Prior to the Public Health Emergency of 2020/2021, telemedicine services were limited
to specific geographic areas in the U.S. that were designated as Healthcare Resource
Shortage Areas (HRSA). On January 31, 2020, HHS declared a public health emergency
across the U.S. On March 13, 2020, HHS authorized waivers and modifications under
Section 1135 of the Social Security Act. Reimbursement for telehealth services were
included in the waivers to ensure that there would be no gaps in patient care. To
prevent spread of the virus from center to center, clinicians were encouraged not
to provide in-person care in more than one facility and/or not to provide in-person
care if they had been exposed, were in quarantine or ill themselves. As such, telehealth
became a critical modality for ensuring continuity of care. To our knowledge, the
experiences of PALTC clinicians providing care by telehealth has not been described.
In this project, we surveyed Advanced Practice Providers (APP) about conducting PALTC
visits by telehealth in 2020.
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