23 Miss. Code. R. 225-1.3 - Covered Services
A. The Division of
Medicaid covers medically necessary telehealth services as a substitution for
an in-person visit for consultations, office visits, and/or outpatient visits
when all the required medically appropriate criteria is met which aligns with
the description of the Current Procedural Terminology (CPT) evaluation and
management (E&M) and Healthcare Common Procedure Coding System (HCPCS)
guidelines.
B. The Division of
Medicaid covers telehealth services at the following locations:
1. At the following originating sites:
a) Office of a physician or
practitioner,
b) Outpatient
Hospital (including a Critical Access Hospital (CAH)),
c) Rural Health Clinic (RHC),
d) Federally Qualified Health Center
(FQHC),
e) Community Mental
Health/Private Mental Health Centers,
f) Therapeutic Group Homes,
g) Indian Health Service Clinic,
h) School-based clinic,
i) School which employs a school
nurse,
j) Inpatient hospital
setting, or
k) Beneficiary's
home.
2. At the distant
site the following provider types are allowed to render telehealth services:
a) Physicians,
b) Physician Assistants,
c) Nurse Practitioners,
d) Psychologists,
e) Licensed Clinical Social Workers
(LCSWs),
f) Licensed Professional
Counselors (LPCs),
g) Licensed
Marriage and Family Therapists (LMFTs),
h) Board Certified Behavior Analysts (BCBAs)
or Board Certified Behavior Analyst-Doctorals (BCBA-Ds),
i) Community Mental Health Centers
(CMHCs),
j) Private Mental Health
Centers,
k) Federally Qualified
Health Centers (FQHCs),
l) Rural
Health Centers (RHCs),
m) Physical,
occupational or speech therapy, or
n) Mississippi State Department of Health
(MSDH) clinics.
C. The Division of Medicaid requires a
telepresenter who meets the requirements of Miss. Admin Code Part 225, Rule
1.1.D. at the originating site unless
the originating site is the beneficiary's home or as determined by the
Division.
Notes
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