Revised Medicaid Telehealth Regulation Issued
Monday, September 23, 2019 1:37 PM
KHA was successful in achieving favorable amendments to the Medicaid telehealth regulation. The Department for Medicaid Services (DMS) has issued revisions to its proposed regulation on telehealth service coverage and reimbursement.
KHA is very pleased that the regulation maintains payment parity. DMS will pay for telehealth services at 100% of the amount payable for an in-person service. Medicaid managed care organizations (MCOs) must reimburse the same amount as the department unless the MCO and provider have negotiated a different rate. DMS made several changes to their proposed rule in response to comments from KHA and other organizations.
A copy of the revised rule is available at http://www.new-kyha.com/Portals/5/NewsDocs/907KAR3_170.pdf. The revised rule must be reviewed by two legislative committees before it becomes final and effective which should occur by early November.
If you have any questions, please contact Nancy Galvagni at KHA (firstname.lastname@example.org).