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§17-1737-51 Sleep services. (a) Sleep services are services provided for the diagnosis and treatment of sleep disorders and shall: (1) Be performed by sleep laboratories or sleep disorder centers; and (2) Be provided to Medicaid eligible individuals only when ordered by a physician and authorized by the department on form DHS 1144.
(b) Medicaid payments shall only be made for sleep services furnished by sleep laboratories or sleep centers who are accredited by the American Sleep Disorders Association by January 1, 1997. [Eff 11/25/96 ] (Auth: HRS §§346-14, 346-59) (Imp: HRS §§346-14, 346-59; 42 C.F.R. §431.10)
§17-1737-51.1 Telehealth services. (a) Telehealth services is the use of communication equipment to link health care practitioners and patients in different locations. It may be used in place of a face-to-face, “hands on” encounter for consultation, office visits, individual psychotherapy and pharmacologic management. For purposes of this section, the term “patient” refers to individuals eligible for medical assistance.
(b) Telehealth services may be provided to patients only if they are presented from an originating site located in either a: (1) Rural Health Professional Shortage Area (HPSA) as defined by section 332(a)(1)(A) of the Public Health Service Act; (2) In a county outside of a Metropolitan Statistical Area, as defined by Section 1886(d)(2)(D) of the Social Security Act; or (3) From an entity that participates in a Federal telemedicine demonstration project that has been approved by the Secretary of Health and Human Services as of December 31, 2000. (c) Interactive audio and video telecommunication systems must be used. Interactive telecommunications systems must be multi-media communications that, at a minimum, include audio and video equipment, permitting real-time consultation among the patient, consulting practitioner, and referring practitioner. Telephones, facsimile machines, and electronic mail systems do not meet the requirements of interactive telecommunications system. As a condition of payment