RCW Any originating site may charge a facility fee for infrastructure and 48.43.735(4) preparation of the patient. Reimbursement must be subject to a negotiated agreement between the originating site and the health plan. A distant site or any other site not identified above may not charge a facility fee. RCW Plan may not distinguish between originating sites that are rural and 48.43.735(5) urban in providing this coverage. RCW Coverage of telemedicine may be subject to all terms and conditions of 48.43.735(6) the plan, including, but not limited to, utilization review, prior authorization, deductible, copayment, or coinsurance applicable to the service when provided in person. RCW Plan does not have to pay for originating site professional fees; service 48.43.735(7) that is not covered; or an out-of-network originating site or provider. 48.43.735 "Distant site" the site at which a physician or other licensed (8)(a) provider, delivering a professional service, is physically located at the time the service is provided through telemedicine; 48.43.735 "Originating site" the physical location of a patient receiving health (8)(d) care services through telemedicine;
RCW 48.43.735(4) Any originating site may charge a facility fee for infrastructure and preparation of the patient. Reimbursement must be subject to a negotiated agreement between the originating site and the health plan. A distant site or any other site not identified above may not charge a facility fee. RCW 48.43.735(5) Plan may not distinguish between originating sites that are rural and urban in providing this coverage. RCW 48.43.735(6) Coverage of telemedicine may be subject to all terms and conditions of the plan, including, but not limited to, utilization review, prior authorization, deductible, copayment, or coinsurance applicable to the service when provided in person. RCW 48.43.735(7) Plan does not have to pay for originating site professional fees; service that is not covered; or an out-of-network originating site or provider. 48.43.735 (8)(a) "Distant site" the site at which a physician or other licensed provider, delivering a professional service, is physically located at the time the service is provided through telemedicine; 48.43.735 (8)(d) "Originating site" the physical location of a patient receiving health care services through telemedicine;
cl-forms-19-hmo-ind-analyst-checklist.docx