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This bill directs
the Department of Health and Human Services to amend its rule Chapter 101:
MaineCare Benefits Manual, Chapter I, Section 4, Telehealth and Chapter 101:
MaineCare Benefits Manual, Chapter II, Section 13, Targeted Case Management
Services (TCM) to provide for reimbursement of case management services
delivered through telehealth to targeted populations. Providers of telehealth
services must submit claims for the same procedure codes and rates that apply
to the underlying Covered Service as if those services were delivered face to
face. Additionally, the Health Care Provider at the Originating Site may bill
MaineCare for an Originating Facility Fee and this fee is above and beyond
the normal fee for the service. This additional fee could lead to additional
costs above what is currently paid for TCM services. However, this additional
fee is utilized infrequently for current services that use telehealth and new
telehealth services are slow to gain acceptance. Any potential new costs
related to this charge are expected to be minimal at first with a slow
increase in costs over time. |