Telemedicine services -- Reimbursement -- Reporting.

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  • (1) As used in this section:
    • (a) "Network provider" means a health care provider who has an agreement with the program to provide health care services to a patient with an expectation of receiving payment, other than coinsurance, copayments, or deductibles, directly from the managed care organization.
    • (b) "Telemedicine services" means the same as that term is defined in Section 26-60-102.
  • (2) This section applies to the risk pool established for the state under Subsection 49-20-201(1)(a).
  • (3) The program shall, at the provider's request, reimburse a network provider for medically appropriate telemedicine services at a commercially reasonable rate.
  • (4) Before November 1, 2019, the program shall report to the Legislature's Public Utilities, Energy, and Technology Interim Committee and Health Reform Task Force on:
    • (a) the result of the reimbursement requirement described in Subsection (3);
    • (b) existing and potential uses of telehealth and telemedicine services;
    • (c) issues of reimbursement to a provider offering telehealth and telemedicine services;
    • (d) potential rules or legislation related to:
      • (i) providers offering and insurers reimbursing for telehealth and telemedicine services; and
      • (ii) increasing access to health care, increasing the efficiency of health care, and decreasing the costs of health care; and
    • (e) telemedicine services that the program declined to cover because the telemedicine services that were requested were not medically appropriate.




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