Access FAQs and resources that address interoperability, HIE connectivity, and telehealth
Frequently Asked Questions
DHCF has established the following eligibility criteria to participate in the HCBS PI Program: 1) A non-profit or for-profit entity or governmental entity; 2) A Medicaid provider organization that has adjudicated claims within FY21-FY23 from Department of Health Care Finance (DHCF) to provide services either through contract or fee-for-service; and 3) Licensed, as applicable, by an affiliated government agency:
Yes; if the health IT purchase or upgrade was made on or after January 1, 2022, the provider organization is eligible to participate in the HCBS PI Program.
Yes; if the provider organization began sending data to the DC HIE on or after January 1, 2022, the provider organization is eligible to receive Milestone 5 and/or 6 incentive payments through the HCBS PI Program.
Track is determined based on an assessment performed:
Eligibility is contingent upon having adjudicated claims with DHCF for FY21 – FY23 and being licensed through the DC Department of Behavioral Health, Department of Health Care Finance, Department of Disability Services, or the Department of Human Services. Provider organizations must practice within the District of Columbia to participate in the HCBS PI program.
HCBS PI Program incentives payments are bundled with other payments from DHCF; contact your eHealthDC TA to provide a tracking number.
Frequently Asked Questions
Per the DC Department of Healthcare Finance, the following HCBS providers are eligible:
Yes. On April 11, 2023, the Office for Civil Rights (OCR) announced that effective May 12, 2023, all eligible telehealth participating healthcare providers will have a 90-day transition period to comply with the HIPAA Rules with respect to utilizing a HIPAA-compliant telehealth platform to render telehealth services in a private and secure manner. The transition period will expire on August 9, 2023.
Providers should understand that using a non-HIPAA compliant third-party application without an established business associate agreement introduces unnecessary privacy and security risks. In addition, use of these tools does not guarantee a provider from other legal action concerning the failure to protect a beneficiary’s Protected Health Information (PHI).
Yes. A provider shall document the beneficiary’s consent to receive telemedicine services at every visit, even if the patient has previously provided consent.
Written consent includes any method that documents in writing the beneficiary’s
agreement to receive the service via telemedicine, including but not limited to an e-mail, text message, or signed PDF. If verbal consent is obtained, a detailed service note that describes the beneficiary’s verbal consent is required.
Yes. HIPAA covered entities can use remote communication technologies to provide telehealth services, including audio-only services, in compliance with the HIPAA Privacy Rule.
Yes. RPM is a form of telehealth; however, the DC Medicaid program currently does not reimburse for remote patient monitoring services.
All telemedicine providers shall develop a confidentiality compliance plan in accordance with the HIPAA Act of 1996. The compliance plan should incorporate appropriate administrative, physical, and technical safeguards around data encryption to protect the privacy of telemedicine participants and ensure compliance with the HIPAA and the HITECH Act of 2009.