This bill amends the Social Welfare Act to include new provisions for the medical assistance program, specifically addressing the coverage of ultrasound procedures and fetal nonstress tests performed remotely via telemedicine. Section 109q mandates that the department provide coverage for these procedures when conducted in a residence or other off-site locations. Section 109r outlines the necessary amendments to the department's rules regarding reimbursement for these remote services, stipulating that they must utilize established CPT codes and meet the same standard of care as in-person procedures.
Additionally, the bill specifies conditions under which remote ultrasounds and fetal nonstress tests are reimbursable. For remote ultrasounds, providers must use digital technology to securely collect and transmit health data, ensuring compliance with the Health Insurance Portability and Accountability Act and approval from the FDA. Similarly, remote fetal nonstress tests must meet specific criteria, including the use of FDA-cleared monitoring solutions. The department is also tasked with adopting and publishing guidelines to implement these new provisions effectively.
Statutes affected: Senate Introduced Bill: 400.1, 400.119
As Passed by the Senate: 400.1, 400.119