Member of the Psychology Interjurisdictional Compact. Provider Manual | Georgia Department of Community Health Federally Qualified Health Center Services are reimbursed according to the clinics assigned all inclusive rate. of Community Health, Childrens Intervention School Services (CISS). Telemedicine in Georgia: Law, Rules, Regulations, and Policies | Blog of Community Health, GA Medicaid Telehealth Guidance Handbook, p. 10 (Apr. The use of a telecommunications system may substitute for an in-person encounter for professional office visits, pharmacologic management, limited office psychiatric services, limited radiological services and a limited number of other physician fee schedule services. FQHCs and RHCs that serve as an originating site for telehealth services are paid an originating site facility fee. Please refer to the. 33-20E-24 as added by Senate Bill 20 (2023 Session). It can also give you quick medical advice that can prevent your condition from getting worse. 2023). of Community Health, Policies and Procedures for Federally Qualified Health Center Services and Rural Health Clinic Services, p. 22, (Apr. No insurer shall restrict coverage of telehealth or telemedicine services to services provided by a particular vendor, or other third party, or services provided through aparticular electronic communications technology platform; provided, however, that nothingin this Code section shall require an insurer to cover any telehealth or telemedicine services provided through an electronic communications technology platform that does not complywith applicable state and federal privacy laws. of Community Health, GA Medicaid Telemedicine Guidance Handbook, p. 40 (Apr. FQHCs may serve as distant site providers and bill the cost of the visit. Telehealth is a broad definition of remote healthcare that does not always involve clinical services. See dental services manual for teledentistry codes. SOURCE: GA Dept. The distant site provider should also have the capability to hear heart tones and lung sounds clearly (using a stethoscope) if medically necessary and currently within the providers scope of practice. 2023). GA Dept. The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. Services can now be provided in Federally Qualified Health Centers, volunteer community health settings, senior centers and family violence shelters. 2023). of Community Health GA Medicaid Telehealth Guidance Handbook, p. 7 & 10 (Apr. Georgia Department of Community Health. (Accessed May. of Community Health, GA Medicaid Telehealth Guidance Handbook, p. 8 (Apr. 2023), p. 46. Nursing facilities can be eligible sites for nursing facility specialized services. All individual practitioners must possess the appropriate Georgia license (this includes a Telemedicine License, Temporary License or Emergency Practice Permit), permit, certificate, approval, registration, or other form of permission issued by an entity other than the Department of Community Health (DCH), which form of permission is required by law. SOURCE: GA Dept. GA Dept. Telehealth services are not an expansion of Georgia Medicaid covered services but, an option for the delivery of covered services. 2023). Home [www.mmis.georgia.gov] GA Dept. Closely associated with telemedicine is the term telehealth, which is often used to encompass a broader definition of remote healthcare that does not always involve clinical services. 2023). 43-34-31.1. of Community Health, GA Medicaid Telehealth Guidance Handbook, p. 53 (Apr. DBHDD will provide ongoing operational guidance for the delivery of such services in a meaningful model designed to enhance the independence and social involvement of Medicaid Waiver members with intellectual and developmental disabilities. 2023). Except for services that meet the criteria for a TCM visit, telephone or electronic communication between a physician and a patient, or between a physician and someone on behalf of a patient, are considered physicians services and are included in an otherwise billable visit. 43-26-61& NLC. SOURCE: GA Dept. (Accessed May 2023). (Accessed May 2023). Georgia doctors say telehealth monitoring of pregnant people provides better better, more frequent access to maternity care. of Community Health, GA Medicaid, Comprehensive Supports Waiver Program, (Apr. (Accessed May 2023). (Accessed May 2023). 2023), p. 22. (May 2023). GA Rules & Regulations revised 360-3-.07. (Apr. GA Dept. See section 960.1 of this chapter for information on visiting nursing services to home-bound patients. States with Telehealth Consent Requirements - CCHP Qualified providers permitted to furnish Medicaid-reimbursed telehealth services during the Public Health Emergency include physicians and certain non-physician providers such as nurse practitioners, physician assistants and certified nurse midwives. More than 95,000 Georgians lost their Medicaid health coverage last month, the state Department of Community Health reported this week, as Georgia finished its second month of requalifying enrollees. Call 1-800-TELADOC (835-2362). This shall also not prevent a licensed physician from prescribing Schedule II sympathomimetic amine drugs for the treatment of attention deficit disorder to a patient in the physical presence of a licensed nurse, provided the initial diagnosis was made and an initial prescription was issued in accordance with21 U .S .C. 43-44-7. SOURCE: GA Department of Behavioral Health & Developmental Disabilities, Provider Manual for Community Behavioral Health Providers (May 2023), p. 478 & 503. 2023). XIII-20., XIV-7, XV-13, XVI-7, XVIII-12 XXXIV-13. Get Contracted by following the link below. & GA Dept. The FQHC section of CCHPs Policy Finder Tool is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,656,250 with zero percentage financed with non-governmental sources. Georgia Department of Community Health, Division of Medicaid, Federally Qualified Health Center Services and Rural Health Clinic Services, p. 10, C-1. 2023). The denial of a telemedicine license is not a contested case, but the applicant shall be entitled to an appearance before the Board. (Accessed May 2023). SOURCE: Official Code of GA Annotated Sec. of Community Health, GA Medicaid Telemedicine Guidance Handbook, p. 14 (Apr. All treatment and/or consultations must be done by Georgia licensed practitioners; A history of the patient shall be available to the Georgia licensed physician, physician assistant or advanced practice registered nurse who is providing treatment or consultation via electronic or other such means; Georgia licensed physician, physician assistant or advanced practice registered nurse either: (a) Has personally seen and examined the patient and provides ongoing or intermittent care by electronic or other such means; or (b) Is providing medical care by electronic or other such means at the request of a physician, physician assistant or advanced practice registered nurse licensed in Georgia who has personally seen and examined the patient; or (c) Is providing medical care by electronic or other such means at the request of a Public Health Nurse, a Public School Nurse, the Department of Family and Childrens Services, law enforcement, community mental health center or through an established child advocacy center for the protection for a minor, and the physician, physician assistant or advanced practice registered nurse is able to examine the patient using technology and peripherals that are equal or superior to an examination done personally by a provider within that providers standard of care; or (d) Is able to examine the patient using technology and peripherals that are equal or superior to an examination done personally by a provider within that providers standard of care. R. & Regs. 2023). SOURCE:Georgia Department of Community Health, Division of Medicaid, Telehealth Guidance, p. 42 (Apr. Adult Occupational Therapists, Adult Physical Therapists, Speech and Language Therapists, Adult Nutrition providers, Behavior Support Service providers and Supported Employment providers wishing to use telehealth modalities to deliver evaluation or treatment services must obtain valid signed consent from the individual or the legal decision-maker. This shall not prohibit a licensee from prescribing a dangerous drug for a patient pursuant to a valid physician patient relationship in accordance with O.C.G.A. Georgia Medicaid SOURCE: GA Dept. This includes keeping their address updated, monitoring their mail, and being aware of their Medicaid or CHIP expiration dates. of Community Health, GA Medicaid Telehealth Guidance Handbook, p. 6, (Apr 1, 2023). (Accessed May 2023). It may lower your chance of being exposed to illnesses like the flu. 2023). Electronic communication means the use of interactive telecommunications equipment that includes, at a minimum, audio and video equipment permitting two-way, real time interactive communication between the patient, and the physician or practitioner at the distant site. Learn more on the Billing for Providers - What Should I Know? 2023). of Community Health, GA Medicaid Telemedicine Guidance Handbook, p. 6 (Apr. 360-3-.07 (Accessed Jun. 2023). SOURCE: GA Rules & Regulations Sec. GA Rules & Regulations Sec. Georgia Medicaid defines telemedicine as using two-way, real-time video to exchange patient medical information between two sites. All members with access to video or telephone communication may receive services in their homes to reduce exposure to themselves and others. GA Dept. (Apr. Qualified providers should continue to follow all applicable licensure rules specific to their profession. Telehealth originating site limitations listed in the Georgia Medicaid Telehealth manual are being waived. The Board is authorized to issue telemedicine licenses to physicians who are licensed in other states but not licensed in Georgia. Medicaid Unwinding | Georgia Department of Human Services The report from the distant site provider may be faxed to the originating provider. Telehealth Services Let You Visit with a Provider by Phone or Video. 2023). Referral and direct connection from CareSource24. 360-3-.07 (Accessed Jun. 2023). GA Department of Community Health, Division of Medicaid, Policies and Procedures for Elderly and Disabled Waiver EDWP (CCSP) Traditional/Enhanced Case Management, p. 45-47, 106. GA Dept. Behavioral Health and Development Disabilities manual, GA Dept. of Community Health, GA Medicaid Telehealth Guidance Handbook, p. 21 (Apr. 2023). Telehealth involves the use of two-way, real time interactive communication equipment to exchange medical/clinical information between a healthcare practitioner and the member from one site to another via a secure electronic communication system. 2023). SOURCE: GA Rules & Regulations Sec. SOURCE: GA Dept of Community Health, Division of Medicaid, Policies and Procedures for Elderly and Disabled Waiver EDWP (CCSP) Traditional/Enhanced Case Management (Apr. Telehealth will allow DCH to meet the needs of members and providers, while complying with all applicable Federal and State statutes and regulations. Most behavioral health visits last <45 minutes>, just like an in-person visit. Telehealth services are not an expansion of Georgia Medicaid covered services but, an option for the delivery of covered services.
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