NARBHA policy requires that all Behavioral Health Medical Practitioners are oriented prior to providing telemedicine services to NARBHA members.

Behavioral Health Medical Practitioners:

• Click the link below to go to the online Telemedicine Provider Orientation.
• Take the orientation quiz after reviewing the online orientation and print out the results. (Contact telemed@narbha.org with any technical issues.)
• Fax, mail, or email the quiz results to NARBHA Telemedicine staff, telemed@narbha.org, 928-774-5665 (fax), 1300 S. Yale St., Flagstaff, AZ 86001.
• Contact NARBHA Telemed staff (telemed@narbha.org, 928-214-2201 or 928-214-1186) and request a video orientation. We will go over how to use the equipment, tips for your video room, and any questions you may have.

Online Telemedicine Provider Orientation by Sara Gibson, MD, NARBHA Medical Director of Telemedicine (includes quiz)

Required Documentation of Orientation

• Instructions for NARBHA Documentation of Provider Orientation on Use of Video Equipment for Telemedicine

Policies

• NARBHA policy 10.10 Clinical Telemedicine Services
• NARBHA policy 3.11 General and Informed Consent to Treatment

Forms (English)

• PM Form 3.11.2 Informed Consent to Participate in Telemedicine Services
• PM Form 3.11.3 Informed Consent to Record Participation in Telemedicine Services
• PM Form 3.15.2 TMED Informed Consent for Psychotropic Medication Treatment (modified for telemedicine use)

Coding

• Telemedicine Allowable Codes (last updated 01/2012)
  summarized from
• ADHS/DBHS Allowable Procedure Code Matrix

For more information on telepsychiatry:

• NARBHA "Telepsychiatry Basics" seminar

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