71-8506 Medical assistance program; reimbursement; requirements. - Nebraska Statutes

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Statutes > Nebraska > Chapter71 > 71-8506

71-8506. Medical assistance program; reimbursement; requirements.(1) On or after July 1, 2000, in-person contact between a health care practitioner and a patient shall not be required under the medical assistance program established pursuant to the Medical Assistance Act and Title XXI of the federal Social Security Act, as amended, for health care services delivered through telehealth that are otherwise eligible for reimbursement under such program and federal act. Such services shall be subject to reimbursement policies developed pursuant to such program and federal act. This section also applies to managed care plans which contract with the department pursuant to the Medical Assistance Act only to the extent that:(a) Health care services delivered through telehealth are covered by and reimbursed under the medicaid fee-for-service program; and(b) Managed care contracts with managed care plans are amended to add coverage of health care services delivered through telehealth and any appropriate capitation rate adjustments are incorporated.(2) The reimbursement rate for a telehealth consultation shall, as a minimum, be set at the same rate as the medical assistance program rate for a comparable in-person consultation.(3) The department shall establish rates for transmission cost reimbursement for telehealth consultations, considering, to the extent applicable, reductions in travel costs by health care practitioners and patients to deliver or to access health care services and such other factors as the department deems relevant. SourceLaws 1999, LB 559, § 6; Laws 2006, LB 1248, § 82. Cross ReferencesMedical Assistance Act, see section 68-901.

State Codes and Statutes

Statutes > Nebraska > Chapter71 > 71-8506

71-8506. Medical assistance program; reimbursement; requirements.(1) On or after July 1, 2000, in-person contact between a health care practitioner and a patient shall not be required under the medical assistance program established pursuant to the Medical Assistance Act and Title XXI of the federal Social Security Act, as amended, for health care services delivered through telehealth that are otherwise eligible for reimbursement under such program and federal act. Such services shall be subject to reimbursement policies developed pursuant to such program and federal act. This section also applies to managed care plans which contract with the department pursuant to the Medical Assistance Act only to the extent that:(a) Health care services delivered through telehealth are covered by and reimbursed under the medicaid fee-for-service program; and(b) Managed care contracts with managed care plans are amended to add coverage of health care services delivered through telehealth and any appropriate capitation rate adjustments are incorporated.(2) The reimbursement rate for a telehealth consultation shall, as a minimum, be set at the same rate as the medical assistance program rate for a comparable in-person consultation.(3) The department shall establish rates for transmission cost reimbursement for telehealth consultations, considering, to the extent applicable, reductions in travel costs by health care practitioners and patients to deliver or to access health care services and such other factors as the department deems relevant. SourceLaws 1999, LB 559, § 6; Laws 2006, LB 1248, § 82. Cross ReferencesMedical Assistance Act, see section 68-901.

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State Codes and Statutes

Statutes > Nebraska > Chapter71 > 71-8506

71-8506. Medical assistance program; reimbursement; requirements.(1) On or after July 1, 2000, in-person contact between a health care practitioner and a patient shall not be required under the medical assistance program established pursuant to the Medical Assistance Act and Title XXI of the federal Social Security Act, as amended, for health care services delivered through telehealth that are otherwise eligible for reimbursement under such program and federal act. Such services shall be subject to reimbursement policies developed pursuant to such program and federal act. This section also applies to managed care plans which contract with the department pursuant to the Medical Assistance Act only to the extent that:(a) Health care services delivered through telehealth are covered by and reimbursed under the medicaid fee-for-service program; and(b) Managed care contracts with managed care plans are amended to add coverage of health care services delivered through telehealth and any appropriate capitation rate adjustments are incorporated.(2) The reimbursement rate for a telehealth consultation shall, as a minimum, be set at the same rate as the medical assistance program rate for a comparable in-person consultation.(3) The department shall establish rates for transmission cost reimbursement for telehealth consultations, considering, to the extent applicable, reductions in travel costs by health care practitioners and patients to deliver or to access health care services and such other factors as the department deems relevant. SourceLaws 1999, LB 559, § 6; Laws 2006, LB 1248, § 82. Cross ReferencesMedical Assistance Act, see section 68-901.