Source: https://general-devices.com/kansas/
Timestamp: 2020-04-03 06:54:08
Document Index: 753010822

Matched Legal Cases: ['§ 40', '§ 40', '§ 40', '§ 40', '§ 40', '§ 40', '§ 40']

Kansas telehealth laws and telemedicine reimbursement
All insurers (including Medicaid) must cover medically necessary services, subject to the terms and conditions of the contract. Medicaid specifically must provide reimbursement for speech language pathology services and audiology services.
“Telemedicine is the use of communication equipment to link health care practitioners and patients in different locations. 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 better communication among providers.”
Source: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-29 (Feb
2019). (Accessed Mar. 2019).
‘‘Telemedicine,’’ including ‘‘telehealth,’’ means the delivery of healthcare services or consultations while the patient is at an originating site and the healthcare provider is at a distant site. Telemedicine shall be provided by means of real-time two-way interactive audio, visual, or audio-visual communications, including the application of secure video conferencing or store-and-forward technology to provide or support healthcare delivery, that facilitate the assessment, diagnosis, consultation, treatment, education and care management of a patient’s healthcare. ‘‘Telemedicine’’ does not include communication between:
(A) Healthcare providers that consist solely of a telephone voice-only conversation, email or
(B) a physician and a patient that consists solely of an email or facsimile transmission.
Source: KS Statute Ann. § 40-2,211(5) (2018). & KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-30 (Feb. 2019). (Accessed Mar. 2019).
Insurers (including Medicaid) cannot exclude from coverage a service solely because the 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
Source: KS Statute Ann. § 40-2,213(b) (2018). (Accessed Mar. 2019).
Kansas Medicaid will reimburse for live video for certain medically necessary services.
Payment or reimbursement of covered services delivered through telemedicine is the same
as for covered services delivered through personal contact.
Source: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-29 & 2-30 (Feb 2019). (Accessed Mar. 2019).
• Office visits;
• Pharmacological management services.
The consulting expert must bill with the 02 place of service code. The GT modifier is not required except for services provided on or before December 31, 2017.
See manual for list of acceptable CPT codes. Telemedicine will be reimbursed at the same rate as face-to-face services.
KMAP does not recognize CPT Codes 99241-99245 and 99251-99255.
Source: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p.2-29 (Feb 2019). (Accessed Mar. 2019).
Mental health assessment can be delivered either face-to-face or through telemedicine.
Source: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p.
8-8 (Dec. 2019). (Accessed Mar. 2019).
Speech-language pathology and audiology services may be delivered face-to-face or through telemedicine. See manual for specific codes for eligible telemedicine services.
Codes not appearing on the list are not covered via telemedicine.
Source: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p.2-28 (Feb. 2019). (Accessed Mar. 2019).
Kansas Medicaid does not authorize the use of telemedicine in the delivery of any abortion procedure.
Source: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-29 (Feb. 2019). (Accessed Mar. 2019)
Telemedicine and telehealth services may be delivered by a healthcare provider, which
• Licensed Advanced Practice Registered Nurses
• Other persons licensed, registered, certified, or otherwise authorized to practice by
the behavioral sciences regulatory board
Source: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p.2-31 (Feb. 2019). (Accessed Mar. 2019).
The originating site, with the beneficiary present, may bill code Q3014 for the originating site fee with the appropriate POS code.
Source: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p.2-29 (Feb. 2019). (Accessed Mar. 2019).
Kansas Medicaid requires the patient to be present at the originating site indicating storeand-forward will not be reimbursed.
Source: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-31 (Feb. 2019). (Accessed Mar. 2019)
Source: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, General Benefits, p. 2-30 (Feb.2019). (Accessed March 2019).
Source: KS Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Home Health Agency, p. AIII-19 (Dec 2018) (Accessed Mar. 2019).
Source: KS HB 2028 (2018). (Accessed Mar. 2019).
No additional documentation for telemedicine is required.
Source: KS Statute Ann. § 40-2,213(2018). (Accessed Mar. 2019).
‘‘Telemedicine,’’ including ‘‘telehealth,’’ means the delivery of healthcare services or consultations while the patient is at an originating site and the healthcare provider is at a distant site. Telemedicine shall be provided by means of real-time two-way interactive audio, visual, or audio-visual
communications, including the application of secure video conferencing or store-and-forward technology to provide or support healthcare delivery, that facilitate the assessment, diagnosis, consultation, treatment, education and care management of a patient’s healthcare. ‘‘Telemedicine’’ does not include communication between:
(A) Healthcare providers that consist solely of a telephone voice-only conversation, email or facsimile transmission; or (B) a physician and a patient that consists solely of an email or facsimile transmission.
Source: KS Statute Ann. § 40-2,211(5) (2018). (Accessed Mar. 2019).
Payment for covered services delivered through telemedicine may be established by an insurance company, nonprofit health service corporation, nonprofit medical and hospital service corporation or health maintenance organization in the same manner as payment or reimbursement for covered services that are delivered via in-person contact are established.
Source: KS Statute Ann. § 40-2,213 (2018). (Accessed Mar. 2019).
Source: KS Statute Ann. § 40-2,211(5) (2018). (Accessed Mar. 2019)
Source: KS Admin. Regs., Sec. 100-77-3. (Accessed Mar. 2019).
Physicians must have a pre-existing patient-prescriber relationship. Physicians are prohibited from prescribing drugs on the basis of an internet-based questionnaire or consult, or telephone consult.
Source: KS Admin. Regs., Sec. 68-2-20(2). (Accessed Mar. 2019).
Telemedicine may be used to establish a valid provider-patient relationship.
Source: KS Statute Ann. § 40-2,212(b) (2018). (Accessed Mar. 2019).
Source: Current NLC States and Status. NCSBN. (Accessed Mar. 2019).
Contact us to discuss your telehealth initiatives in Kansas