1. What is the decision or change (e.g. clinical topic, practice guideline, system design, delivery of care) you are facing or struggling with where a summary of the evidence would be helpful?

We are interested in the impact and efficacy of diagnostic services for autism spectrum disorders and other developmental disabilities (ASD/DD) to be delivered via telehealth.

2. Why are you struggling with this issue?

Telehealth offers an opportunity to increase the number of children with autism spectrum disorders and other developmental disorders (ASD/DD) who receive needed diagnostic evaluations and support services, including applied behavior analysis (ABA) intervention. In order to increase access to telehealth for children with autism and other developmental disabilities, we need to build telehealth capacity across the state, through consumer and provider engagement and education; building telehealth infrastructure; and ensuring that policies, including those related to billing and reimbursement, address telehealth.

3. What do you want to see changed? How will you know that your issue is improving or has been addressed?

1. Access to timely diagnostic services for ASD/DD via telehealth; children are waiting upwards of two years to receive diagnostic services.
2. Transparency of insurance coverage including Medicaid's fee for service and managed care
3. Large health care systems are set up for consumers to access ASD/DD diagnostic services via telehealth

4. When do you need the evidence report?

Wed, 04/01/2020

5. What will you do with the evidence report?

1. share with insurers including Medicaid
2. work with the large health care systems to implement
3. share with other stakeholders to translate information for other diagnostic services
4. apply for funding to support implementation
5. work with families to support the delivery of diagnostic services via telehealth

 ==Supporting Document==

Title or short description: CREATING CONNECTIONS STRATEGIC PLAN—Moving Toward Telehealth Services for Children with Autism and Other Developmental Disabilities

Comments or notes about this file: https://www.doh.wa.gov/YouandYourFamily/InfantsandChildren/HealthandSafety/ChildrenandYouthwithSpecialHealthCareNeeds/Publications

Data

• 2017 Telehealth Capacity Assessment – Full Report (PDF)
• 2017 Telehealth Capacity Assessment – Executive Summary (PDF)
• 2017 Telehealth Capacity Assessment – Provider Survey Brief (PDF)
• 2017 Telehealth Capacity Assessment – Caregiver Survey Brief (PDF)