( b ) Requests for initial or renewed telemedicine privileges will be processed through one of the following options , as determined by the CMO / VPMA in consultation with the Chief of Staff :
( 1 ) A request for telemedicine privileges may be processed through the same process for Medical Staff applications , as set forth in this Manual . In this case , the individual must satisfy all qualifications and requirements set forth in this Manual , except those relating to geographic location , coverage arrangements , and emergency call responsibilities .
( 2 ) If the individual requesting telemedicine privileges is practicing at a distant hospital that participates in Medicare or is Joint Commission-accredited or a telemedicine entity ( as that term is defined by Medicare ), a request for telemedicine privileges may be processed using an alternative process that relies on the credentialing and privileging decisions made by the distant hospital or telemedicine entity . In such cases , the Hospital must ensure , through a written agreement , that the distant hospital or telemedicine entity complies with all applicable Medicare regulations and accreditation standards . The distant hospital or telemedicine entity must provide :
( i ) confirmation that the practitioner is licensed in the state where the Hospital is located ;
( ii ) a current list of privileges granted to the practitioner ; and
( iii ) any other attestations or information required by the agreement or requested by the Hospital .
( 3 ) Prior to granting telemedicine privileges , the National Practitioner Data Bank will be queried and the Office of Inspector General ’ s List of Excluded Individuals / Entities will be checked .
( 4 ) The information received about the individual requesting telemedicine privileges will be provided to the MEC for review and recommendation and to the Board for final action .
( c ) Notwithstanding the process set forth in this Section , the Hospital may determine that an applicant for telemedicine privileges is ineligible for appointment or clinical privileges if the applicant fails to satisfy the threshold eligibility criteria set forth in this Manual .
( d ) Telemedicine privileges , if granted , will be for a period of not more than three years .
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