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Journal of the American Academy of Dermatology
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le vendredi 14 février 2020
Doi : 10.1016/j.jaad.2019.11.055
accepted : 26 November 2019
The growth of teledermatology: Expanding to reach the underserved

Nadiya Chuchvara, BA a, , Rachel Patel, BA a, Radhika Srivastava, BA a, Catherine Reilly, BS a, Babar K. Rao, MD a, b
a Center for Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, New Jersey 
b Department of Dermatology, Weill Cornell Medicine, New York, New York 

Correspondence to: Nadiya Chuchvara, BA, Center for Dermatology, Rutgers Robert Wood Johnson Medical School, 1 Worlds Fair Dr, Somerset, NJ 08873.Center for DermatologyRutgers Robert Wood Johnson Medical School1 Worlds Fair DrSomersetNJ08873

The regulation of telemedicine in the United States is evolving, with new legislation expanding reimbursement and cross-state licensing capabilities. As telemedicine grows, communities with limited access to traditional dermatologic care may find a solution in teledermatology. A search of the medical literature and online health care law resources published within the past decade was performed to assess the current status of telemedicine availability, health record integration and security, reimbursement policy, and licensure requirements in the United States, with a focus on teledermatology. The majority of states have implemented policies requiring private insurance coverage. Medicaid reimburses some form of telemedicine in all states but restricts which modalities can be used and by which specialties. Medicare places the heaviest limitations on telemedicine coverage. Twenty-four states and Guam are members of the Interstate Medical Licensure Compact (IMLC), and 27 states offer alternative cross-state practice options. With the advent of publicly and privately funded programs, volunteer efforts, and mobile applications, teledermatology is more readily available to rural and underserved communities.

The full text of this article is available in PDF format.

Key words : cross-state licensing, dermatology, IMLC, Interstate Medical Licensure Compact, live video, Medicaid, Medicare, parity, private payer, reimbursement, rural, store-and-forward, teledermatology, telehealth, telemedicine, underserved

Abbreviations used : ATA, CCHP, CPT, EHR, HIPAA, HRSA, IMLC

 Funding sources: None.
 Conflicts of interest: None disclosed.
 IRB approval status: Not applicable.
 Reprints not available from the authors.

© 2019  American Academy of Dermatology, Inc.@@#104156@@
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