The Use of Telemedicine in Community Mental Health
Presentation to the House Appropriation Committee
June 28, 2006
Telemedicine: Current Use in Mental Health Services
• Increased access to quality care– Psychiatry and sub-specialty care, e.g. child and gero
• Screening and assessment in a crisis• Jail diversion• Reduced travel time for law enforcement• Increased productivity for community and
inpatient psychiatrists– Reduced Travel– Reduced waiting time in courts
DSHS Telepsychiatry Pilot: Medicaid Reimbursement
• Psychiatric Services are currently being provided to Medicaid and Indigent clients.
• The pilot will allow Local Mental Health Authorities to bill 6 codes for 4 services.
• Reimbursement will be for the federal share only, using the MH allocation as match.
• The pilot will be budget neutral to the state.• Projected start date is September 1,2006.
Eligible Service Hub Site Location
Eligible Provider
Remote Site
Location
Eligible Telepresenter
Medication Management1-90862
Diagnostic Interview1-90801
Interactive Psychiatric Diagnostic Interview1-90802
Psych office visit1-908051-908071-90809
Local Mental Health Authorities contracted by DSHS
MD'sDO'sAPN'sPA's
Service Providers contracted by Local Mental Health Authorities
Qualified Mental Health Professionals
Evaluation ExampleSFY 2006 YTD
90 Days 365 Days
Medicaid 146 Indigent 278
Overall 425
Table 1. Baseline (SFY2006) vs. Post (SFY2007) Implemention Average Monthly Number of Adults Receiving Physician Services via Telemedicine at DSHS Community Mental Health Centers by Medicaid Status
Source: DSHS Mental Retardation and Behavioral Health Outpatient Warehouse.
Post(SFY2007)Baseline
(SFY2006)Medicaid Status