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Notice of Proposed Changes- Medicaid Coverage & Payment, Telemedicine Services.

NOTICE OF PROPOSED CHANGES ON MEDICAID TELEMEDICINE SERVICES COVERAGE & PAYMENT IN THE REGULATIONS OF THE DEPARTMENT OF HEALTH & SOCIAL SERVICES

 

BRIEF DESCRIPTION

The Department of Health & Social Services proposes to change regulations on Medicaid coverage and payment for telemedicine services.

 

The Department of Health & Social Services proposes to adopt regulation changes in Title 7 of the Alaska Administrative Code, dealing with Medicaid coverage for telemedicine services, including the following:

  • 7 AAC 110. Medicaid Coverage; Professional Services; 7 AAC 135. Medicaid Coverage; Behavioral Health Services; and 7 AAC 145. Medicaid Payment Rates, are proposed to be changed as follows:
    • Amend the scope of telemedicine services.
    • Amend the modes of delivery and the type of services for which the department will pay.
    • Replace the terms treating, consulting, referring, or presenting provider with the term distant site provider and include specific requirements on distant site providers.
    • Identify excluded/noncovered services, including supervision.
    • Limit payment to only the professional component of a telemedicine service; exclude payment for telemedicine services provided entirely through audio only, facsimile, text, or email.
    • Redefine terms related to telemedicine, including a new definition for a Health Professional Shortage Area.
    • Replace the references to provider with the title distant site provider and limit payment to the distant provider.

You may comment on the proposed regulation changes, including the potential costs to private persons of complying with the proposed changes, by submitting written comments to Ms. Susan Dunkin at the Department of Health & Social Services, Division of Health Care Services, 4501 Business Park Blvd., Building L, Attention: Susan Dunkin, Anchorage, AK 99503. Additionally, the Department of Health & Social Services will accept comments by electronic mail at susan.dunkin@alaska.gov . The comments must be received not later than 5 p.m. on September 27, 2019  

Oral or written comments also may be submitted at a hearing to be held on September 13, 2019, at the Frontier Building, in conference rooms 880 and 890, 3601 C Street, Anchorage, AK 99503. The hearing will be held from 2:00 p.m. to 4:00 p.m., and might be extended to accommodate those present before 3:30 p.m. who did not have an opportunity to comment. If you are unable to attend in person, but would like to comment during the oral public hearing, you can call the teleconference number 1-877-256-8233 (Toll Free).

You may submit written questions relevant to the proposed action to Ms. Susan Dunkin by e-mail at susan.dunkin@alaska.gov or at the Department of Health & Social Services, Division of Health Care Services, 4501 Business Park Blvd., Building L, Attention: Susan Dunkin, Anchorage, AK 99503.

The questions must be received at least 10 days before the end of the public comment period. The Department of Health & Social Services will aggregate its response to substantially similar questions and make the questions and responses available on the Alaska Online Public Notice System and agency website at http://www.dhss.alaska.gov/dhcs/Pages/default.aspx .

If you are a person with a disability who needs a special accommodation in order to participate in this process, please contact Ms. Jolene Withers at jolene.withers@alaska.gov or at (907) 334-2446 not later than September 3, 2019, to ensure that any necessary accommodations can be provided.

A copy of the proposed regulation changes is available on the Alaska Online Public Notice System and by contacting Ms. Susan Dunkin at susan.dunkin@alaska.gov or by telephone at (907) 269-3638.

A copy of material proposed for adoption by reference may be viewed at the agency's office at the Department of Health & Social Services, Division of Health Care Services, 4501 Business Park Blvd., Building L, Attention: Susan Dunkin, Anchorage, AK 99503.

After the public comment period ends, the Department of Health & Social Services will either adopt the proposed regulation changes or other provisions dealing with the same subject, without further notice, or decide to take no action. The language of the final regulation may be different from that of the proposed regulation. You should comment during the time allowed if your interests could be affected. Written comments received are public records and are subject to public inspection.

Statutory authority: AS 47.05.010; AS 47.07.030; AS 47.07.040.

Statutes being implemented, interpreted, or made specific: AS 47.05.010; AS 47.07.030; AS 47.07.040.

Fiscal information: The proposed regulation changes are not expected to require an increased appropriation.

The Department of Health & Social Services, Division of Health Care Services, keeps a list of individuals and organizations interested in its regulations. Those on the list will automatically be sent a copy of all of the Department of Health & Social Services, Division of Health Care Services, notices of proposed regulation changes. To be added to or removed from the list, send a request to the Department of Health & Social Services, Division of Health Care Services at susan.dunkin@alaska.gov , giving your name, and either your e-mail address or mailing address, as you prefer for receiving notices.

 

DATE: August 9, 2019.
/s/Adam Crum
Commissioner,
Department of Health & Social Services.

Attachments, History, Details

Details

Department: Health and Social Services
Category: Regulations
Sub-Category: Notice of Proposed Regulations
Location(s): Statewide
Project/Regulation #: 2019200392
 
Publish Date: 8/9/2019
Archive Date: 9/28/2019
 
Events/Deadlines: