Requirements WAC accessing services, and are not a separate benefit for purposes of for Coverage the essential health benefits package. Issuers must provide coverage for a service provided via telemedicine if: RCW the service would be covered when provided in person; and 48.43.735 (1)(a) RCW the service is medically necessary; and 48.43.735 (1)(b) (1)(c) the service is an EHB. RCW 48.43.735 If the service is provided through store and forward technology, (2)(a) there must be an associated office visit between the covered person and the referring health care provider. The associated office visit may also occur via telemedicine. RCW 48.43.735 Reimbursement of and forward technology is available (2)(b) only for those covered services specified in the negotiated agreement between the health plan and health care provider. 48.43.735 for (3)(a) An originating site for a telemedicine health care service includes a: “Originating Hospital; Sites” (3)(b) Rural health clinic; (3)(c) Federally qualified health center; (3)(d) Physician's or other health care provider's office; (3)(e) Community mental health center; (3)(f) Skilled nursing facility; or
Requirements for Coverage WAC accessing services, and are not a separate benefit for purposes of the essential health benefits package. Issuers must provide coverage for a service provided via telemedicine if: RCW 48.43.735 (1)(a) the service would be covered when provided in person; and RCW 48.43.735 (1)(b) the service is medically necessary; and (1)(c) the service is an EHB. RCW 48.43.735 (2)(a) If the service is provided through store and forward technology, there must be an associated office visit between the covered person and the referring health care provider. The associated office visit may also occur via telemedicine. RCW 48.43.735 (2)(b) Reimbursement of and forward technology is available only for those covered services specified in the negotiated agreement between the health plan and health care provider. for “Originating Sites” 48.43.735 (3)(a) An originating site for a telemedicine health care service includes a: Hospital; (3)(b) Rural health clinic; (3)(c) Federally qualified health center; (3)(d) Physician's or other health care provider's office; (3)(e) Community mental health center; (3)(f) Skilled nursing facility; or