Medical-Legal and Reimbursement
This page will help teams identify PMHCA team’s unique legal framework. It will guide the work between their institution, emergency department (ED) partners, and community partners.
Disclaimer: Please remember that the EIIC team is not a legal entity and cannot provide legal advice to your team. However, we can provide some general considerations based on our interactions with PMHCA teams and our understanding of the potential risks and liabilities that may impact PMHCA teams. We recommend seeking guidance from your institution's legal counsel on all matters related to your program's work.
Understanding Your Team’s Legal Framework
Every PMHCA team is unique in its composition and structure. Legal considerations may vary depending on the state, institution, and ED. To guide a PMCHA's ED expansion work, there are general considerations that the team can make. These may include but are not limited to:
- Billing and reimbursement programs
- Clinician licensing requirements
- Contracts (formal and informal)
- Hospital regulations
- Liability concerns
- Risk assumption and mitigation
- Technology restrictions
Increasing Access to Mental and Behavioral Health Resources via Telehealth
Telehealth is making it possible to reach more people. It also provides critical mental and behavioral health resources to patients and their families. Navigating the telehealth landscape can be daunting, but it doesn’t have to be. Your team can utilize several resources as you explore telehealth’s role in your work.
Internal Assessment for Teams
Working with Emergency Departments (EDs) involves compliance with various medical and legal requirements to ensure the delivery of high-quality healthcare and adherence to regulations.
Here are some important questions to consider to determine your team's medical-legal and reimbursement needs: