Telehealth - interim therapeutic restorations - reimbursement definitions.

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(1) Subject to federal authorization and financial participation, on or after July 1, 2016, in-person contact between a health care provider and an enrollee is not required under the children's basic health plan for the diagnosis, development of a treatment plan, instruction to perform an interim therapeutic restoration procedure, or supervision of a dental hygienist performing an interim therapeutic restoration procedure. A health care provider may provide these services through telehealth, including store-and-forward transfer, and is entitled to reimbursement for the delivery of those services via telehealth to the extent the services are otherwise eligible for reimbursement under the plan. The services are subject to the reimbursement policies developed pursuant to the children's basic health plan.

(2) As used in this section:

  1. "Interim therapeutic restoration" has the same meaning as set forth in section 12-220104 (10).

  2. "Store-and-forward transfer" means a telehealth by store-and-forward transfer, as defined in section 12-220-104 (14).

Source: L. 2015: Entire section added, (HB 15-1309), ch. 326, p. 1335, § 9, effective August 5. L. 2019: (2) amended, (HB 19-1172), ch. 136, p. 1711, § 191, effective October 1.


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