26-18-13 - Telemedicine -- Reimbursement -- Rulemaking. - Utah Statutes

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Statutes > Utah > Title-26 > Chapter-18 > 26-18-13

26-18-13. Telemedicine -- Reimbursement -- Rulemaking.
(1) (a) On or after July 1, 2008, communication by telemedicine is considered face toface contact between a health care provider and a patient under the state's medical assistanceprogram if:
(i) the communication by telemedicine meets the requirements of administrative rulesadopted in accordance with Subsection (3); and
(ii) the health care services are eligible for reimbursement under the state's medicalassistance program.
(b) This Subsection (1) applies to any managed care organization that contracts with thestate's medical assistance program.
(2) The reimbursement rate for telemedicine services approved under this section:
(a) shall be subject to reimbursement policies set by the state plan; and
(b) may be based on:
(i) a monthly reimbursement rate;
(ii) a daily reimbursement rate; or
(iii) an encounter rate.
(3) The department shall adopt administrative rules in accordance with Title 63G,Chapter 3, Utah Administrative Rulemaking Act, which establish:
(a) the particular telemedicine services that are considered face to face encounters forreimbursement purposes under the state's medical assistance program; and
(b) the reimbursement methodology for the telemedicine services designated underSubsection (3)(a).

Enacted by Chapter 41, 2008 General Session

State Codes and Statutes

Statutes > Utah > Title-26 > Chapter-18 > 26-18-13

26-18-13. Telemedicine -- Reimbursement -- Rulemaking.
(1) (a) On or after July 1, 2008, communication by telemedicine is considered face toface contact between a health care provider and a patient under the state's medical assistanceprogram if:
(i) the communication by telemedicine meets the requirements of administrative rulesadopted in accordance with Subsection (3); and
(ii) the health care services are eligible for reimbursement under the state's medicalassistance program.
(b) This Subsection (1) applies to any managed care organization that contracts with thestate's medical assistance program.
(2) The reimbursement rate for telemedicine services approved under this section:
(a) shall be subject to reimbursement policies set by the state plan; and
(b) may be based on:
(i) a monthly reimbursement rate;
(ii) a daily reimbursement rate; or
(iii) an encounter rate.
(3) The department shall adopt administrative rules in accordance with Title 63G,Chapter 3, Utah Administrative Rulemaking Act, which establish:
(a) the particular telemedicine services that are considered face to face encounters forreimbursement purposes under the state's medical assistance program; and
(b) the reimbursement methodology for the telemedicine services designated underSubsection (3)(a).

Enacted by Chapter 41, 2008 General Session

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State Codes and Statutes

Statutes > Utah > Title-26 > Chapter-18 > 26-18-13

26-18-13. Telemedicine -- Reimbursement -- Rulemaking.
(1) (a) On or after July 1, 2008, communication by telemedicine is considered face toface contact between a health care provider and a patient under the state's medical assistanceprogram if:
(i) the communication by telemedicine meets the requirements of administrative rulesadopted in accordance with Subsection (3); and
(ii) the health care services are eligible for reimbursement under the state's medicalassistance program.
(b) This Subsection (1) applies to any managed care organization that contracts with thestate's medical assistance program.
(2) The reimbursement rate for telemedicine services approved under this section:
(a) shall be subject to reimbursement policies set by the state plan; and
(b) may be based on:
(i) a monthly reimbursement rate;
(ii) a daily reimbursement rate; or
(iii) an encounter rate.
(3) The department shall adopt administrative rules in accordance with Title 63G,Chapter 3, Utah Administrative Rulemaking Act, which establish:
(a) the particular telemedicine services that are considered face to face encounters forreimbursement purposes under the state's medical assistance program; and
(b) the reimbursement methodology for the telemedicine services designated underSubsection (3)(a).

Enacted by Chapter 41, 2008 General Session