Useful websites providing Practical Information regarding Telemental Health Practice
American Telemedicine Association (ATA)
The American Telemedicine Association (ATA) is an international resource and advocate promoting the use of advanced remote medical technologies. ATA and its diverse membership, works to fully integrate telemedicine into transformed healthcare systems to improve quality, equity and affordability of healthcare throughout the world. The ATA website provides comprehensive information on developing standards, technology, applications, vendors, and other needs for telehealth providers.
University of Colorado (UC) Telemental Health Guide “Eliminating Mental Health Disparities”
This Telemental Health Guide is a very informative website developed by the UC telemental health group with funding from the Substance Abuse and Mental Health Services Administration (SAMHSA) to provide an overview of telemental health (TMH) for the clinician, administrator, policy maker, consumer, and media. There is a wealth of helpful information addressing TMH across the lifespan, setting, and stakeholder. The section “Clinicians and Administrators” provides excellent information about the practical steps necessary to establish a telemental health program. This section covers practical applications for conducting a telemental health session, ranging from room setup, billing codes, suggestions on how to support and sustain telemental health services, and tools for promoting these services
Center for Telehealth and e-Health Law (CTeL)
Licensure requirements are particularly important, both for interstate and international practice. CTel’s mission is to overcome the legal and regulatory barriers that impact the utilization of telehealth and related e-health services. It has established itself as the “go-to” legal and regulatory telehealth organization – providing vital support to the community on topics such as: physician and nurse licensure; credentialing and privileging; Medicare and Medicaid reimbursement; and private insurance payment policies. CTel provides a summary of findings regarding malpractice and telemedicine, which can be accessed here.
Telehealth Times: Your Authoritative Source on Telemedicine
TelehealthTimes.com is a source of information about the telehealthcare and telemedicine industry. The sites includes telehealth and telemedicine news, reviews of the latest telehealth videoconferencing equipment, software, tools and accessories, active discussion forums, a large selection of sample galleries, a telehealth database and buyers guide and the most comprehensive database of telehealth and telemedicine software and equipment features and specifications.
Northern Arizona Regional Behavioral Health Authority (NARBHA)
This website contains a slideshow that explores the following topics: provisions of real world telepsychiatry, the practical considerations and of getting organized, telemedicine challenges, how telemedicine works and diagnostic instruments and exams. The website also has a demonstration of conducting the Abnormal Involuntary Movement Scale (AIMS) through videoteleconferencing (VTC).
Telemental Health Institute
This website offers online courses in a variety of delivery methods i.e. webinars, individual courses, and group courses that cover a range of topics such as theory and practice, legal/ethical issues, reimbursement and advanced clinical telepractice models for success.
Reimbursement Information Relating to Telemedicine and Telemental Health
Center for Medicare and Medicaid Services (CMS)
Telemental health providers should review information at the CMS website prior to any billing to determine any state-specific guidelines. Some client sites are eligible for Medicare/Medicaid’s originating site fees related to the videoteleconferencing (VTC) coordinator assistance. This web site managed by the Centers for Medicare and Medicaid Services (CMS) provides the definition of telemedicine, telemedicine terms, provider and facility guidelines, reimbursement and approach to reviewing telemedicine. This information is also helpfully summarized by the Center for Telehealth and e-Health Law (CTeL). This link directs to the Medicare Claims Processing Manual. See #100-04, Ch. 12, # 190 (page 7 of 228) regarding “Medicare payments for Telehealth Services.”
AMD Global Telemedicine.
This is a reference to support private payer reimbursement for telemedicine clinical consults. The information contained in this website is the result of a survey jointly sponsored by the American Telemedicine Association and AMD Global Telemedicine. The directory contains a listing of: telemedicine providers receiving private payer reimbursement; private payers providing reimbursement; state legislation mandating private payer reimbursement of telemedicine services
This link directs to information regarding private payer reimbursement by state and this link directs to helpful information regarding private payer telemedicine programs.
Some states provide handbooks regarding reimbursement. It is recommended that telemental health providers conduct internet searches to determine whether there are existing documents relevant to their state’s reimbursement guidelines. If these are not in place, reviewing documents by other states can also aid in advocacy efforts within the provider’s home state.
Rural Health Care Programs:
The Federal Communications Commission supports the Rural Healthcare Program that matches line charges so that rural areas have rates that are competitive with urban rates in that state. Information about this program can be obtained through their website above.
- American Medical Association: Policy Statement H-480.969: The promotion of quality telemedicine: https://ssl3.ama-assn.org/apps/ecomm/PolicyFinderForm.pl?site=www.ama-assn.org&uri=%2fresources%2fhtml%2fPolicyFinder%2fpolicyfiles%2fHnE%2fH-160.937.HTM
- American Psychological Association (APA): American Psychological Association ethical principles of psychologists and code of conduct: http://www.apa.org/ethics/code/index.aspx
- American Psychological Association Ethics Committee (APA): The APA’s statement on services by telephone, teleconferencing, and internet: http://www.apa.org/ethics/education/telephone-statement.aspx
- American Psychological Association. Practice Directorate, Legal & Regulatory Affairs: Telehealth 50-state review: http://www.apapracticecentral.org/advocacy/state/telehealth-slides.pdf
- Federal Communication Commission: National Broadband Plan, See Chapter 10, Health Care: http://transition.fcc.gov/national-broadband-plan/national-broadband-plan.pdf
- National Association of Social Workers and Association of Social Work Boards Standards for Technology and Social Work Practice: http://www.socialworkers.org/practice/standards/NASWTechnologyStandards.pdf
- American Psychological Association, Task Force on the Delivery of Services to Ethnic Minority Populations: Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally Diverse Populations: http://www.apa.org/pi/oema/resources/policy/provider-guidelines.aspx
- Federation of State Medical Boards Public Policy Compendium: Telemedicine and License Portability policy documents 140.001 – 140.007: http://www.fsmb.org/pdf/GRPOL_Public_Policy_compendium.pdf
- Telemental Health Standards and Guidelines Working Group (co-chaired by Grady B, Myers K, Nelson EL): Practice Guidelines for Videoconferencing-based Telemental Health. American Telemedicine Association; Practice Guidelines for Videoconferencing-Based Telemental Health; October, 2009: http://www.americantelemed.org/docs/default-source/standards/practice-guidelines-for-videoconferencing-based-telemental-health.pdf?sfvrsn=6
- Telemental Health Standards and Guidelines Working Group (co-chaired by Grady B, Myers K, Nelson EL): Evidence based Practice for Telemental Health. American Telemedicine Association; July 2009. http://www.americantelemed.org/docs/default-source/standards/evidence-based-practice-for-telemental-health.pdf?sfvrsn=4
- Gupta, A. and Soa, D. (2010). The Constitutionality of Current Legal Barriers to Telemedicine in the United States: Analysis and Future Directions of its Relationship to National and International Health Care Reform. Health Matrix: Journal of Law-Medicine. Available at Social Science Research Network. http://ssrn.com/abstract=1549765
- Turvey C, Chair, and the Telemental Health Practice Guidelines Work Group: Practice Guidelines for Video-based Online Mental Health Services: American Telemedicine Association; May 2013. http://www.americantelemed.org/docs/default-source/standards/practice-guidelines-for-video-based-online-mental-health-services.pdf?sfvrsn=6