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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 354MEDICAID HEALTH SERVICES
SUBCHAPTER APURCHASED HEALTH SERVICES
DIVISION 33ADVANCED TELECOMMUNICATIONS SERVICES
RULE §354.1430Definitions

The following words and terms, when used in this division, have the following meanings.

  (1) Distant site--The place where a physician or health professional is physically located when providing telemedicine medical services or telehealth services.

  (2) Established health site--A location where a patient will present to seek a health service where there is a patient site presenter and sufficient technology and medical equipment to allow for an adequate physical evaluation or assessment, as appropriate for the patient's presenting complaint. It requires a defined health provider-patient relationship. A patient's private home is not an established health site.

  (3) Established medical site--Has the meaning defined in the rules of the Texas Medical Board at 22 TAC §174.2 (relating to Definitions).

  (4) In-person evaluation--Has the meaning defined in the rules of the Texas Medical Board at 22 TAC §174.2.

  (5) Patient site--The place where a patient is physically located.

  (6) Patient site presenter--An individual at the patient site who:

    (A) introduces the patient to the distant site provider for examination, and to whom the distant site provider may delegate tasks and activities; and

    (B) is at least one of the following:

      (i) licensed or certified in Texas to perform health care services and must present and/or be delegated tasks and activities only within the scope of the individual's licensure or certification; or

      (ii) a qualified mental health professional-community services (QMHP-CS) as defined in 25 TAC §412.303 (relating to Definitions).

  (7) Readily available--Means the patient site presenter is:

    (A) in the same room as the patient; or

    (B) at the discretion of the licensed or certified professional providing the service, not in the same room as the patient but within the proximity determined by the licensed or certified professional.

  (8) State mental health facility--A hospital with an inpatient component funded or operated by the Department of State Health Services.

  (9) State supported living center--A state-supported and structured residential facility operated by the Department of Aging and Disability Services to provide to individuals with intellectual and developmental disabilities a variety of services, including medical treatment, specialized therapy, and training in the acquisition of personal, social, and vocational skills, as defined at Health and Safety Code §531.002(17).

  (10) Telehealth service--A health service, other than a telemedicine medical service, delivered by a licensed or certified health professional acting within the scope of the health professional's license or certification who does not perform a telemedicine medical service and that requires the use of advanced telecommunications technology, other than telephone or facsimile technology, including:

    (A) compressed digital interactive video, audio, or data transmission;

    (B) clinical data transmission using computer imaging by way of still-image capture and store and forward; and

    (C) other technology that facilitates access to health care services or medical specialty expertise.

  (11) Telemedicine medical service--A health care service, initiated by a physician who is licensed to practice medicine in Texas under Title 3, Subtitle B of the Occupations Code or provided by a health professional acting under physician delegation and supervision, that is provided for purposes of patient assessment by a health professional, diagnosis or consultation by a physician, or treatment, or for the transfer of medical data, and that requires the use of advanced telecommunications technology, other than telephone or facsimile technology, including:

    (A) compressed digital interactive video, audio, or data transmission;

    (B) clinical data transmission using computer imaging by way of still-image capture and store and forward; and

    (C) other technology that facilitates access to health care services or medical specialty expertise.


Source Note: The provisions of this §354.1430 adopted to be effective May 1, 2013, 38 TexReg 1871

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