Skip Navigation HRSA - U.S Department of Health and Human Services, Health Resources and Service Administration HHS
Home
Questions
Order Publications
 
Grants Find Help Service Delivery Data Health Care Concerns About HRSA

2004 - 2005 Telehealth Grantee Directory

 
Sources of Reimbursement 

OAT grantee organizations were asked to identify major sources of reimbursement for their projects available in their respective states. 
Their responses are indicated in this section.

 

ST
Organzations
Medicare
Medicaid
Private Payor
Other Contract
Other Source

AK

Alaska Native Tribal Health Consortium

x

x

Blue Cross/Blue Shield    

AL

University of South Alabama

 

x

 

Contract with Alabama Department of Public Health for HIV Consults

Reimbursements for Videoconferencing

AR

University of Arkansas for Medical Sciences

x

x

Qualchoice, Blue Cross, United Health, Health Advantage

   

AZ

Arizona Board of Regents, University of Arizona

x

x

 

Tobacco Tax Funding Indian Health Services

 

Banner Health System

       

Initial support from Banner Foundation; now funded from Banner facility

Maricopa County

       

Maricopa County Detention Fund

CA

Children's Hospital – Los Angeles

x

x

Blue Cross

HMO individually negotiated

Philanthropy, Whittier Foundation

Northern California   Telemedicine Network

x

x

Blue Cross

   

DC

Foundation For eHealth Initiative

         
Taconic Health Information Network & Community

N/A

N/A

MVP Health Care

N/A

N/A

Wisconsin Health      Information Exchange-- CCBH

   

(future) insurance plans per member/per month fee

CDC and HRSA Bioterrorism Cooperative Agreements; DOJ Urban grant

In kind by members

Colorado Health       Information Exchange (COHIE)

     

AHRQ Contract; FeHI Contract (HRSA)

 
SBCCDE, Inc.

   

California Health Care Foundation (CHCF) [Public/foundation funding]

Foundation for eHealth Initiative (FEHI) via HRSA

 
Massachusetts Health Data Consortium

x

x

All Massachusetts-based health plans provide funding (BCBSMA, Harvard Pilgrim Health Care, Tufts Health Plan, Health New England, Fallon Community Health Plan, Neighborhood Health Plan).

CMS pays membership dues; Medicaid pays membership dues

Partners Healthcare System and MA Medical Society

FL

BayCare Health Systems

x

x

Aetna

Blue Cross

Humana

Unicare

Cigna

   
University of Florida College of Dentistry   (UFCD)

x

x

   

Service Contracts

GA

Ware County Health Department

x

x

Blue Cross/Blue Shield of Georgia, Aetna Life, Children's Medical Services, State Merit, TriCare Southeast, CIGNA, Mail Handlers, Metral Health, The Principal Ins. Group, Mass Mutual, Champus, John Hanckock Ins., State Health Plan

   

Sources
of Reimbursement (cont.)

ST
Organzations
Medicare Medicaid Private Payor Other Contract Other Source

HI

Hawaii Primary Care Association

x

x

Blue Cross-HMSA, AlohaCare, Quest

   

Molokai General Hospital

x

x

Hawaii Medical Service Association, MDX-Hawaii, Hawaii Management Alliance Association, University Healthcare

   

IA

Iowa Chronic Care Consortium

 

x

Wellmark (Blue Cross/Blue Shield)

Iowa General Assembly

Mercy Health Network, Iowa Health System, Des Moines University

Mercy Foundation

x

x

Handled by third party

   

ID

Idaho State University

 

x

     
North Idaho Rural Health Consortium (NIRHC)

 

x

 

Schools

 

IL

Fermi National Laboratory/       Northern Illinois       University

 

x

Blue, IL; Humana; Signa; Aetna

 

HRSA

Memorial Health System 

N/A

N/A

N/A

N/A

Physician Association

OSF Saint James-John W. Albrecht Medical Center

x

x

OSF Health Plans

   
Southern Illinois University School of Medicine

x

x

Multiple private insurers

Veteran's Hospital, Mental Health Hospital

Children's Miracle Network

IN

James Whitcomb Riley Hospital for Children

Clarian Health Partners

   

Anthem

 

In kind initially with reimbursement.

KS

University of Kansas Medical Center

x

x

Blue Cross

   

KY

University of Kentucky

Research Foundation Kentucky TeleCare

x

x

Atena, Anthem Blue Cross Blue Shield, Beechstreet PPO, UKHMO, CHA Health, Bluegrass Health Network, C&O Employee’s Hospital Association CCN PPO, CHAMPVA/Tricare, Cigna, Cooperative Care Bluegrass Care Alliance, Community Health Partnership, Cumberland Health Care, Inc., Direct Care America, Harrod Community Health Plan, Hospice of the Bluegrass, Humana, National Provider Network PPO, One Health Plan, PPO Next/Healthstar/PHN, United Healthcare

Federal Prison, State Public Health Dept. for TB Clinic Consultation

Medicare/Medicaid reimbursement only for certain CPT codes

All private payor/commercial insurance companies are mandated by State of KY to reimburse for telehealth consultations in same manner as face–to-face consultations

Kentucky TeleCare St. Claire Regional Medical Center

x

x

All private payor/ commercial insurance companies are mandated by State of KY to reimburse for telehealth consultations in same manner as face-to-face consultations.

 

Medicare/Medicaid reimbursement only for certain CPT codes

Kentucky TeleCare Lewis County Primary Care Clinic

x

x

All private payor/ commercial insurance companies are mandated by State of KY to reimburse for telehealth consultations in same manner as face-to-face consultations.

 

Medicare/Medicaid reimbursement only for certain CPT codes


Sources of Reimbursement (cont.)

ST Organzations Medicare Medicaid Private Payor Other Contract Other Source

LA

Lake Charles Memorial Hospital
 

x

     
Woman’s Hospital

x

x

Aetna, American Lifecare, Blue Cross/Blue Shield of Louisiana, ChoiceCare Network, CIGNA, Community Care Network, Coventry HealthCare, First Heath Network, Humana, Multiplan, PPO Plus, Private Healthcare Systems, United Healthcare of Louisiana

 

Tricare Prime, Tristan

MA

Baystate Medical Center, Inc.      

x

x

     
UMass Memorial Medical Center, Inc.

         

ME

Regional Medical Center – Lubec

x

x

Anthem (specific projects) Cigna, Guardian

Correctional Facilities

Office for the Advancement of Telemedicine Funding

MI

Hillsdale Community Health Center

x

x

Blue Cross

   
Marquette General Health System

x

 

Blue Cross, Upper Peninsula Health Plan

Behavioral Health Contract

 
Western Michigan University

x

x

   

Private Pay

MN

Fairview Health Services

x

x

Blue Cross, CIGNA, Health Partners, PreferredOne, MassHealth, MHP, Ucare United Healthcare, Wausau

   
Fairview Lakes Regional Medical Center

x

x

Blue Cross of Minnesota, Self Pay, Other Commercial Insurers (minor)

Chisago County Prison, State of MN Prison

 
Fairview Ridges Hospital

x

x

Blue Cross of Minnesota, Medicare, PreferredOne.

   
University of Minnesota

x

x

Blue Cross/Blue Shield of MN, Preferred One,

Health Partners,

Workers Compensation,

Medica, Circle of Health, Ucare Minnesota

   

MO

The Curators of the University of Missouri

x

 

Am. Family, Bankers Life, Blue Shield Alliance, Cigna, Gencare, General American, Health Data Svcs. Claim, Healthlink, Healthnet, John Deer Health Care, Missouri Care MC+, Metropolitan, Mercy Health Plan, Preferred Health Plan, Prudential, United Health Care, Ethix PPO, Time Insurance Co., Cooperative Benefit, First Health, Healthsmart Preferred, Humana, National Telephone, NRECA, Proamerica, Waldsworth Publishing

Fort Leonard Wood, Clark Mental Health Ctr.   

 

MT

Benefis Healthcare Foundation

x

x

Blue Cross/Blue Shield, MT

   
Deaconess Billings Clinic Foundation

x

x

Blue Cross/Blue Shield of Montana, EBMS, New West Health Services

   
Rocky Mountain Technology Foundation

x

x

     
St. Vincent Healthcare Foundation

x

x

Blue Cross/Blue Shield of Montana/EBMS/

Intermountain

   
University of Montana – Missoula
   

Blue Cross/Blue Shield of Montana

 

Patient pay, donations from drug companies & patients


Sources of Reimbursement (cont.)

ST
Organzations
Medicare Medicaid Private Payor Other Contract

Other Source

NC

East Carolina University

x

x

Blue Cross/Blue Shield, HealthSouth, Cigna, etc.

State Agencies School for Deaf, Home for Med Retarded, Mental Hospital, Fed Prison

University Health Systems of Eastern North Carolina

ND

Minot State University

     

Enable, H.I.T., Hav-it, ECT

NDCPD

North Dakota State

University

x

x

Blue Cross, Blue Shield of North Dakota

   
Northland Healthcare

Alliance Inc.

x

x

Blue Cross, Blue Shield of North Dakota. Also have been paid by other commercial payers on a case by case basis.

   

NE

Mid-Nebraska Telemedicine       Network, Good       Samaritan Hospital Kearney NE

x

x

Blue Cross, Equitable Life, Three Rivers Benefit Corp, Physicians Mutual, Pioneer, Mutual Protective, Midlands Choice, Union Banders, AARP, TriCare, Cigna, Bankers Life, UniCare Life & Health, CBSA, Midwest Select, Mutual Protective, Thrivent Options

   
University of Nebraska Medical Center

N/A

N/A

N/A

N/A

Tuition paid by Students

Rural Health Telemedicine       Program

      

 

N/A

N/A

N/A

N/A

N/A

NV

Nevada Rural Hospital Partners Foundation
       

Member dues, fee for service, grants

University of Nevada Reno - School of Medicine
       

Recharge from user grants

NY

Daemen College
       

Tuition

Institute for Urban Family Health

x

x

More than 25 plans, including Oxford, United Health Care and Blue Cross.

 

2 federal grants

Montefiore Medical Center & The Children’s Hospital at Montefiore

x