HRSA - 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	Organization	Medicare	Medicaid	Private Payor (Please Specify)	Other Contract (Please Specify)	Other Source
AK	Alaska Native Tribal Health Consortium	x	x	Blue Cross, Aetna	IHS Contract Health
AK	Alaska Psychiatric Institute (API)	x	x
AL	University of South Alabama		x
AR	University of Arkansas for Medical Sciences	x	x	Cigna, First Health, First Source, Health Advantage, Humana, QualChoice, Premier Care, United Health Care, USAble, Aetna, AARP Healthcare, Arkansas 1^st Source, TRICARE, AR Kids First
AZ	Arizona Board of Regents, University of Arizona	x	x	Although almost all private payors in Arizona reimburse telemedicine services, the patients seen for clinical services in the ADVICE program have been uninsured to date.	Tobacco Tax Funding Indian Health Services
	Banner Good Samaritan Telemedicine Program					N/A
	Maricopa County, Arizona					N/A
CA	Familia Unida Living with Multiple Sclerosis					N/A
	Multi-Dimensional Imaging, Inc. of Newport Beach					N/A
	San Joaquin County Health Care Services					N/A
	Santa Rosa Memorial Hospital					N/A
CO	Avista Adventist Hospital					N/A
CO	University of Colorado Health Sciences Center					N/A
DC	American Red Cross					N/A
DC	Foundation For eHealth Initiative
	CareSpark, TN			Anticipated health plans and employers	State of TN Q 1 & 2, 2006 State of VA planned Q 3 & 4, 2006	Accenture NHIN prototype demonstration, Q1-4, 2006
	Colorado Health Exchange Network, CO					N/A
	Indiana Health Information Exchange, IN					Our initial model relies on data sources to fund delivery of information much as they do now in a “paper” world.
	Maryland/DC Collaborative for Health Information Technology, MD					N/A
DC	Massachusetts Health Data Consortium (MA-SHARE), MA			Blue Cross Blue Shield of MA Harvard Pilgrim Health Care Other TBD	Markle Connecting for Health Record Locator Service Prototype ONCHIT Nationwide Health Information Network (NHIN) Architecture AHRQ-CMS ePrescribing Gateway Pilot Other TBD	Partners Health Care System CareGroup Health Systems Commonwealth of MA Executive Office of Health and Human Services Massachusetts eHealth Collaborative Other TBD
	National Institute for Medical Informatics, WI					N/A
	Santa Barbara County Care Data Exchange, CA					N/A
	St. Joseph’s Hospital Foundation (Whatcom HIE), WA					N/A
	Taconic Educational Research Fund, NY					N/A
FL	BayCare Health System					N/A
	Florida Cancer Research Cooperative, University of South Florida					N/A
	University of Florida College of Dentistry (UFCD)	x	x			Service Contracts
GA	Morehouse School of Medicine					N/A
GA	Ware County Health Department					N/A
HI	Hawai’i Primary Care Association (HPCA)	x		HMSA, AlohaCare, Quest
HI	Moloka’i General Hospital	x	x	HMSA, Blue Cross/Blue Shield
IA	Iowa Chronic Care Consortium		x
IA	Mercy Foundation	x	x	Physicians bill 3^rd party insurance carriers
ID	Clearwater Valley Hospital and Clinics, Inc.					N/A
	Idaho State University, Institute of Rural Health		x
	North Idaho Rural Health Consortium (NIRHC)		x
IL	Northern Illinois University/Fermi National Laboratory		x	Blue, IL; Humana; Signa; Aetna		HRSA
	OSF Saint James—John W. Albrecht Medical Center					N/A
	Saint John’s Hospital		P	P-To Be Determined		IL Department of Public Health
	Southern Illinois University School of Medicine	x	x	Multiple private Insurers	Veteran's Hospital, Mental Health Hospital
IN	James Whitcomb Riley Hospital for Children	x		Anthem, Wellpoint, M-Plan, United Health Care
IN	Health & Hospital Corporation of Marion County					N/A
KS	University of Kansas Medical Center	x	x	Blue Cross/Blue Shield	Contract for service between Crawford County Mental Health Center and KUMC Child-Adolescent Psychiatry.	State-wide Telekidcare dollars
KY	The James B. Haggin Memorial Hospital					N/A
	Marcum & Wallace Memorial Hospital					N/A
	New Horizons Health Systems, Inc.					N/A
	University of KentuckyResearch Foundation—Kentucky TeleCare		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, Evolution Healthcare Systems, General American, 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 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.
LA	Southwest Louisiana Health Care Systems		x	Multiple private insurers
LA	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	Massachusetts College of Pharmacy and Health Sciences					N/A
MA	UMass Memorial Medical Center					N/A
ME	Regional Medical Center at Lubec					N/A
MI	Altarum Institute					N/A—Operational funding to be determined in planning process.
	Hillsdale Community Health Center					N/A
	Hurley Medical Center					N/A
	Michigan State University					N/A
	Western Michigan University	x	x			Patient
MN	Fairview Health Services					N/A
MN	University of Minnesota	x	x	Blue Cross/Blue Shield of MN Health Partners Medica Preferred One Workers Compensation Select Care Ucare of 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					N/A
	Billings Clinic Foundation					N/A
	Deaconess Billings Clinic Foundation	x	x	Blue Cross/Blue Shield of Montana, EBMS, New West Health Services
	Saint Patrick Hospital & Health Foundation	x	x	300+ private payors—EKG interpretation
	Saint Vincent Healthcare Foundation	x	x	Blue Cross/Blue Shield of Montana/EBMS; Paid by other insurances on case by case basis		Patient self pay
	The University of Montana—Missoula					N/A
NC	Duke University Medical Center					N/A
NC	Educational and Research Consortium of Western Carolinas					N/A
ND	North Dakota State University College of Pharmacy	x	x	Blue Cross/Blue Shield		Cash pay patients.
ND	Northland Healthcare Alliance	x	x	Blue Cross Blue Shield of North Dakota. Also have been paid by other commercial payers on a case by case basis.
NE	Good Samaritan Hospital Foundation	x	x	Blue Cross, Starmark, 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, AARP Healthcare Options, Mutual of Omaha, Mega Health, Medicaid, State Farm, BDPPO, FMH Benefit, Reserve National, Unicare Life & Health, United Health, Allied Benefits
NE	University of Nebraska Medical Center					N/A
NJ	Hackensack University Medical Center					N/A
NJ	Saint Peter’s University Hospital					N/A
NM	New Mexico Human Services Department					N/A
NM	The University of New Mexico Health Sciences Center		x
NV	Nevada Rural Hospital Partners Foundation					N/A
NV	University of Nevada, Reno					N/A
NY	Community Health Care Services Foundation, Inc.					N/A
	Genesee Gateway Local Development Corporation, Inc.					N/A
	Integrated Community Alternatives Network, Inc.		x		OCDSS Prevention Contract
	Long Island Association for Millennium Center for Convergent Technologies					N/A
	Montefiore Medical Center & The Children’s Hospital at Montefiore	x	x	Blue Cross/Blue Shield, HIP, AETNA
	New York Presbyterian Hospital					N/A
	Research Foundation, State University of New York (SUNY) at Buffalo	x	x	Community Blue, Univera, Independent Health,	NYS Dept. of Corrections, Homeland Security, Federal Bureau of Prisons, Immigration Control and Enforcement
	The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island					N/A
OH	Case Western Reserve University					N/A
	Cincinnati Children’s Hospital Medical Center					N/A
	Northeastern Ohio Universities College of Medicine (NEOUCOM)					N/A
	Ohio Board of Regents					N/A
	Ohio State University Research Foundation (for the Ohio Supercomputer Center )					N/A
	Southern Consortium for Children		x
OK	INTEGRIS Health, Inc.		x		Boise City Schools Stringtown Schools Felt Public Schools Milburn Public Schools Keyes Public Schools Tyrone Public Schools Goodwell Public Schools Lindsay Municipal Hospital
	Oklahoma Office of Rural Health					N/A
	OSU Center for Rural Health					N/A
OR	Asante Health System					N/A
OR	Tillamook Lightwave IGA					N/A
PA	Clarion University					N/A
	Community Nurses Home Health and Hospice, Inc.					Self Pay
	Geisinger Clinic					N/A
	Good Samaritan Hospital Regional Medical Center					N/A
	Hospice of Metropolitan Erie					N/A
	Jewish Healthcare Foundation					N/A
	Magee Rehabilitation Hospital					N/A
	Mercy Health Partners					N/A
	Mercy Hospital of Pittsburgh					N/A
	Millcreek Community Hospital					N/A
	Oil Region Alliance of Business, Industry, & Tourism					N/A
	Pennsylvania College of Optometry					N/A
	Pennsylvania Homecare Association	x	x	Gateway—MCO UPMC Three Rivers--MCO
	Penn State University					N/A
	Pennsylvania State University College of Medicine					N/A
	Pinnacle Health System					N/A
	Safe Harbor Behavioral Health					N/A
	SUN Home Health Services					N/A
	Susquehanna Health System					N/A
	Thomas Jefferson University					N/A
	Tyrone Hospital					N/A
	University of Pittsburgh School of Nursing Nurse Anesthesia Program					N/A
	Wayne Memorial Hospital					N/A
RI	Family Resources Community Action					N/A
	Kent County Visiting Nurse Association d/b/a VNA of Care New England	x
	Thundermist Health Center	x	x	Blue Cross, Blue Shield of RI United Health Care Neighborhood Health Plan of RI
SC	Advanced Technology Institute (ATI)	x	x
	Beaufort-Jaspert-Hampton Comprehensive Health Services	x	x
	Greenville Hospital System					N/A
	Voorhees College					N/A
SD	Avera Health	x	x	Avera Health Plans
SD	The University of South Dakota (USD)					N/A
TN	University Health System, Inc.					N/A
TN	University of Tennessee Health Science Center	x	x	Blue Cross, Blue Shieldb Cigna General United Healthcare	Tennessee Department of Children’s Services
TX	CHRISTUS Visting Nurse Association of Houston	x	x	Blue Cross/Blue Shield; AETNA; Unicare; Evercare; Humana
	Cook Children’s Medical Center		x	CIGNA, Blue Cross		TDH Title V funding will be available for patients that qualify under those guidelines.
	Harris County Hospital District	x	x
	University of Texas Health Science Center at San Antonio					N/A
	University of Texas Medical Branch Center to Eliminate Health Disparities	x	x		Counties, Dept. of Criminal Justice, other correctional systems.
	University of Texas Medical Branch - Galveston				Brazoria County, Liberty County, Raytheon, Zachry, ANICO, TX Department of Criminal Justice, El Paso MHMR, Gulf Bend MHMR, NASA, cruise lines
UT	Association for Utah Community Health	x		Blue Cross/Blue Shield
	Dr. Ezekiel R. Dumke College of Health Professions					N/A
	Intermountain Healthcare					N/A
	University of Utah	x	x	Utah payers in general.	Department of Corrections.
VA	University of Virginia	x	x	Blue Cross/Blue Shield, AG Dillard; Church of the Brethren; Healthcare Resources Group; Klockner-Pentaplast; John Alden Financial; National Benefits Plan; Southeastern Container; Sunnyside Home; Sysco Corp.	Dept. of Corrections.	Anthem Blue Cross/Blue Shield.
VT	The Community Health Center of Burlington					N/A
VT	The University of Vermont (UVM)	x		Blue Cross/Blue Shield; Cigna PPO	NY State Dept. of Corrections (for dermatology)
WA	Children's Hospital and Regional Medical Center– Seattle		x	Premera Blue Cross, Regence, BlueShield, Community Health Plan of WA, Molina Healthcare, Pacific Medical, Foundation Health Service-Tricare, DSHS-Medicaid Fee for Service	Lower Columbia Mental Health, Washington State Juvenile Rehabilitation Administration (Naselle), St. Joseph Hospital, Bellingham, Evergreen Hospital, Kirkland, Kennewick General Hospital, Kennewick
	Inland Northwest Health Services	x	x	Asuris, Premera, L&I, Universal Medical Plan
	Yakima Valley Memorial Hospital					N/A
WI	La Crosse Medical Health Science Consortium					N/A
	Marshfield Clinic Telehealth Network	x	x	Security Health Plan Wisconsin Physicians Services General American JELD—Wen Benefits Midwest Security Adm. Family Health Center Workers Comp—Lineco. Group Health Aetna US Healthcare WEA Ins. Trust SHP Medicaid Weathershield Corestar Insurance Co. United Healthcare Claim Management Services Select Benefis Ins. Medicare Veterans Administration Cigna Operating Engineers Corp Benefits Services of America NCHPP Wasau Insurance
	Rural Wisconsin Health Cooperative	x	x	Unicity Health Plan Dean Health Plans Physicians Plus GHP		Section 330
	St. Elizabeth Hospital Community Foundation			Blue Cross/Blue Shield Network Health Plan Aetna WEA Trust
WV	Appalachian Pain Foundation					N/A
	Robert C. Byrd Center for Rural Health					N/A
	West Virginia University, Mountaineer Doctor TeleVision (MDTV)	x	x	West Virginia Blue Cross/Blue Shield, PEIA
WY	United Medical Center	x				Grant Funding
WY	Wyoming Department of Health	x	x

Telehealth Grantee Directory