission, and do not include a telephone conversation, electronic mail message, or facsimile transmission between a health care practitioner and a service recipient, or a consultation between two healthcare practitioners, although these activities may support the delivery of telepsych services. Telepsych services require service providers to have a service description approved by the Office of Mental Health and Substance Abuse Services (OMHSAS) and deliverable through the managed care option"

             - Excerpt from, Guidelines, Procedures and Standards for Federally Qualified Health Centers (FQHCs)/Rural Health Clinics (RHCs), April 2014

Originitating site may bill for facility fee - Accroding to Center for Connected Health Policy, "Fifty State Medicaid report" 9/2014




Last Updated on Thursday, 07 July 2016 13:27