of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Certified Community Behavioral Health Clinic (CCBHC), p. 8-5 (Oct. 2022). KS Statute Ann. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-31-2 (Jan. 2023). All functional assessments must be conducted in-person at a location of the individuals choosing, or, if available, through the use of real-time interactive telecommunications equipment that includes, at a minimum, audio and video equipment. The speech-language pathologist and audiologist may furnish appropriate and medically necessary services within their scope of practice via telemedicine. Teladoc - Plan A Teladoc - Plans C, J, and N Earn Rewards with Healthcare Bluebook (Accessed Feb. 2023). The consulting or expert provider at the distant site must bill an appropriate code from the list below with place of service (POS) 02 Telemedicine and will be reimbursed at the same rate as face-to-face services. Other person licensed, registered, certified, or otherwise authorized to practice by the behavioral sciences regulatory board. For example, if an RHC or FQHC service is provided in a skilled nursing facility (SNF), POS code 31 is applicable. State - Telemedicine - Blue Cross and Blue Shield of Kansas 40-2,212. BlueCross and BlueShield of Kansas serves all counties in Kansas except Johnson and Wyandotte. WebKU Center for Telemedicine & Telehealth 4330 Shawnee Mission Parkway, Suite 1160 Mail Stop 7001 Fairway, KS 66205 Fax: 913-588-2457 Phone: 913-588-2226 telemedicine@kumc.edu Aetna offers telehealth services through Teladoc. Except when otherwise prohibited by any other provision of law, when the patient consents and has a primary care or other treating physician, the person providing telemedicine services will send within three business days a report to such primary care or other treating physician of the treatment and services rendered to the patient in the telemedicine encounter. SOURCE: Interstate Commission of EMS Personnel Practice, EMS Member States, (Accessed Feb. 2023). The GT modifier is not required when billing for telemedicine services. Telehealth Kansas,Patient English,Brochures,Flyers,Material,ResourcesTelehealth KS Dept. State Licensed Advanced Practice Registered Nurses. 40-2,213. The speech-language pathologist and audiologist may furnish appropriate and medically necessary services within their scope of practice via telemedicine. Home and Community Based Services for the Frail Elderly. See: KS Medicaid Store and Forward, Not mentioned in FQHC manual, although reimbursed in other KS Medicaid programs. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Home Health, p. AIII-4-AIII-6 AIII-8. WebAll statutes and regulations apply to all services provided regardless of how the services are provided (in-person or by telemental health). No reference found. Home Telehealth services must be provided by a registered nurse or licensed practical nurse. 28-51-100, (Accessed Feb. 2023). Kansas State Telehealth Originating site means a site at which a patient is located at the time healthcare services are provided by means of telemedicine. CBO: Bipartisan telehealth bill will cost $5B over next decade Here's how you know. Oral medication administration or monitoring is not considered skilled care. The health professional providing the services is an employee of a federally qualified health center or under contract with a federally qualified health center and is required to seek compensation for that persons services from the federally qualified health center. 129-5-118a, (Accessed Feb. 2023). Dept. WebTelemedicine is the use of communication equipment to link health care practitioners and patients in different locations. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, FQHC/RHC, 8-3 to 4 (Aug. 2022), (Accessed Feb. 2023). Subsequent visit on the same day must be medically necessary and include documentation of why the subsequent service could not have been provided during the initial encounter. of Health and Environment, Kansas Medical Assistance Program, FFS Provider Manual, Hospital, p. 8-4 (Jan. 2023). June 28, 2023 - The United States Department of Justice (DOJ) and federal and state law enforcement partners are charging 11 people in connection with telehealth fraud schemes that resulted in more than $2 billion in false claims. Telemedicine does not include communication between: SOURCE: KS Statute Ann. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-31 (Jan. 2023). See manual for list of acceptable CPT codes as well as codes KMAP does not recognize for payment. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-32 (Jan. 2023). Kansas licensees intendLikewise, ing to practice telemedicine to patients located outside of Kansas should check with the applicable state regulatory agency. Anuja Vaidya. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-31 & 2-32 (Jan. 2023). kansas Important Information Regarding Telemental Health A comprehensive exam is considered a hands on specialist examination. PAs are entered for no more than 60 days. (Accessed Feb. 2023). Home telehealth services cannot be approved for durations of more than 60 days. Parity (Accessed Feb. 2023). of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Autism Services, p. 8-5 & 8-8 (Nov. 2021). The member must be present at the originating site, excluding store-and-forward modality. KS Dept. KS Dept. Telehealth in Kansas During COVID-19 - United Methodist Health of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Home Health, p. 8-29 (Jan. 2023) (Accessed Feb. 2023). 40-2,213. *Telemedicine is available in most states, but some states do not allow telemedicine or prescriptions. KS Statute Ann. Kansas was awarded $451 million of federal money to improve broadband infrastructure in the state back in June. Kansas Telehealth Laws SOURCE: KS Dept. 40-2,214; effective, T-100-12-28-18, Dec. 28, 2018; effective May 10, 2019.) WebTelehealth with Teladoc. See HCBS Frail Elderly provider manual for documentation requirements. PLEASE NOTE: CCHP is providing the following for informational purposes only. Just because a service is covered does not automatically mean it is a billable/covered visit. Sec. WebIf you currently hold a Kansas license you do not need a separate Telemedicine Waiver to practice telemedicine in Kansas. Encounters with more than one health professional or multiple encounters with the same health professional that take place on the same day shall constitute a single visit, except under either of the following circumstances: SOURCE: KS Admin. Easily search by topic across Medicaid, private payer, and COVID-19 state actions. SOURCE: Dept. All license fees are waived for this license. With the onset of the pandemic, this became increasingly difficult. HCBS beneficiaries eligible for face-to-face skilled nursing visits provided by a home health agency may receive home telehealth visits with documentation of medical necessity and prior authorization (PA). The provider and equipment must have needed language options such as English, Spanish, Russian, and Vietnamese. 65-4a10, and amendments thereto, or K.S.A. (Accessed Feb. 2023). This technology is used by health care providers for many reasons, including increased cost efficiency, reduced transportation expenses, improved patient access to specialists and mental health providers, improved quality of care, and SOURCE: KS Dept. Make sure to update your location to find a provider in your area. Teletherapy Practice Rules by State Thetelemedicinecommunications system shall apply telecommunications technology to the practice of medicine through compressed, full-motion, high-resolution, two-way interactive video communication and information transfer over long distances within a medical setting. Telehealth visits must use face-to-face, real-time, interactive video contact to monitor beneficiaries in the home setting as opposed to a nurse visiting the home. Telehealth services (including remote patient monitoring) are provided on an individualized basis for participants who have an identified need in their ISPOC. 2020 Supp. State Federally qualified health center services provided at a location other than a federally qualified health center shall meet the following conditions: SOURCE: KS Admin. of Health and Environment, Provider Manual, Professional, p. 8-39, (Feb. 2023), (Accessed Feb. 2023). SOURCE: KS Admin. SOURCE: Dept. by means of telemedicine. KS Dept. Kansas Visit. Kansas was awarded $451 million of federal money to improve broadband infrastructure in the state back in June. An official State of Kansas government website. Any person who receives a telemedicine waiver under the provisions of this section shall be subject to all rules and regulations pertaining to the practice of the licensed profession in this state and shall be considered a licensee for the purposes of the professional practice acts administered by the state board of healing arts. Governors Commission on Racial Equity and Justice, Kansas Early Childhood Transition Task Force. The provisions of this section shall also apply to the Kansas Medical Assistance Program (KMAP). Forms & Applications. If you have any questions or comments about this site, please notify our webmaster. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-30 (Jan. 2023), FQHC/RHC, 8-13 (Aug. 2022), (Accessed Feb. 2023). (Accessed Feb. 2023). (Accessed Feb. 2023). (Accessed Feb. 2023). A pharmacist shall be in attendance at the telepharmacy outlet by connecting to the telepharmacy outlet via computer link, video link and audio link or other functionally equivalent telecommunications equipment and shall be available to consult with and assist the pharmacy technician in performing activities. SOURCE: KS Dept. KS Dept. (Accessed Feb. 2023). Kansas SOURCE: KS Statute Ann. PT Compact, Compact Map, (Accessed Feb. 2023). The face-to-face encounter may occur through telehealth, as implemented by the State. Enroll yourself first and then add your child or dependent to your account. The consulting or expert provider at the distant site must bill with the 02 place of service code and will be reimbursed at the same rate as face-to-face services. WebIf you currently hold a Kansas license you do not need a separate Telemedicine Waiver to practice telemedicine in Kansas. 2022), (Accessed Feb. 2023). SOURCE: PT Compact, Compact Map, (Accessed Feb. 2023). COVID-19 renews momentum for Kansas to tackle telehealth pay (Accessed Feb. 2023). * See Compact websites for implementation and license issuing status and other related requirements. Work for one of the most trusted companies in Kansas. Telehealth Date: 21 February 2022 U.S. Policy and Regulatory Alert By: Leah D'Aurora Richardson, Gina L. Bertolini, Elaine C. Naughton Part 1: State Licensure Requirements, Flexibilities and Interstate Compacts of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-31-2 (Jan. 2023). of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Mental Health, p. 8-15, 8-22 (Jan. 2023). Parents and guardians can add their children who are under age 18 to their account and have doctor visits on their behalf. KS Dept. See manual for specific demonstration criteria. For example, a visit for the sole purpose of obtaining or renewing a prescription (need for which was determined previously) without a medical examination of the patient is not a covered encounter. WebInformation on Kansas Administrative Regulations. Updated Guidance on COVID-19 Coverage - BCBSKS The services are provided to a patient of a federally qualified health center. Practitioner Compensated: The service is covered as an RHC/FQHC visit and should only be billed under the RHC/FQHC provider number. Qualifying providers have the opportunity to apply for federal funding between April 29 at 11 AM CT and May 6 at 11 AM CT. (Accessed Feb. 2023). Estimates vary, but a number of analyses suggest people used telehealth rarely until the pandemic. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-30 (Jan. 2023). New federal funding will help Kansas build out broadband Telehealth Here's how you know. 75-4709, and amendments thereto. Nothing in this section shall supersede or otherwise affect the provisions of K.S.A. WebThe Kansas Department of Health and Environment (KDHE)'s Child Care Licensing section has been thoroughly reviewing regulations to better suit the needs of Kansas children, Kansas State Board of Healing Arts Policy Title SOURCE: KS Dept. (Accessed Feb. 2022). KS Dept. As used in this subsection, telemedicine means the delivery of healthcare services by a healthcare provider while the patient is at a different physical location. Office visits, individual psychotherapy, and pharmacological management services may be reimbursed when provided through telecommunication technology. WebAetna offers telehealth services through Teladoc. The IMLC. A physician holding a license issued by the applicable licensing agency of another state may practice telemedicine to treat patients located in the state of Kansas, if such out-of-state physician holds a temporary emergency license granted pursuant to K.S.A. Telemedicine does not include communication between: Email, telephone, and facsimile transmissions are not covered as telemedicine services. Kansas State Telehealth Laws- CCHP Statute | Kansas State Legislature Im pleased that Community Care has used these Coronavirus Relief Funds to bolster telehealth services and increase access to health care for all Kansas. A crisis shows telehealth works; now we need to explore how to sustain services. (Accessed Feb. 2023). See Cross-State Licensing Section under Professional Requirements. (Accessed Feb. 2023). Earlier this year, in an effort to Over the last 3 decades, the Center has provided thousands of clinical consultations for numerous clinical specialties to hundreds of sites across the state, including hospitals, clinics, schools, nursing homes and many other facilities. KS Statute Ann. The following criteria apply for billing for these services: SOURCE: KS Dept. Providers at the originating site may submit claims using code Q3014 (Telehealth originating site facility fee). For plan A members, doctor visits on Amwell are $10. Advanced practice registered nurse (APRN), Registered nurse (RN), for KBH-EPSDT nursing screen only, bill with modifier TD, Visiting nurse (if the conditions listed under visiting nurse services are fulfilled), Registered dental hygienist, extended care permit (RDH ECP). Agencies may bill skilled nursing services on the same date of service as telehealth services. SOURCE: PSYPACT Compact, (Accessed Feb. 2023). A request submitted for this exception must include, at a minimum, three written statements from service providers in at least a 50-mile radius declining to provide services because the participant resides in a location that is so remote or far away that the provider does not have the staff to meet with the child on a continual and/or intermittent basis as needed. In order to keep everyones health as our top priority, BCBSKS is allowing physicians to use a (Accessed Feb. 2023). Submits a complete application that may include evidence in the form of an affidavit from an authorized third party that the applicant meets the requirements of this section in a manner determined by the state board of healing arts and pays a fee not to exceed $100; and. criteria for requesting exemptions or waivers from the requirements set forth in rules and regulations adopted under this subsection. Other reasons to use telemedicine include: Amwell is great when youre on the road for vacation or work. (Accessed Feb. 2023). (Accessed Feb. 2023). Prescribed by a physician or allowed nonphysician practitioner; Signed beneficiary consent for telehealth services; Does not exceed program limitations (two visits per week for non-Home and Community Based Services beneficiaries). KS Dept. Click here to access the provider directory. Telemedicine is a fast, easy way to see a doctor. State of Kansas employees with BCBSKS can have live visits over their computer, tablet, or phone with a doctor anytime through telemedicine visits. Blue Cross provides telemedicine services through Amwell, the industrys leading telemedicine solution. Providers at the originating site may submit claims using code Q3014 (Telehealth originating site facility fee). Kansas Grant Management System. (Accessed Feb. 2023). Kansas law mandates coverage of telehealth in state-regulated health plans, but there is no specific requirement for the coverage of audiology and speech-language pathology services within these plans. An applicable healthcare licensing agency of this state may adopt procedures consistent with this section to allow other healthcare professionals licensed and regulated by such licensing agency to practice telemedicine within the scope of practice defined by Kansas law for such healthcare profession as deemed by such licensing agency to be consistent with ensuring patient safety. SOURCE: KS Statute Ann. Kansas Vaccine website. KS Dept. Updated Guidance 65-16, 130, (Accessed Feb. 2023). COVID-19 - KDADS Quick Links. Updates Update (7/19/2022) July 19th, 2022 Read the update from KSBNs executive administrator about the Senate Substitute for House Bill 2279. The same requirements for patient privacy and confidentiality under HIPAA of 1996 and 42 C.F.R. End Bypass Medical Review for Respiratory Testing and Flu Panels SOURCE: KS Dept. The FQHC section of CCHPs Policy Finder Tool is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,656,250 with zero percentage financed with non-governmental sources. 40-2,213(b). The law is not clearly defined indicating that any healthcare provider and service may be covered. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-29 (Jan. 2023), (Accessed Feb. 2023). SOURCE: KS Dept. A complete record of each visit is securely maintained and accessible by you, Medication can be prescribed during your online visit and picked up at your local pharmacy(when appropriate and where allowed**), Simple payment with credit, debit or HSA/FSA cards, Your visit is counted toward your out of pocket maximum, I should probably see a doctor, but cant fit it into my schedule, I have children at home and dont want to bring them with me, It's difficult for me to get a doctor's appointment, I'm on business travel and stuck in a hotel room, Have an average of 15-years of experience in primary and urgent care, Are US Board Certified, licensed, and credentialed, Have profiles, so you can see their education and practice experience, Are rated by other patients, so you can review and select the doctor that meets your needs. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, HCBS Frail Elderly, p. 8-18-19, (Nov. 2021), (Accessed Feb. 2023). of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-32 (Jan. 2023). The Kansas Health Institute notes Medicare data show a dramatic leap from fewer than 1% of primary care visits relying on telehealth in February last year, to more than 40% a few months later. Regs., Sec. of Health and Environment, Provider Manual, Professional, p. 8-39, (Feb. 2023), (Accessed Feb. 2023). The IMLC. We are not providing legal advice or interpretation of the laws and regulations and policies. Insurers cannot exclude an otherwise covered healthcare service from coverage solely because such service is provided through telemedicine, rather than in-person contact, or based upon the lack of a commercial office for the practice of medicine, when such service is delivered by a healthcare provider. (Jan. 2023). Regs., Sec. 100-77-1 to 3, (Accessed Feb. 2023). Per Kansas requirements, if the client is Telemedicine is available in most states, but some states do not allow telemedicine or prescriptions. Kansas of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-29 (Aug 2022). Cross-State Licensing. (Accessed Feb. 2023). 40-2,213. Bipartisan legislation that would give people with high-deductible health plans permanent access to telehealth services without having to meet a minimum deductible 90% of the health center patients report incomes less than 200% of the federal poverty line, Terri Kennedy, Director of the Health Center Controlled Network (HCCN) Program, said. STATUS: KS Statute Annotated Sec. SOURCE: KS Dept. telehealth Rural Health Clinics telehealth The insureds medical record shall serve to satisfy all documentation for the reimbursement of all telemedicine healthcare services, and no additional documentation for telemedicine is required. Regulations Sec. SOURCE: Interstate Medical Licensure Compact. (Accessed Feb. 2023). Opportunities and Barriers for Telemedicine of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-29 (Aug 2022), & Rehabilitative Therapy Services, p. 8-4, (Nov. 2022). Regulation Sec. 40-2,211(5). 40-2,211(5). The participant is using MFP to move from a nursing facility back into the community. Visit the Teladoc website to see if a telehealth appointment is right for you. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, HCBS Frail Elderly, p. 8-19 & 8-20 (Nov. 2021), (Accessed Feb. 2023). Center for Telemedicine & Telehealth - University of Telemedicine is an innovative patient consultation service that lets you connect with a U.S. board-certified, licensed and credentialed doctor quickly and easily. If the patient suffers illness or injury subsequent to the first visit on the same day requiring additional diagnosis and treatment which are different from the first visit, the second encounter qualifies as an additional visit. Not later than January 1, 2023, the board shall adopt rules and regulations necessary to specify additional criteria for a managing pharmacy and telepharmacy outlet under this section, including, but not limited to: SOURCE: KS Statute Sec. If the Telemedicine Waiver is granted based on an Intellectual/Developmentally Disabled Services. (Accessed Feb. 2023). An official State of Kansas government website. WebMany patients are turning to telehealth visits during the COVID-19 pandemic. (Accessed Feb. 2023). 68-2-20(2). The Center for Connected Health Policy is a program of the Public Health Institute. Governor Kelly today encouraged Kansas medical and behavioral health providers to apply for the Federal Communications Commissions (FCC) COVID-19 Telehealth Program. If an encounter does not involve one of the above listed practitioners, it is not a covered RHC/FQHC visit and should not be billed. SOURCE: ASLP Compact Map, (Accessed Feb. 2023). This brief analyzes the changes to telehealth regulation and implementation made by the federal government, state governments and health systems in response to the COVID-19 emergency. Providers who are not RHC or FQHC providers and are acting as the distant site will be reimbursed in accordance with a percentage of the Physician Fee Schedule and not an encounter rate. A great patient experience begins with your doctor. (Accessed Feb. 2023). SOURCE: Dept. Member of the Interstate Medical Licensure Compact. KS Dept. Governor Laura Kelly Encourages Providers Apply for COVID-19 As documented in related telemedicine policies, telemedicine claims at the distant site must contain place of service 02 (Telehealth distant site). (2) "Telemedicine" means the delivery of healthcare services by a healthcare provider while the patient is at a different physical location. (Accessed Feb. 2023). Regulation Sec. Teladoc provides 24/7 access to healthcare and medical advice by phone, video, or app. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-30 & 32 (Jan. 2023), (Accessed Feb. 2023). SOURCE: KS Statute Ann. A crisis shows telehealth works; now we need to explore how to sustain services. SOURCE: KS Dept. WebTelemedicine Telemedicine connects you with a doctor anytime, anywhere. The patient has a different type of visit on the same day, which may consist of a dental, medical, or mental health visit. 40-2,213. While COVID-19 underscored the importance of increasing telehealthcapabilities,growing these serviceswill benefitKansans long after the pandemic is over, Governor Kelly said. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-29 (Jan. 2023), Early Childhood Intervention Fee-for-Service Provider Manual, p. 8-5 (Aug. 2022), Local Education Agency Services, p. 8-7 (Jan. 2023). Member of the Audiology and Speech-Language Therapy Compact. (Accessed Feb. 2023). These codes are per visit. Governor Laura Kelly Announces State-Allocated Funds NCSBN. WebInformation on Kansas Administrative Regulations. (Accessed Feb. 2023). Practitioner Not Compensated: The service is not covered as an RHC/FQHC visit. (Accessed Feb. 2023). Kansas Child Care Center, Preschool & Head Start. Per Kansas requirements, if the client is physically located in Kansas when services are being provided, the licensed provider must be licensed in the State of Kansas. (Accessed Feb. 2023). Blue Cross provides telemedicine services through Amwell,the industrys leading telemedicine solution. KS Medicaid Live Video Facility/Transmission Fee. Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Home Health, p. AIII-4-AIII-6 AIII-8. SOURCE: KS Admin. (Accessed Feb. 2023). 76-389, (Accessed Feb. 2023). Regulation Sec. info@cchpca.org of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Mental Health, p. 8-15, 8-22 (Jan. 2023). SOURCE: KS Admin. No services are provided at an inpatient hospital, outpatient hospital, or hospital emergency room. SOURCE: KS Dept. SOURCE: KS Dept. WebTelehealth with Teladoc. 1, KS Dept. Long before the COVID-19 pandemic, Blue Cross Blue Shield Kansas City provided telehealth services through Amwell and Teladoc Health, two major telehealth (Accessed Feb. 2023). (Accessed Feb. 2023). SOURCE: KS Dept. State Telehealth
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