Miscellaneous
Teledentistry
Providers billing for covered teledentistry/telehealth services are responsible for the following:
- Complying with Health Insurance Portability and Accountability Act (HIPAA) and Oregon Health Authority (OHA) Confidentiality and Privacy Rules and security protections for the patient in connection with the telemedicine communication and related records (Refer to OAR 410-120-1990);
- Obtaining and maintaining technology used in the telehealth communication that is compliant with privacy and security standards in HIPAA and Department Privacy and Confidentiality Rules described in subsection (1) of this rule;
- Ensuring policies and procedures are in place to prevent a breach in privacy or exposure of member health information or records (whether oral or recorded in any form or medium) to unauthorized individuals; and
- Maintaining clinical and financial documentation related to telehealth services as required in OAR 410-120-1360 and OAR 410-120-1990.
A member receiving services through teledentistry shall be notified of the right to receive interactive communication with the distant dentist and shall receive an interactive communication with the distant dentist upon request;
A member receiving services through teledentistry must be notified of the right to receive interactive communication with the distant dentist and must receive an interactive communication with the distant dentist upon request;
A member may request to have real time communication with the distant dentist at the time of the visit or within 30 days of the original visit.
The member’s chart documentation must reflect notification of the right to interactive communication with the distant site dentist; and
A member may request to have real time communication with the distant dentist at the time of the visit or within thirty (30) days of the original visit.
Network Adequacy
MCEs shall have an access plan that establishes a protocol for monitoring and ensuring access, outlines how provider capacity is determined, and establishes procedures for monthly monitoring of capacity and access and for improving access and managing access in times of reduced participating provider capacity. The access plan and associated monitoring protocol shall address the following: …
- The availability of telemedicine within the MCE’s contracted provider network.
“Meaningful access” means client or member-centered access reflecting the following statute and standards:
- Pursuant to Title VI of the Civil Rights Act of 1964, Section 1557 of the Affordable Care Act and the corresponding Federal Regulation at 45 CFR Part 92 and The Americans with Disabilities Act (ADA), providers’ telemedicine or telehealth services shall accommodate the needs of individuals who have difficulty communicating due to a medical condition, who need accommodation due to a disability, advanced age or who have Limited English Proficiency (LEP) including providing access to auxiliary aids and services as described in 45 CFR Part 92;
- National Culturally and Linguistically Appropriate Services (CLAS) Standards at https://thinkculturalhealth.hhs.gov/clas/standards; and
- As applicable to the client or member, Tribal based practice standards: https://www.oregon.gov/OHA/HSD/AMH/Pages/EBP.aspx;
SOURCE: OR OAR 140-120-0000, Medical Assistance Program: Acronyms and Definitions, (Accessed Jan. 2026).
“Face to Face” means a personal interaction where both words can be heard and facial expressions can be seen in person or through telehealth services where there is a live streaming audio and video, if medically appropriate.
Medical Assistance Benefits: Out of State Services
The division may not provide any payments for items or services to any financial institution or entity located outside of the United States pursuant to 1902(a)(80) of the Social Security Act.
This provision also prohibits payments to telemedicine providers and pharmacies located outside of the United States.
SOURCE: OR OAR 410-120-1180 Health Systems Division: Medical Assistance Programs Chapter 10. (Accessed Jan. 2026).
Health Professional Student Clinical Training
“Patient” means an individual who is seeking care, guidance or treatment options at a clinical or other service location, or from a health professional or health-related professional as defined in these rules, via telehealth.
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