加州医疗补助计划和远程医疗
背景
California defines telehealth as “the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient’s health care while the patient is at the originating site and the health care provider is at a distant site”. (Business and Professions Code section 2290.5(a)(6))
Medi-Cal’s telehealth coverage began in 1996 with the passage of the California Telemedicine Advancement Act (SB 1665), which established telemedicine payment and provision of care requirements, and additional legislation continued to expand access to services through the 2000s. The passage of the Telehealth Advancement Act (AB 415) in 2011 laid the foundation for Medi-Cal to drastically expand coverage of telehealth in Medi-Cal, eliminating the ban on email and telephone-delivered services, permitting patients to verbally consent to telehealth, and enabling all California-licensed and Medi-Cal enrolled providers to practice via telehealth.
为应对 COVID-19 疫情， Department of Health Care Services (DHCS) ) 通过豁免和灾难救济州计划修正案 (SPA) 实施了Telehealth灵活性措施。 这使得 Medi-Cal 的医疗保健服务体系能够在不建议甚至无法进行面对面接触的环境下，满足参保人员的医疗保健需求。此外，根据 2021 年第 143 号法令（预算委员会）第 380 条（AB 133 ）， DHCS召集了一个Telehealth咨询工作组，旨在为 2022-2023 年州长预算和公共卫生紧急状态 (PHE) 后的远程Telehealth政策制定提供信息。
Medi-Cal 远程医疗利用率仪表板
使用报告
政策要点
DHCS Telehealth ：研究与评估计划（2022年12月）
DHCS Telehealth政策文件（2022年12月）
有关Medi-Cal承保范围和报销Telehealth政策以及提供者资源的更多信息，请参阅Telehealth资源页面和常见问题解答。
DHCS的《 Telehealth提供者手册》概述了通过Telehealth提供必要医疗服务的提供者要求和报销情况。 有关DHCS Telehealth政策的具体Program详情，请参阅以下供应商手册：
DHCS还发布了第 23-007 号所有计划函。 关于管理式医疗Health Plan中的Telehealth服务。
要了解Telehealth和其他DHCS主题的最新信息，请注册DHCS利益相关者公告。 供应商还可以注册接收供应商手册更新通知。我们也鼓励服务提供商查看此网页以获取最新信息。