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UNOFFICIAL 1737-70 the patient must be present and participating in the telehealth visit. (d) An originating site is the location of a patient at the time the service being furnished via a telecommunications system occurs. Originating sites authorized to furnish telehealth services are listed below: (1) The office of a physician or practitioner; (2) A hospital; (3) A critical access hospital; (4) A rural health clinic; and (5) A federally qualified health center. An exception to this provision is an entity participating in a Federal telehealth demonstration project that is approved by or is receiving funding from the Secretary of Health and Human Services as of December 31, 2000. An entity participating in a Federal telehealth demonstration project qualifies as an originating site regardless of geographic location. (e) A distant site is the site at which the physician or practitioner delivering the service is located at the time the service is provided via a telecommunications system. (f) Coverage of telehealth services is based on Medicare’s criteria. Each provider must bill the appropriate CPT procedure code with the modifier code “TM” indicating the services were provided via telehealth. Only providers eligible to participate in the medical assistance program will be reimbursed for telehealth services. Reimbursements to an originating site and distant site are based on the Hawaii Medicaid fee schedule. [Eff 02/07/05] (Auth: HRS §346-59) (Imp: 42 C.F.R. §410.78; Pub. L. 105-33)
§17-1737-52 (Reserved).
SUBCHAPTER 6
EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT)
§17-1737-53 Early and periodic screening, diagnosis, and treatment (EPSDT). (a) EPSDT means early screening and diagnostic services to identify physical or mental defects in recipients; and, to