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7 AAC 110.625. Telemedicine applications; limitations

(a) The department will pay a provider for a telemedicine application if the provider provided the medical services through one of the following methods of delivery in the specified manner:

(1) live or interactive; to be eligible for payment under this paragraph, the service must be provided through the use of camera, video, or dedicated audio conference equipment on a real-time basis; medical services provided by a telephone that is not part of a dedicated audio conference system or by a facsimile machine are not eligible for payment under this paragraph;

(2) store-and-forward; to be eligible for payment under this paragraph, the service must be provided through the transference of digital images, sounds, or previously recorded video from one location to another to allow a consulting provider to obtain information, analyze it, and report back to the referring provider;

(3) self-monitoring or testing; to be eligible for payment under this paragraph, the services must be provided by a telemedicine application based in the recipient's home, with the provider only indirectly involved in the provision of the service.

(b) The department will only make a payment for a telemedicine application if the service is limited to

(1) an initial visit;

(2) a follow-up visit;

(3) a consultation made to confirm a diagnosis;

(4) a diagnostic, therapeutic, or interpretive service;

(5) a psychiatric or substance abuse assessment;

(6) psychotherapy; or

(7) pharmacological management services on an individual recipient basis.

History: Eff. 2/1/2010, Register 193

Authority: AS 47.05.010

AS 47.07.030

AS 47.07.040

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