Examples of Telehealth Treatment in Place Intervention in a sentence
CMS waives the requirements of Section 1834(m)(2)(B) of the Act, which establishes the telehealth Originating Site facility fee, to allow payment of a modified Originating Site facility fee equal to either the BLS-E or ALS1-E rate payment to the Participant for the initiation and facilitation of a Telehealth Treatment in Place Intervention furnished at the scene of a 911 emergency response.
The waivers described in Section II of this Appendix C shall apply only if CMS accepts such Implementation Plan and the Telehealth Treatment in Place Intervention is furnished in accordance with the applicable requirements of this Agreement.
If the Participant wishes to implement the Telehealth Treatment in Place Intervention during the Model Performance Period, it must submit an Implementation Plan in accordance with Article 5.1 of the Agreement for CMS review and approval which states the Participant’s intention to implement the Telehealth Treatment in Place Intervention to ET3 Model Beneficiaries.
If the requirements of Article 7.3(b)(i) are met, the Participant may receive payment from CMS for a Telehealth Treatment in Place Intervention at a base payment rate equivalent to the Medicare Part B AFS base rate, as calculated under 42 C.F.R. § 414.610, for BLS-E ground ambulance service or ALS1-E ground ambulance service based on the level of service provided under the definitions of Basic life support (BLS), Advanced life support, level 1 (ALS1), and Emergency response at 42 C.F.R. § 414.605.
The Participant shall submit and shall require its Qualified Health Care Partners and their Billing Parties to submit information to CMS, by a time and in a manner determined by CMS, upon request regarding the Participant, Qualified Health Care Partner, or Downstream Practitioner’s use of the Telehealth Treatment in Place Intervention Waiver.
If the Participant, a Qualified Health Care Partner, or a Downstream Practitioner offers an ET3 Model Beneficiary an Available Intervention during an Encounter in which a Telehealth Service was initiated as part of a Telehealth Treatment in Place Intervention, but could not be completed due to an interruption in connectivity, the Telehealth Service initiated during the failed Telehealth Treatment in Place Intervention is not substantially completed.
The base payment rate for a Telehealth Treatment in Place Intervention will be updated annually to match the BLS-E and ALS1-E base rates in the Medicare Part B Ambulance Fee Schedule for the year.
Election of the Telehealth Treatment in Place Intervention Waiver 57II.
If the Participant has a CMS-accepted Implementation Plan that indicates that the Participant has elected to implement the Telehealth Treatment in Place Intervention, CMS shall pay, Qualified Health Care Partners and their Billing Parties for Covered Services furnished in accordance with this Agreement as part of a Telehealth Treatment in Place Intervention as set forth in this Article 8.1 and Appendix C of this Agreement.
If the Participant has a CMS-accepted Implementation Plan that indicates that the Participant has elected to implement the Telehealth Treatment in Place Intervention, the Participant may receive payment for Covered Services furnished as part of initiating and facilitating a Telehealth Treatment in Place Intervention as set forth in this Article VII and Appendix C of this Agreement.