RCW 74.09.327
Audio-only telemedicine—Fee-for-service reimbursement.
(1) The authority shall adopt rules regarding medicaid fee-for-service reimbursement for services delivered through audio-only telemedicine. Except as provided in subsection (2) of this section, the rules must establish a manner of reimbursement for audio-only telemedicine that is consistent with RCW 74.09.325.
(2) The rules shall require rural health clinics to be reimbursed for audio-only telemedicine at the rural health clinic encounter rate.
(3)(a) For purposes of this section, "audio-only telemedicine" means the delivery of health care services through the use of audio-only technology, permitting real-time communication between a patient at the originating site and the provider, for the purpose of diagnosis, consultation, or treatment.
(b) For purposes of this section only, "audio-only telemedicine" does not include:
(i) The use of facsimile or email; or
(ii) The delivery of health care services that are customarily delivered by audio-only technology and customarily not billed as separate services by the provider, such as the sharing of laboratory results.
[ 2021 c 157 § 6.]
NOTES:
Conflict with federal requirements—2021 c 157: "If any part of this act is found to be in conflict with federal requirements that are a prescribed condition to the allocation of federal funds to the state, the conflicting part of this act is inoperative solely to the extent of the conflict and with respect to the agencies directly affected, and this finding does not affect the operation of the remainder of this act in its application to the agencies concerned. Rules adopted under this act must meet federal requirements that are a necessary condition to the receipt of federal funds by the state. Nothing in this act alters the requirement for the health care authority to report potential fraud to the medicaid fraud control division of the Washington attorney general's office under 42 C.F.R. 455.21." [ 2021 c 157 § 10.]
Structure Revised Code of Washington
74.09.015 - Nurse hotline, when funded.
74.09.035 - Medical care services—Eligibility, standards—Limits.
74.09.037 - Identification card—Social security number restriction.
74.09.050 - Director's powers and duties—Personnel—Medical screeners—Medical director.
74.09.053 - Annual reporting requirement (as amended by 2009 c 479).
74.09.055 - Copayment, deductible, coinsurance, other cost-sharing requirements authorized.
74.09.080 - Methods of performing administrative responsibilities.
74.09.150 - Personnel to be under existing merit system.
74.09.160 - Presentment of charges by contractors.
74.09.171 - Contracts for medicaid services—Border communities.
74.09.190 - Religious beliefs—Construction of chapter.
74.09.195 - Audits of health care providers by the authority—Requirements—Procedure.
74.09.200 - Audits and investigations—Legislative declaration—State authority.
74.09.210 - Fraudulent practices—Penalties.
74.09.215 - Medicaid fraud penalty account.
74.09.220 - Liability for receipt of excess payments.
74.09.230 - False statements, fraud—Penalties.
74.09.240 - Bribes, kickbacks, rebates—Self-referrals—Penalties.
74.09.250 - False statements regarding institutions, facilities—Penalties.
74.09.260 - Excessive charges, payments—Penalties.
74.09.270 - Failure to maintain trust funds in separate account—Penalties.
74.09.280 - False verification of written statements—Penalties.
74.09.290 - Audits and investigations of providers—Patient records—Penalties.
74.09.295 - Disclosure of involuntary commitment information.
74.09.300 - Department to report penalties to appropriate licensing agency or disciplinary board.
74.09.315 - Whistleblowers—Workplace reprisal or retaliatory action.
74.09.327 - Audio-only telemedicine—Fee-for-service reimbursement.
74.09.328 - Use of substitute providers—When permitted—Reimbursement requirements.
74.09.340 - Personal needs allowance, adjusted.
74.09.402 - Children's health care—Findings—Intent.
74.09.460 - Children's affordable health coverage—Findings—Intent.
74.09.470 - Children's affordable health coverage—Authority duties.
74.09.4701 - Apple health for kids—Unemployment compensation.
74.09.480 - Performance measures—Provider rate increases—Report.
74.09.490 - Children's mental health—Improving medication management and care coordination.
74.09.495 - Access to children's behavioral health services—Report to legislature.
74.09.500 - Medical assistance—Established.
74.09.510 - Medical assistance—Eligibility.
74.09.515 - Medical assistance—Coverage for youth released from confinement.
74.09.520 - Medical assistance—Care and services included—Funding limitations.
74.09.5222 - Medical assistance—Section 1115 demonstration waiver request.
74.09.5223 - Findings—Chronic care management.
74.09.5229 - Primary care health homes—Chronic care management—Findings—Intent.
74.09.523 - PACE program—Definitions—Requirements.
74.09.530 - Medical assistance—Powers and duties of authority.
74.09.540 - Medical assistance—Working individuals with disabilities—Intent.
74.09.557 - Medical assistance—Complex rehabilitation technology products.
74.09.565 - Medical assistance for institutionalized persons—Treatment of income between spouses.
74.09.575 - Medical assistance for institutionalized persons—Treatment of resources.
74.09.595 - Medical assistance for institutionalized persons—Due process procedures.
74.09.597 - Medical assistance—Durable medical equipment and medical supplies—Providers.
74.09.600 - Post audit examinations by state auditor.
74.09.605 - Incorporation of outcomes/criteria into contracts with managed care organizations.
74.09.611 - Hospital quality incentive payments—Noncritical access hospitals.
74.09.630 - Opioid overdose reversal medications—Reimbursement.
74.09.632 - Opioid overdose reversal medications—Technical assistance—Written materials.
74.09.634 - Opioid overdose reversal medications—Bulk purchasing and distribution program.
74.09.640 - Opioid use disorder—Nonpharmacologic treatments.
74.09.645 - Opioid use disorder—Coverage without prior authorization.
74.09.650 - Prescription drug assistance program.
74.09.653 - Drug reimbursement policy recommendations.
74.09.655 - Smoking cessation assistance.
74.09.657 - Findings—Family planning services expansion.
74.09.658 - Home health—Reimbursement—Telemedicine.
74.09.659 - Family planning waiver program request.
74.09.660 - Prescription drug education for seniors—Grant qualifications.
74.09.670 - Medical assistance benefits—Incarcerated or committed persons—Suspension.
74.09.671 - Incarcerated persons—Local jails—Behavioral health services—Federal funding.
74.09.675 - Gender affirming care services—Prohibited discrimination.
74.09.700 - Medical care—Limited casualty program.
74.09.710 - Chronic care management programs—Medical homes—Definitions.
74.09.715 - Access to dental care.
74.09.717 - Dental health aide therapist services—Federal funding.
74.09.719 - Compact of free association islander dental care program.
74.09.720 - Prevention of blindness program.
74.09.725 - Prostate cancer screening.
74.09.730 - Disproportionate share hospital adjustment.
74.09.741 - Adjudicative proceedings.
74.09.745 - Medicaid funding for home visiting services—Recommendations to legislature.
74.09.756 - Medicaid and state children's health insurance program demonstration project.
74.09.760 - Short title—1989 1st ex.s. c 10.
74.09.770 - Maternity care access system established.
74.09.780 - Reservation of legislative power.
74.09.800 - Maternity care access program established.
74.09.810 - Alternative maternity care service delivery system established—Remedial action report.
74.09.820 - Maternity care provider's loan repayment program.
74.09.825 - Donor human milk—Standards—Federal funding.
74.09.830 - Postpartum health care coverage.
74.09.850 - Conflict with federal requirements.
74.09.870 - Regional service areas—Establishment.
74.09.871 - Behavioral health services—Contracting process.
74.09.875 - Reproductive health care services—Prohibited discrimination.
74.09.880 - Z code collection—Incentives and funding.
74.09.885 - Apple health and homes program—Definitions.
74.09.886 - Apple health and homes program—Establishment—Eligibility—Services.
74.09.888 - Apple health and homes program—Authority duties—Funding—Reports to legislature.
74.09.900 - Other laws applicable.
74.09.920 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.