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states Archives - National Consortium of Telehealth Research Centers

EMS Licensure Compact Gaining Traction in State Legislation

By | National Telehealth Policy Resource Center Blog

A recent trend among states is the introduction of legislation to adopt interstate licensure compacts.  Interstate licensure compacts allow special licensure or exceptions to state licensing requirements for specific health care providers to practice across state lines in other states that have adopted the same compact as long as certain requirements are met. Current compacts include the Physical Therapy Compact, Nurse Licensure Compact, Interstate Medical Licensure Compact and the Psychology Interjurisdictional Compact.  One such compact that has received less attention, but has been gaining traction lately is the Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA). REPLICA is a multi-state compact that allows emergency medical services (EMS) personnel in REPLICA member states to respond to calls and transport patients across state lines and provide emergency services before returning to their home state without having to apply for a separate license in another REPLICA member state. It is not considered a separate license, but rather is an extension of a privilege for EMS personnel to practice on a short-term, intermittent basis under certain circumstances including:

  • Response areas that cross state lines
  • Staffing for large scale responses that are not at the level of a governor’s declaration of a disaster
  • Staffing for large scale planned special events such as concerts or sporting events

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Continued Telehealth Developments as 2018 Comes to a Close

By | National Telehealth Policy Resource Center Blog

Medicare Report Reveals Medicare Telehealth Utilization, Barriers & Opportunities
In response to a requirement in the 21st Century Cures Act to issue a report on telehealth use, barriers and opportunities in Medicare, CMS released an informational report on November 15th addressing telehealth utilization, activities by the Center for Medicare and Medicaid Innovation, and opportunities and barriers to the use of telehealth within Medicare.  Utilizing data from Medicare fee-for-service between 2014 and 2016, the report revealed that although overall use of telehealth has increased, the rate of adoption is still limited.  Mental health and therapy sessions were the most common service types, with beneficiaries with a mental health diagnosis among the highest utilizers of telehealth delivered services.  Services targeting chronic diseases and behavior modification (such as smoking cessation) were also among the more popular telehealth delivered services.  The analysis determined that there are 19 additional high volume services for outpatient and inpatient visits and therapy that are either similar to those that are already on Medicare’s list or that are typically provided in settings that do not meet Medicare’s originating site requirements that would be suitable for telehealth delivery.  CMS concludes that restrictions on eligible telehealth originating sites is the greatest barrier preventing the expansion for telehealth within Medicare.

For more details and further statistics on telehealth in Medicare,
see the full report.

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Delaware Medical Board Tightens Up Its Telemedicine Regulations

By | Recent Telehealth News, Uncategorized

Article Author: Erick Wicklund

Source: mHealth Intelligence, July 9th, 2018

 – Delaware’s Board of Medicine has tightened up its telehealth and telemedicine regulations.

Following a public comment period, the board enacted new guidelines in June that clarify language in the state’s Medical Practice Act, which sets practice standards for virtual care.

The guidelines touch upon two hot-button issues in telemedicine policy: the use of connected care technology to establish a valid physician-patient relationship, and incorporating telemedicine into new substance abuse programs to tackle the nation’s opioid abuse epidemic.

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