6768). Telehealth means the use of telecommunications and information technology to provide access to medical and behavioral health assessment, diagnosis, intervention, consultation, supervision, and information across distance. Board of Counseling 2023). Nothing in this section shall preclude coverage for a service that is not a telemedicine service, including services delivered through real-time audio-only telephone. Exemption from requirements of licensure.4 54.1-3502. [ 18VAC115-20-100 and 18VAC115-20-105, A ] 2023). 2023). Effective for services with dates of service on and after May 1, 2022, RPM will be covered by FFS and MCOs for the following populations: Prior authorization will be required for coverage of these services. Make appropriate arrangements for continuation of services, when necessary, during interruptions such as vacations, unavailability, relocation, illness, and disability; 7. Providers must meet state licensure, registration or certification requirements per their regulatory board with the Virginia Department of Health Professions to provide services to Virginia residents via telemedicine. This assessment must be done in-person, through telemedicine or through a telemedicine assisted assessment. 18VAC115-60-130. Standards of practice. - Virginia Law Counselors shall avoid any nonsexual dual relationship with a supervisee or student in which there is a risk of exploitation or potential harm to the supervisee or student or the potential for interference with the supervisors professional judgment; and. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 VDH has information on the Coronavirus Disease for both healthcare professionals and the general public which is updated regularly, as new information becomes available. Practice under supervision as specified in 54.1-3507.1 of the Code of Virginia. 2023). In response to the many people asking how they will complete their CEs required for this year's renewal, we will give a one-year extension to complete any required CEs. Such plan shall include a provision for payment of medical assistance for remote patient monitoring services provided via telemedicine for specific conditions (see section below). Virginia Board of Counseling - Guidance Documents 2023). If approved, these facilities may serve as the Provider or originating site and bill under the encounter rate. See:VA Medicaid Live Video Eligible Sites. We have compiled responses for different programs and this information is shared onNBCCand Affiliates COVID-19 Response Site. Requirements on the coverage of telemedicine services include medically necessary remote patient monitoring services to the full extent that these services are available. No human research shall be conducted in the absence of informed consent subscribed to in writing by the individual or by the individual's legally authorized representative except as provided for in subsection F of this section. Virginia Medicaid reimburses for live video, store-and-forward, remote patient monitoring and certain audio-only codes under certain circumstances. We understand the strain that the progression of this illness and the subsequent government office and institutional closures is putting on counselors, university programs, and state licensure boards. Roberts Rules of Order. VA Dept. Prescribing controlled substances for the treatment of addiction delivered via telemedicine must include a qualified provider and a telepresenter located at the originating site, as well as a qualified prescribing provider located at the remote site. State Issues - American Counseling Association 2022), (Accessed Mar. 2023). Our goal is to provide up-to-date information on various topics related to the practice of counseling in Michigan. National Telehealth Resource Center Partners, Continuing COVID flexibilities based on federal authority, New 1135 Waiver and Administrative Provider Flexibilities (5/26), Appendix K Commonwealth Coordinated Care Plus, Family and Individuals Supports, Community Living, and Building Independence, Appendix K Addendum Commonwealth Coordinated Care Plus, Family and Individuals Supports, Community Living, and Building Independence, Face-To-Face Supervisory, Services Facilitation and ID/DD Case Management Visits 1/1/2023, ew 1135 Waiver and Administrative Provider Flexibilities (5/26), Home and Community Based Services Waivers (HCBS) COVID-19 Policy Continuation and Timeline, Delivery of Group Based Services in Behavioral Health and Addiction (ARTS) during COVID-19 (7/1), Commonwealth Coordinated Care Plus, Family and Individual Supports, Community Living, and Building Independence, Commonwealth Coordinated Care Plus, Family and Individuals Supports, Community Living, and Building Independence. ASLP-IC, Compact Map, (Accessed Apr. (Examples of such relationships include, but are not limited to, familial, social, financial, business, bartering, or close personal relationships with clients.) Must include a supervised practicum/internship, of at least 600 hours, including 240 hours of direct client contact. CCHP does not share or sell personal data. Telemedicine is the real-time or near real-time exchange of information for diagnosing and treating medical conditions. Please read the notice at this link. Counselors shall not engage in romantic relationships or sexual intimacies with former clients within a minimum of five years after terminating the counseling relationship. Telemedicine does not include an audio-only telephone. 2023). of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services, (Oct. 2022) (Accessed Mar. SOURCE: Occupational Therapy Compact Map (Accessed Mar. (Accessed Mar. Doc. The information is reviewed at the Distant Site without the patient present with interpretation or results relayed by the distant site Provider via synchronous or asynchronous communications. Each school counselor employed by a school board in a public elementary or secondary school shall spend at least 80 percent of his staff time during normal school hours in the direct counseling of individual students or groups of students. (Accessed Mar. The face-to-face encounter may occur through telehealth, which is defined as the real-time or near real-time two-way transfer of medical data and information using an interactive audio/video connection for the purposes of medical diagnosis and treatment (DMAS Medicaid Memo dated May 20, 2014). Standards of practice. If a Provider, whether at the originating site or distant site, maintains a consent agreement that specifically mentions use of telehealth as an acceptable modality for delivery of services including the information noted above, this shall meet DMASs required documentation of patient consent. Virginia Counseling License Requirements - Counseling Degree Guide MCO contracted providers should consult with the contracted MCOs for their specific policies and requirements for telehealth. In an effort to reduce the use of paper, effective January 1, 2022, licenses issued or . DMAS is working with DBHDS and will follow with updated policies when this is implemented in Virginia. See manual for eligible MAT codes. Must submit an application to the Board before starting residency. Where an existing practitioner-patient relationship is not present, a practitioner must take appropriate steps to establish a practitioner-patient relationship consistent with the guidelines identified in this document, with Virginia law, and with any other applicable law. Facility fee is only available for synchronous telehealth services. Services delivered via telehealth meet all applicable state laws, regulations and licensure requirements on the practice of telehealth; and; . 2023). PLEASE NOTE: CCHP is providing the following for informational purposes only. (Accessed Mar. An addiction-credentialed physician or physician with experience or training in addiction medicine; Physician extenders with experience or training in addiction medicine; A certified psychiatric clinical nurse specialist; A licensed psychiatric nurse practitioner; A licensed marriage and family therapist; A licensed substance abuse treatment practitioner; A resident who is under the supervision of a licensed professional counselor (18VAC115-20-10), licensed marriage and family therapist (18VAC115-50-10), or licensed substance abuse treatment practitioner (18VAC115-60-10) and is registered with the Virginia Board of Counseling; A resident in psychology who is under supervision of a licensed clinical psychologist and is registered with the Virginia Board of Psychology (18VAC125-20-10); or. of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Physician/Practitioner), (Oct. 2022) (Accessed Mar. The establishment of a new practitioner-patient relationship requires a Virginia license and must comport with the requirements for telemedicine found in 54.1-3303 of the Code of Virginia. of Medical Assistance Services. 54.1-2400.1. 2023). 2023). STATUS: Extends Waivers out to six months after end of PHE. (Accessed Mar. SOURCE: VA Dept. 2023). (Accessed Mar. of the Code of Virginia that and are billed using modifiers HK and 32. 1. 2023). The National Telehealth Policy Resource Center project is made possible by Grant #U6743496 from the Office for the Advancement of Telehealth, Health Resources and Services Administration, DHHS. See our Privacy Policy. 2023). Counselors who engage in such relationship or intimacy after five years following termination shall have the responsibility to examine and document thoroughly that such relations do not have an exploitive nature, based on factors such as duration of counseling, amount of time since counseling, termination circumstances, clients personal history and mental status, or adverse impact on the client. Virginia Board of Counseling Covid-19 Info Practitioners who treat or prescribe through online service sites must possess appropriate licensure in all jurisdictions where patients receive care. Store-and-forward means the asynchronous transmission of a members medical information from an originating site to a health care Provider located at a distant site. The Board, subject to the approval of the Governor, is authorized to prepare, amend from time to time, and submit to the U.S. Secretary of Health and Human Services a state plan for medical assistance services. In the event it is medically necessary for a Provider to be present at the originating site at the time a synchronous telehealth service is delivered, said Provider may bill an originating site fee (via procedure code Q3014) when the following conditions are met: Reference the DMAS Telehealth Manual Supplement for additional details on DMASs requirements for telemedicine. A pharmacist may initiate treatment with, dispense, or administer drugs, devices, controlled paraphernalia, and other supplies and equipment pursuant to this section through telemedicine services, as defined in 38.2-3418.16, in compliance with all requirements of 54.1-3303 and consistent with the applicable standard of care. Where such measures are upheld, and the appropriate clinical consideration is carried out and documented, the practitioner may exercise their judgment and prescribe controlled substances as part of telemedicine encounters in accordance with applicable state and federal law. (Mar. SOURCE: VA Department of Medical Assistant Services. SOURCE: VA Department of Medical Assistant Services. For the purposes of this subdivision, if a patient is (a) an enrollee of a health maintenance organization that contracts with a multispecialty group of practitioners, each of whom is licensed by the Board of Medicine, and (b) a current patient of at least one practitioner who is a member of the multispecialty group with whom such practitioner has previously established a practitioner-patient relationship and of whom such practitioner has performed an in-person examination within the previous 12 months, the patient shall be deemed to be a current patient of each practitioner in the multispecialty group with whom each such practitioner has established a practitioner-patient relationship. A supervisee in social work who is under the supervision of a licensed clinical social worker and is registered with the Virginia Board of Social Work (18VAC140-20-10). Does not explicitly specify that an FQHC is eligible. The Board notes that 38.2-3418.16 states Telemedicine services does not include an audio-only telephone, electronic mail message, facsimile transmission, or online questionnaire. Medicaid Provider Manual, Addiction and Recovery Treatment Services, Opioid Treatment Services/Medication Assisted Treatment, (Mar. A. The Board is in the process of updating this Guidance, but in the meantime, please see the Board of Psychology's Guidance Document 125-7 at the link provided because many of the same principles apply. The one-year extension to complete any required Continuing Education (CE) applies to Licensed Professional Counselors, Licensed Marriage and Family Therapists, Licensed Substance Abuse Practitioners, as well as Certified Substance Abuse Counselors and Qualified Mental Health Professionals. Before providing a telehealth service to a member, the Provider shall inform the patient about the use of telehealth and document verbal, electronic or written consent from the patient or legally-authorized representative, for the use of telehealth as an acceptable mode of delivering health care services. Legal Information - Virginia - Center for Ethical Practice 32.1-325, (Accessed Mar. 18 Va. Admin. Code 115-30-140 - Standards of practice | State Under that definition, telemedicine services, as it pertains to the delivery of health care services, means the use of electronic technology or media, including interactive audio or video, for the purpose of diagnosing or treating a patient or consulting with other health care providers regarding a patients diagnosis or treatment. Preferred OBAT services are required to be provided by buprenorphine-waivered practitioners working in collaboration and co-located with Credentialed Addiction Treatment Professionals providing psychosocial treatment in public and private practice settings (12VAC30-130-5020). Oct. 23, 2019, (Accessed Mar. Evidence documenting appropriate patient informed consent for the use of telemedicine services must be obtained and maintained. Adds to the conditions aprescriber must meet for a bona fide practitioner-patient relationshipfor the purpose of prescribing Schedule II through VI controlled substances by an examination through face-to-face interactive, two-way, real-time communications services or store-and-forward technologies. 2023). For further resources, please see our Template Letter to State Governors . (Accessed Mar. 2022). of Medical Assistance Svcs. Email: Coun@dhp.virginia.gov, Jaime Hoyle, Executive Director 2023). SOURCE: VA Dept. 2023). PSYPACT: 26 states have now passed laws allowing interstate practice 22.1-291.1:1. No billing modifier is required on claims for services delivered via RPM. (Accessed Mar. Medicaid Provider Manual, Mental Health Services, Ch. Our COVID-19 State Resources is a compilation of state actions taken regarding telebehavioral health. Compact Map. Medically complex patients under 21 years of age, Patients with a chronic health condition who have had two or more hospitalizations or emergency department visits related to such chronic health condition in the previous 12 months.
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