Last updated 10/26/2022
Consent Requirements
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Last updated 10/26/2022
Definitions
Telemedicine – The practice of health care delivery by a practitioner who is located at a site other than the site where a recipient is located for the purposes of evaluation, diagnosis, or treatment.
SOURCE: FL Admin Code 59G-1.057. (Accessed Oct. 2022).
Substance Abuse Services
“Telehealth” means the mode of providing care, treatment, or services by a Florida qualified professional, as defined under subsection 397.311(34), F.S., within the scope of his or her practice, through the use of clinical and medical information exchanged from one site to another via electronic communication. Telehealth does not include the provision of health services only through an audio only telephone, email messages, text messages, facsimile transmission, U.S. mail or other parcel service, or any combination thereof.
SOURCE: FL Admin Code 65D-30.002. (Accessed Oct. 2022).
Children’s Medical Services
Telemedicine is “the use of telecommunication and information technology to provide clinical care to individuals at a distance, and to transmit the information needed to provide that care.”
SOURCE: FL Dept. of Health, Child Protection Team Program, Program Handbook, p.65 (Jun. 28, 2019). & FL Admin Code 64C-8-001(6). (Accessed Oct. 2022).
Last updated 10/26/2022
Email, Phone & Fax
No reimbursement for telephone, chart review, electronic mail messages or facsimile transmissions.
SOURCE: FL Admin Code 59G-1.057. (Accessed Oct. 2022).
Last updated 10/26/2022
Live Video
POLICY
FL Medicaid reimburses for real time, two-way, interactive telemedicine.
Providers must include the GT modifier.
SOURCE: FL Admin Code 59G-1.057. (Accessed Oct. 2022).
ELIGIBLE SERVICES/SPECIALTIES
Florida Medicaid reimburses the practitioner who is providing the evaluation, diagnosis, or treatment recommendation located at a site other than where the recipient is located.
SOURCE: FL Admin Code 59G-1.057. (Accessed Oct. 2022).
Child Protective Team (CPT) Services
Real-time CPT telemedicine services for the evaluation of children suspected to be abused or neglected has been implemented in rural or remote areas.
SOURCE: FL Dept. of Health, Child Protection Team Program, Program Handbook, p. 24 (Jun. 28, 2019). (Accessed Oct. 2022).
ELIGIBLE PROVIDERS
Telemedicine is available for use by all providers of Florida Medicaid services that are enrolled in or registered with the Florida Medicaid program and who are licensed within their scope of practice to perform the service.
SOURCE: FL Admin Code 59G-1.057. (Accessed Oct. 2022).
Child Protective Team (CPT) Services
Real-time CPT telemedicine services for the evaluation of children suspected to be abused or neglected has been implemented in rural or remote areas. Only CPT medical providers approved as CMS medical providers and are specifically trained to do telemedicine exams can perform exams at the hub site. Only registered nurses trained to assist in telemedicine exams can participate in the CPT medical exam at the remote site. All persons at remote site must act under the direct supervision of the telemedicine physician or physician extender.
SOURCE: FL Dept. of Health, Child Protection Team Program, Program Handbook, p. 24 (Jun. 28, 2019). (Accessed Oct. 2022).
ELIGIBLE SITES
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GEOGRAPHIC LIMITS
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FACILITY/TRANSMISSION FEE
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Last updated 10/26/2022
Miscellaneous
Substance Abuse Services
Prior to initiating services utilizing telehealth, providers shall submit detailed procedures outlining which services they intend to provide. Providers delivering any services by telehealth are responsible for the quality of the equipment and technology employed and are responsible for its safe use. Providers utilizing telehealth equipment and technology must be able meet or exceed the prevailing standard of care. Service providers must meet the following additional requirements:
- Must be capable of two-way, real-time electronic communication, and the security of the technology must be in accordance with applicable federal confidentiality regulations 45 CFR §164.312;
- The interactive telecommunication equipment must include audio and high-resolution video equipment which allows the staff providing the service to clearly understand and view the individual receiving services;
- Clinical screenings, assessments, medication management, and counseling are the only services allowable through telehealth; and
- Telehealth services must be provided within the state of Florida except for those licensed for outpatient, intervention, and prevention.
SOURCE: FL Admin Code Sec. 65D-30.004. (Accessed Oct. 2022).
Children’s Medical Services
There is a webpage dedicated to explaining what telemedicine services are to families.
SOURCE: FL Children’s Medical Services: Special Services for children with special needs. Telemedicine Services. (Accessed Oct. 2022).
No reimbursement for equipment used to provide telemedicine services.
SOURCE: FL Admin Code 59G-1.057. (Accessed Oct. 2022).
Telehealth Minority Maternity Care Pilot Programs
By July 1, 2022, the department shall establish a telehealth minority maternity care pilot program in Duval County and Orange County which uses telehealth to expand the capacity for positive maternal health outcomes in racial and ethnic minority populations. The department shall direct and assist the county health departments in Duval County and Orange County to implement the programs. The pilot programs shall adopt the use of telehealth or coordinate with prenatal home visiting programs to provide services and education to eligible pregnant women up to the last day of their postpartum periods and provide training to participating health care practitioners and other perinatal professionals.
SOURCE: FL Statute 383.2163. (Accessed Oct. 2022).
School-Based Mental Health Assistance Allocation
The mental health assistance allocation is created to provide funding to assist school districts in establishing or expanding school-based mental health care. Before the distribution of the allocation, the school district must develop and submit a detailed plan outlining the local program and planned expenditures to the district school board for approval. The plans must include elements related to Contracts or interagency agreements with one or more local community behavioral health providers or providers of Community Action Team services to provide a behavioral health staff presence and services at district schools. Services may include, but are not limited to, mental health screenings and assessments, individual counseling, family counseling, group counseling, psychiatric or psychological services, trauma-informed care, mobile crisis services, and behavior modification. These behavioral health services may be provided on or off the school campus and may be supplemented by telehealth.
SOURCE: FL Statute 1011.62. (Accessed Oct. 2022).
Last updated 10/26/2022
Out of State Providers
No Reference Found
Last updated 10/26/2022
Overview
FL Medicaid reimburses for real time interactive telemedicine according to administrative code, however there is no indication of reimbursement in any Medicaid Manual. No reference was found in regards to reimbursement for store-and-forward or remote patient monitoring.
Last updated 10/26/2022
Remote Patient Monitoring
POLICY
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CONDITIONS
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PROVIDER LIMITATIONS
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OTHER RESTRICTIONS
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Last updated 10/26/2022
Store and Forward
POLICY
No Reference Found
ELIGIBLE SERVICES/SPECIALTIES
No Reference Found
GEOGRAPHIC LIMITS
No Reference Found
TRANSMISSION FEE
No Reference Found