§ 15-141.2. Program to provide telehealth services to Program recipients regardless of the Prog...
West's Annotated Code of MarylandHealth--GeneralEffective: July 1, 2021
Effective: July 1, 2021
MD Code, Health - General, § 15-141.2
§ 15-141.2. Program to provide telehealth services to Program recipients regardless of the Program recipient's location at the time telehealth services are provided
(6) “Remote patient monitoring services” means the use of synchronous or asynchronous digital technologies that collect or monitor medical, patient-reported, and other forms of health care data for Program recipients at an originating site and electronically transmit that data to a distant site provider to enable the distant site provider to assess, diagnose, consult, treat, educate, provide care management, suggest self-management, or make recommendations regarding the Program recipient's health care.
(b) The Program shall:
(c) The services required to be provided under subsection (b) of this section shall include counseling and treatment for substance use disorders and mental health conditions.
(d) The Program may not:
(e) The Program may undertake utilization review, including preauthorization, to determine the appropriateness of any health care service whether the service is delivered through an in-person consultation or through telehealth if the appropriateness of the health care service is determined in the same manner.
(f) The Program may not distinguish between Program recipients in rural or urban locations in providing coverage under the Program for health care services delivered through telehealth.
(g)(1) Subject to paragraph (3) of this subsection, the Program shall reimburse a health care provider for the diagnosis, consultation, and treatment of a Program recipient for a health care service covered by the Program that can be appropriately provided through telehealth.
(3)(i) From July 1, 2021, to June 30, 2023, both inclusive, when appropriately provided through telehealth, the Program shall provide reimbursement in accordance with paragraph (1) of this subsection on the same basis and the same rate as if the health care service were delivered by the health care provider in person.
(h)(1) The Department may specify in regulation the types of health care providers eligible to receive reimbursement for health care services provided to Program recipients under this section.
(2) If the Department specifies by regulation the types of health care providers eligible to receive reimbursement for health care services provided to Program recipients under this subsection, the regulations shall include all types of health care providers that appropriately provide telehealth services.
(i) Subject to subsection (g)(2) of this section, the Program or a managed care organization that participates in the Program may not impose as a condition of reimbursement of a covered health care service delivered through telehealth that the health care service be provided by a third-party vendor designated by the Program.
(k) The Department shall obtain any federal authority necessary to implement the requirements of this section, including applying to the Centers for Medicare and Medicaid Services for an amendment to any of the State's § 1115 waivers or the State plan.
Added by Acts 2020, c. 17, § 2, eff. April 3, 2020; Acts 2020, c. 18, § 2, eff. April 3, 2020. Amended by Acts 2020, c. 628, § 5; Acts 2021, c. 70, § 1, eff. July 1, 2021; Acts 2021, c. 71, § 1, eff. July 1, 2021.
MD Code, Health - General, § 15-141.2, MD HEALTH GEN § 15-141.2
Current through legislation effective through June 1, 2022, from the 2022 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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