HARTFORD – CMS has approved payment by Medicaid to federally qualified health centers in Connecticut for electronic consultations with medical specialists, according to Safety Net Connect, a provider of web-based care coordination solutions.
Newport Beach, Calif.-based SNC’s eConsult platform is used by Community Health Center to provide increased access to expert care for the state’s medically underserved population.
“Garnering Medicaid reimbursement approval for healthcare initiatives is a complex process,” said Daren Anderson, MD, director of the Weitzman Institute, and vice president and chief quality officer of CHC of Connecticut. “Eligible programs must demonstrate solid proof of efficacy, cost savings, and ongoing value. We were able to meet these objectives through the positive outcomes of a year-long pilot that utilized SNC’s eConsult technology to enhance specialty care within our CHC health centers.”
CHC has used SNC’s eConsult technology to facilitate more than 1,000 eConsults between primary care physicians and specialists at FQHCs across Connecticut in fields like cardiology, demonstrating the ability to provide specialty advice for patients in less than one day, on average, with 89% of needs resolved within the medical home.
As of January 2016, CHC has begun contracting with state and federal agencies, as well as private insurers, to provide the SNC eConsult system to medical underserved patients across the US.