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Tele-Psychiatry In Oneida

Tele-Psychiatry In Oneida. Steps to Implementation. Analysis to determine if this approach would be accepted by your Tribal community Access to care was a major issue and determining factor Analysis of vendors available to provide the service

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Tele-Psychiatry In Oneida

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  1. Tele-Psychiatry In Oneida

  2. Steps to Implementation • Analysis to determine if this approach would be accepted by your Tribal community • Access to care was a major issue and determining factor • Analysis of vendors available to provide the service • We utilized ReGroup because they had the technology readily available and the types of providers we needed • Impact to existing Licensure to provide the service • Our existing State License DHS 35 as an Outpatient Mental Health Facility had to be modified to approve our facility to provide the services via Tele-Psychiatry • This process took us 9 months

  3. On-site Preparation for State Licensure • All of our Policies for Tele-Health had to be completed • Securing technology within our infrastructure • Developing a back-up plan if technology failed • Employee Orientation Plan

  4. Tele-Health Orientation • Telehealth Orientation • Historical Uses of Telehealth • History of Telehealth • Clinical Application in Telehealth • Telecommunications Technology • Technology • Codes • Cameras • Consumer Peripherals • Transmission Equipment • Audio Equipment • Presenting Techniques

  5. Tele-Health Orientation • Clinical Services • Safety and security during the service provision • Privacy and Confidentiality • Documentation • Consumer Rights • Back up Procedures • Patient Preparation for Tele-health • Market the Program to the Community!!

  6. Tele-Psychiatry Scheduling and Billing for Services • Define Appointment Types • BH-TEL Medication Check Follow-up • BH-TEL RX refill • BH-TEL Adult Eval • BH-TEL Medication Check • Billing for Telepsychiatry (Medicaid Update No. 2004-88) • The service is a service that is covered under one of the Medicaid mental health or substance abuse benefits: • Outpatient Mental Health • Outpatient Substance Abuse • Pharmacologic Management • Mental Health Substance Abuse Day treatment • Crisis Intervention • Community Support Program • Comprehensive Community Services • Child/Adolescent Day treatment services

  7. Barriers We Experienced • Internal system security for the Doctor to be able to work remotely with all of our systems. • System speed SLOWNESS! • Time Delay for Credentialing of the Provider for WI • Department of Safety and Professional Services (DSPS) • 3-6 months for final approval • Provider needed to be licensed in the State they are providing services • Getting Staff on Board • Some were hesitant about using the technology • Change!

  8. Procedure Codes • The Provider indicates the “GT” Modifier on the claim detail for the specific procedure code • “GT” Modifier is defined: Via interactive audio and video telecommunication systems • This table shows the services for which tele-health and the “GT” modifier are allowed and are not allowed

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