10 Colo. Code Regs. § 2505-10-8.7562

Current through Register Vol. 47, No. 24, December 25, 2024

Section 10 CCR 2505-10-8.7562 - HCBS Telehealth Delivery

1. Telehealth means the broad use of technologies to provide services and supports through HCBS waivers when the Member is in a different location from the provider.

8.7562.AHCBS Telehealth Inclusions

1. HCBS Telehealth may be used to deliver support through the following authorized HCBS Waiver Services:

a. Adult Day Services; defined at Section 8.7505;

b. Behavioral Management and Education; defined at Section 8.7508;

c. Behavioral Therapies - Behavioral Consultation; defined in Section 8.7509;

d. Behavioral Therapies - Behavioral Counseling, Group, defined in Section 8.7509;

e. Behavioral Therapies - Behavioral Counseling, Individual, defined in Section 8.7509;

f. Behavioral Therapies - Behavioral Plan Assessment; defined in Section 8.7509;

g. Bereavement Counseling; defined at Section 8.7511;

h. Child and Youth Mentorship; defined at Section 8.7512;

i. Community Connector; defined at Section 8.7514;

j. Counseling Services, Family; defined at Section 8.7516;

k. Counseling Services, Group; set forth at Section 8.7516;

l. Counseling Services, Individual; set forth at Section 8.7516;

m. Day Habilitation; described at Section 8.7517;

n. Expressive Therapy - Art and Play Therapy, Group; defined at Section 8.7521;

o. Expressive Therapy - Art and Play Therapy, Individual; defined at Section 8.7521;

p. Expressive Therapy - Music Therapy, Group; defined at Section 8.7521;

q. Expressive Therapy - Music Therapy, Individual; defined at Section 8.7521;

r. Independent Living Skills Training; defined at Section 8.7529;

s. Mentorship; defined at Section 8.7533;

t. Movement Therapy; defined in Section 8.7534;

u. Palliative/Supportive Care; defined at Section 8.7536;

v. Substance Use Counseling, Family; defined at Section 8.7548;

w. Substance Use Counseling, Individual; defined at Section 8.7548;

x. Supported Employment - Job Coaching, Individual, defined in Section 8.7549;

y. Supported Employment - Job Development, Levels 1-6, Individual, defined at Section 8.7549;

z. Life Skills Training; described at Section 8.7530;

aa. Peer Mentorship; defined at Section 8.7537;

bb. Therapeutic Life Limiting Illness Support, Family; defined at Section 8.7551;

cc. Therapeutic Life Limiting Illness Support, Group; defined at Section 8.7551;

dd. Therapeutic Life Limiting Illness Support, Individual; defined at Section 8.7551; and

ee. Wraparound Services - Wraparound Plan and Prevention and Monitoring; defined at Section 8.7557.

2. HCBS Telehealth may only be used to deliver consultation for the following services:

a. Adaptive Therapeutic Recreational Fees and Equipment, described at Section 8.7504;

b. Assistive Technology; defined in Section 8.7507

c. Home Accessibility Modifications and Adaptations; defined in Section 8.7525 and

d. Vehicle Modifications, defined in Section 8.7554.

e. Providers shall follow all billing policies and procedures as outlined in the Department's current waiver billing manuals and rates/fees schedules and may not bill separately for consultation.

8.7562.BHCBS Telehealth Exclusions and Limitations

1. HCBS Telehealth is subject to the limitations of the respective service it supports as referenced in this rule at Section 8.7562.A.

2. HCBS Telehealth is not a duplication of Health First Colorado Telehealth or Telemedicine services.

3. HCBS Telehealth is not permitted to be used for any service not listed in this rule at Section 8.7562.A.

8.7562.CHCBS Telehealth Provider Agency Requirements

1. Providers that choose to use HCBS Telehealth shall develop and make available a written HCBS Telehealth Policy which at a minimum shall include the following:

a. The Member may refuse telehealth delivery at any time without affecting the Member's right to any future services and without risking the loss or withdrawal of any service to which the Member would otherwise be entitled;

b. All required and applicable confidentiality protections that apply to the services;

c. The Member shall have access to all collected information resulting from the services utilized as required by state law;

d. How utilization of HCBS Telehealth will be made available to those Members who require assistance with accessibility, translation, or have limited visual and/or auditory capabilities;

e. A contingency plan for service delivery if technology options fail; and,

f. Provider Agencies shall maintain a copy of the HCBS Telehealth Policy signed by the Member in their records.

2. Provider Agencies shall ensure the use of HCBS Telehealth is the choice of the Member. The HCBS Provider Agency shall maintain a consent form for the use of HCBS Telehealth in the Member's record.

3. Provider Agency shall complete a provider-developed evaluation of the Member and caregiver prior to using HCBS Telehealth services that identifies the Member's ability to participate and outlines any accommodations needed while utilizing HCBS Telehealth.

4. Providers must comply with all HIPAA and confidentiality procedures. HCBS Providers Agencies must be able to use a technology solution that allows real-time interaction with the Member which may include audio, visual and/or tactile technologies.

5. Provider Agencies shall not use HCBS Telehealth to address a Member's emergency needs.

6. Providers Agencies shall use a HIPAA compliant technology solution meeting all privacy requirements.

8.7562.DHCBS Telehealth Reimbursement

1. HCBS Telehealth does not include reimbursement for the purchase or installation of Telehealth equipment or technologies.

2. HCBS Waiver service providers utilizing Telehealth shall follow all billing policies and procedures as outlined in the Department's current waiver billing manuals and rates/fees schedules. This includes the prohibition on collecting copayments or charging Members for missing set times for services.

10 CCR 2505-10-8.7562

47 CR 21, November 10, 2024, effective 11/30/2024