Oregon

CURRENT STATE LAWS & POLICY

AT A GLANCE

Medicaid Program

Oregon Medicaid

Administrator

Oregon Health Authority

Regional Telehealth Resource Center

Northwest Regional Telehealth Resource Center

Medicaid Reimbursement

Live Video: Yes
Store-and-Forward: Yes
Remote Patient Monitoring: Yes

Private Payer Law

Law Exists: Yes
Payment Parity: No

Professional Requirements

Licensure Compacts: PTC
Consent Requirements: Yes

Last updated 06/30/2021

Audio-Only Delivery

State Plan Amendment: Oregon Health Plan coverage of telephone/telemedicine/telehealth services

STATUS: Active, until end of COVID-19 emergency

Medicaid: School Based Guidance

STATUS: Active, during the COVID-19 emergency

Medicaid: Guidance for Public Education Providers

STATUS: Active. State of Emergency ends June 28, 2021. Federal PHE still active.

Medicaid: COVID-19 Provider Guide

STATUS: Active. State of Emergency ends June 28, 2021. Federal PHE still active.

Medicaid: Emergency Rule on Covered Telehealth Services

STATUS: Expired

Medicaid: Emergency Rule on Telemedicine Practice Guidance

STATUS: Expired

Last updated 06/30/2021

Cross-State Licensing

Oregon Medical Board: COVID-19 Guidance

STATUS: Active. State of Emergency ends June 28, 2021. Federal PHE still active.

Last updated 06/30/2021

Easing Prescribing Requirements

Oregon Medical Board: COVID-19 Guidance

STATUS: Active. State of Emergency ends June 28, 2021. Federal PHE still active.

Last updated 06/30/2021

Miscellaneous

Medicaid 1915(c) Waiver: Appendix K Addendum – Aging and People with Disabilities

STATUS: Active, expires six months beyond the end date of the federal Public Health Emergency (PHE)

Medicaid 1915(c) Waiver: Appendix K – Children’s HCBS Waiver, Adults’ HCBS Waiver, Medically Involved Children’s Waiver (MICW), Medically Fragile (Hospital) Model, Behavioral (ICF/IDD) Model Waiver Combined

STATUS: Active, expires six months beyond the end date of the federal Public Health Emergency (PHE)

Medicaid 1915(c) Waiver: Appendix K Addendum – Children’s HCBS Waiver, Adults’ HCBS Waiver, Medically Involved Children’s Waiver (MICW), Medically Fragile (Hospital) Model, Behavioral (ICF/IDD) Model Waiver Combined

STATUS: Active, expires six months beyond the end date of the federal Public Health Emergency (PHE)

 

Last updated 06/30/2021

Originating Site

Medicaid: COVID-19 Provider Guide

STATUS: Active. State of Emergency ends June 28, 2021. Federal PHE still active.

Medicaid 1915(c) Waiver: Appendix K – Aging and People with Disabilities

STATUS: Active, expires six months beyond the end date of the federal Public Health Emergency (PHE)

Medicaid 1915(c) Waiver: Appendix K Addendum – Aging and People with Disabilities

STATUS: Active, expires six months beyond the end date of the federal Public Health Emergency (PHE)

Last updated 06/30/2021

Private Payer

Consumer and Business Services:  Telehealth Guidance for Health Plans

STATUS: Active, until end of COVID-19 outbreak State of Emergency ends June 28, 2021. Federal PHE still active.

Consumer and Business Services:  Telehealth Page

STATUS: Active. Requirement for telehealth option at least through June 30, 2021.

Last updated 06/30/2021

Provider Type

Medicaid: Guidance for Public Education Providers

STATUS: Active. State of Emergency ends June 28, 2021. Federal PHE still active.

Medicaid: COVID-19 Provider Guide

STATUS: Active. State of Emergency ends June 28, 2021. Federal PHE still active.

Medicaid: Emergency Rule on Covered Telehealth Services

STATUS: Expired

Medicaid: Emergency Rule on Telemedicine Practice Guidance

STATUS: Expired

Last updated 06/30/2021

Service Expansion

Medicaid: Definition of Encounter for COVID-19

STATUS: Permanent

State Plan Amendment: Oregon Health Plan coverage of telephone/telemedicine/telehealth services

STATUS: Active, until end of COVID-19 emergency

Medicaid: School Based Guidance

STATUS: Active, during the COVID-19 emergency

Medicaid: PASRR Level II Evaluations for nursing facilities

STATUS: Permanent

Medicaid: Guidance for Public Education Providers

STATUS: Active. State of Emergency ends June 28, 2021. Federal PHE still active.

Medicaid: COVID-19 Provider Guide

STATUS: Active. State of Emergency ends June 28, 2021. Federal PHE still active.

Medicaid: Physical, Occupational and Speech Therapy

STATUS: See above COVID-19 Provider Guide for current policy.

Medicaid: Emergency Rule on Telemedicine Services

STATUS: Expired

Medicaid: Newborn Nurse Home Visiting Services Provided by Telehealth

STATUS: Expired

Medicaid: Updates to the Prioritized List of Covered Health Services

STATUS: Expired

Medicaid: Emergency Rule on Covered Telehealth Services

STATUS: Expired

Medicaid: Emergency Rule on Telemedicine Practice Guidance

STATUS: Expired

Last updated 06/30/2021

Definitions

“Telemedicine” means the mode of delivering health services using information and telecommunication technologies to provide consultation and education or to facilitate diagnosis, treatment, care management or self-management of a patient’s health care.

SOURCE: OR Statute Ch. 414 & House Bill 2508 (2021 Session), (Accessed Jun. 2021).

Oregon Health Authority defines telehealth as the use of electronic information and telecommunications technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health and health administration.

SOURCE: OR OAR 410-141-3566, Health Systems Division: Medical Assistance Programs, Oregon Health Plan, Telehealth Service and Reimbursement. (Effective Jan. 1, 2021). (Accessed Feb. 2021) & OAR 410-120-1990, Health Systems Division: Medical Assistance Programs, Telehealth. (Effective Jan. 1, 2021). (Accessed Jun. 2021). 

Behavioral Health Services

“Telehealth” means a technological solution that provides two-way, video-like communication on a secure line.

SOURCE: OAR 309-032-0860, Health Systems Division: Medical Assistance Programs, Behavioral Health Services. (Accessed Jun. 2021).

Telemedicine encompasses different types of programs, services, and delivery mechanisms for medically appropriate covered services within the recipient’s benefit package.

SOURCE: OR OAR 410-172-0850, Health Systems Division: Medical Assistance Programs, Medicaid Payment for Behavioral Health Services, Telemedicine for Behavioral Health. (Accessed Jun. 2021).

Telehealth services include a variety of health services provided by synchronous or asynchronous electronic communications, including secure electronic health portal, audio, or audio and video as well as remote monitoring devices.

SOURCE: Oregon Health Authority, Health Evidence Review Commission, Guideline Note Changes for the February 1, 2021 Prioritized List of Health Services, p. AD-2. (02/19/21). (Accessed Jun. 2021).

Teledentistry can take multiple forms, both synchronous and asynchronous, including but not limited to:

  • Live video, a two-way interaction between a patient and dentist using audiovisual technology;
  • Store and forward, an asynchronous transmission of recorded health information such as radiographs, photographs, video, digital impressions, or photomicrographs transmitted through a secure electronic communication system to a dentist, and it is reviewed at a later point in time by a dentist. The dentist at a distant site reviews the information without the patient being present in real time;
  • Remote patient monitoring, where personal health and dental information is collected by dental care providers in one location then transmitted electronically to a dentist in a distant site location for use in care; and
  • Mobile communication devices such as cell phones, tablet computers, or personal digital assistants may support mobile dentistry, health care, public health practices, and education.

SOURCE: OR OAR 410-123-1265, Health Systems Division: Medical Assistance Programs, Oregon Health Plan, Teledentistry. (Effective Jan. 1, 2021). (Accessed Jun. 2021).

Telehealth for School Based Health Services (SBHS) is a real time interactive and synchronous audio/video technology from site to site regarding a Medicaid-eligible child’s health-related service.  Telehealth is the equivalent to face-to-face therapy/treatment between a licensed practitioner/clinician or under the supervision of a practitioner/clinician within the scope of practice.

SOURCE: OR OAR 410-133-0040, Health Systems Division: Medical Assistance Programs, School-Based Health Services. (Accessed Jun. 2021).

Newborn Nurse Home Visiting Services – Effective Only During Governor-Declared or Authority-Declared public health emergency and up to 120 days after the emergency ends

“Telehealth” includes synchronous (live two-way interactive) video and audio transmission resulting in a real time communication between the home visitor and the client. Telehealth only includes telephone communication if a video platform is not available.

SOURCE: Oregon Administrative Rules Sec. 333-006-0170 (Accessed Jun. 2021).

Last updated 06/30/2021

Email, Phone & Fax

“Audio only” does not include:

  • The use of facsimile, electronic mail or text messages.
  • The delivery of health services that are customarily delivered by audio telephone technology and customarily not billed as separate services by a health care provider, such as the sharing of laboratory results.

To encourage the efficient use of resources and to promote cost-effective procedures in accordance with ORS 413.011 (1)(L), the Oregon Health Authority shall reimburse the cost of health services delivered using telemedicine, including but not limited to:

  • Health services transmitted via landlines, wireless communications, the Internet and telephone networks;
  • Synchronous or asynchronous transmissions using audio only, video only, audio and video and transmission of data from remote monitoring devices; and
  • Communications between providers or between one or more providers and one or more patients, family members, caregivers or guardians.

The authority shall pay the same reimbursement for a health service regardless of whether the service is provided in person or using any permissible telemedicine application or technology.

SOURCE: OR Statute Ch. 414 & House Bill 2508 (2021 Session), (Accessed Jun. 2021).

Telephonic and online services, including services related to diagnostic workup are covered for services for new and established patients.

Covered telephone and online services billed using these codes do not include either of the following:

  • Services related to a service performed and billed by the physician or qualified health professional within the previous seven days, regardless of whether it is the result of patient-initiated or physician-requested follow-up.
  • Services which result in the patient being seen within 24 hours or the next available appointment.

SOURCE: Oregon Health Authority, Health Evidence Review Commission, Guideline Note Changes for the February 1, 2021 Prioritized List of Health Services, p. AD-3. (02/19/21). (Accessed Jun. 2021).

Telehealth services may be transmitted via landlines and wireless communications, including the Internet and telephone networks.

SOURCE: OR OAR 410-120-1990 & OAR 410-141-3566, Health Systems Division: Medical Assistance Programs, Telehealth. (Accessed Jun. 2021).

Behavioral Health

Patient consultations using telephone and online or electronic mail (e-mail) are covered when billed services comply with the practice guidelines set forth by the Health Evidence Review Commission and the applicable HERC-approved code requirements, delivered consistent with the HERC Evidence-Based Guidelines; Patient consultations using videoconferencing, a synchronous (live two-way interactive) video transmission resulting in real time communication between a provider located in a distant site and the recipient being evaluated and located in an originating site, is covered when billed services comply with the billing requirements in rule.  Behavioral health services specifically identified as allowable for telephonic delivery are listed on the Behavioral Health Fee schedule published by the Authority.

Unless expressly authorized in OAR 410-120-1200 (Exclusions), other types of telecommunications are not covered such as images transmitted via facsimile machines and electronic mail when:

  • Those methods are not being used in lieu of videoconferencing, due to limited videoconferencing equipment access; or
  • Those methods and specific services are not specifically allowed pursuant to the Oregon Health Evidence Review Commission’s Prioritized List of Health Services and Evidence Based Guidelines.

SOURCE: OR OAR 410-172-0850, Health Systems Division: Medical Assistance Programs, Medicaid Payment for Behavioral Health Services, Telemedicine for Behavioral Health. (Accessed Jun. 2021).

Teledentistry

Mobile communication devices such as cell phones, tablet computers, or personal digital assistants may support mobile dentistry and health care and public health practices and education.

Unless authorized in OAR 410-120-1200 Exclusions or OAR 410-130-0610 Telemedicine, other types of telecommunications such as telephone calls, images transmitted via facsimile machines, and electronic mail are not covered:

  • When those types are not being used in lieu of teledentistry, due to limited teledentistry equipment access; or
  • When those types and specific services are not specifically allowed in this rule per the Oregon Health Evidence Review Commission’s Prioritized List of Health Services.

SOURCE: OR OAR 410-123-1265, Health Systems Division: Medical Assistance Programs, Oregon Health Plan, Teledentistry. (Effective Jan. 1, 2021). (Accessed Jun. 2021).

School Based Health Services

Telehealth can be interactive audio/telephonic services provided to a child/student in a geographical area where synchronous audio and video is not available or consent for audio/video is refused for services provided to a child/student.

The Authority may reimburse telehealth, tele-electronic/telephonic School-Based Health Services (SBHS) provided to the same extent the services would be covered if they were provided in person and billed to Medicaid using appropriate SBHS procedure codes and modifiers.  See rule for requirements.

For services covered using synchronous audio and video with modifiers GT, the Division will cover the same services provided by synchronous audio (e.g. telephone), when billed with the same codes but without modifier GT when provision of the same service via synchronous audio and video is not available or feasible, when the patient declines to enable video, or necessary consents cannot reasonably be obtained with appropriate documentation in the child/student’s plan of care

SOURCE: OR OAR 410-133-0040 & 410-133-0080, Health Systems Division: Medical Assistance Programs, School-Based Health Services, Coverage (Accessed Jun. 2021).

Indian Health Services

Telephone encounters qualify as a valid encounter for specific services. Telephone encounters must include all the same components of the service when provided face-to-face. Providers may not make telephone contacts at the exclusion of face-to-face visits.

SOURCE: OR OAR 410-147-0120, Healthy Systems Division: Medical Assistance Programs, American Indian/Alaska Native.  (Accessed Jun. 2021).

Federally Qualified Health Center and Rural Health Clinics

For the provision of services defined in Titles XIX and XXI and provided through an FQHC or RHC, an “encounter” is defined as a face-to-face or telephone contact between a health care professional and an eligible OHP client within a 24-hour period ending at midnight, as documented in the client’s medical record. See rule for limitations for telephone contacts that qualify as encounters. For purposes of this rule, a face-to-face “encounter” includes services provided via a synchronous two-way audiovisual link between a patient and a provider per OAR 410-130-0610.

SOURCE: OR OAR 410-147-0120, Healthy Systems Division: Medical Assistance Programs, Federally Qualified Health Center and Rural Health Clinics Services.  (Accessed Jun. 2021).

Last updated 06/30/2021

Live Video

POLICY

To encourage the efficient use of resources and to promote cost-effective procedures in accordance with ORS 413.011 (1)(L), the Oregon Health Authority shall reimburse the cost of health services delivered using telemedicine, including but not limited to:

  • Health services transmitted via landlines, wireless communications, the Internet and telephone networks;
  • Synchronous or asynchronous transmissions using audio only, video only, audio and video and transmission of data from remote monitoring devices; and
  • Communications between providers or between one or more providers and one or more patients, family members, caregivers or guardians.

The authority shall pay the same reimbursement for a health service regardless of whether the service is provided in person or using any permissible telemedicine application or technology.

SOURCE: OR Statute Ch. 414 & House Bill 2508 (2021 Session), (Accessed Jun. 2021).

Services can be synchronous (using audio and video, video only or audio only) or asynchronous (using audio and video, audio, or text-based media) and may include transmission of data from remote monitoring devices. Communications may be between providers, or be between one or more providers and one or more patients, family members /caregivers /guardians).

SOURCE: OAR 410-141-3566, Health Systems Division: Medical Assistance, Oregon Health Plan, Telehealth Service and Reimbursement Requirements. (Accessed Feb. 2021) & OAR 410-120-1990 Health Systems Division: Medical Assistance Programs, Telehealth. (Effective Jan. 1, 2021). (Accessed Jun. 2021).

Patient consultations using videoconferencing, a synchronous (live two-way interactive) video transmission resulting in real time communication between a provider located in a distant site and the recipient being evaluated and located in an originating site, is covered when billed services comply with the billing requirements. See OAR for billing requirements.

SOURCE: OR OAR 410-172-0850, Health Systems Division: Medical Assistance Programs, Medicaid Payment for Behavioral Health Services, Telemedicine for Behavioral Health. (Accessed Jun. 2021).

Telehealth for School Based Health Services (SBHS) is a real time interactive and synchronous audio/video technology from site to site regarding a Medicaid-eligible child’s health-related service. Telehealth is the equivalent to face-to-face therapy/treatment between a licensed practitioner/clinician or under the supervision of a practitioner/clinician within the scope of practice.

SOURCE: OR OAR 410-133-0040, Health Systems Division: Medical Assistance Programs, School-Based Health Services (Accessed Jun. 2021).

Coordinated Care Organizations

CCOs shall provide reimbursement for telehealth services and reimburse Certified and Qualified Health Care Interpreters (HCIs) for interpretation services provided via telemedicine at the same reimbursement rate as if it were provided in person. This requirement does not supersede the CCOs direct agreement(s) with providers, including but not limited to, alternative payment methodologies, quality and performance measures or Value Based Payment methods described in the CCO contract. However, nothing either in this requirement or within CCO direct agreement(s) with providers referenced herein supersedes any federal or state requirements with regard to the provision and coverage of health care interpreter services.

SOURCE: OR Administrative Rules. Rule 410-141-3566. (Accessed Jun. 2021).

Newborn Nurse Home Visiting Services

Any visit or service provided under OAR 333-006-0120 may be provided through telehealth rather than an in-person visit to the family’s home.

SOURCE: Oregon Administrative Rules Sec. 333-006-0170 (Accessed Jun. 2021).


ELIGIBLE SERVICES/SPECIALTIES

Teledentistry

Teledentistry is allowed. All billing requirements apply to all modalities (live video, store and forward, remote patient monitoring and mobile communication devices). Payment for dental services may not distinguish between services performed using teledentistry, real time, or store-and-forward and services performed in-person.  The dentist who completes diagnosis and treatment planning and the oral evaluation documents these services using the traditional CDT codes, and also reports D9995 or D9996 as appropriate. An assessment-D0191 is a limited inspection performed to identify possible signs of oral or systemic disease, malformation or injury, and the potential need for referral for diagnosis and treatment. This code may be billed using the modality of teledentistry:

  • When D0191 is reported in conjunction with an oral evaluation (D0120-D0180) using teledentistry, D0191 shall be disallowed even if done by a different provider;
  • The assessment and evaluation may not be billed or covered by both the originating site dental care provider and a distant site dentist using the modality of teledentistry, even if due to store-and-forward review, if the dates of services are on different days.

SOURCE: OR OAR 410-123-1265, Health Systems Division: Medical Assistance Programs, Oregon Health Plan, Teledentistry. (Effective Jan. 1, 2021). (Accessed Jun. 2021).

Behavioral Health

Behavioral health services identified as allowable for telephonic delivery are listed in the fee schedule. See fee schedule for list of covered telehealth services.

For purposes of behavioral health services, the Authority shall provide coverage for telemedicine services to the same extent that the services would be covered if they were provided in person.

SOURCE: OR OAR 410-12-0850, Health Systems Division: Medical Assistance Programs, Medicaid Payment for Behavioral Health Services, Telemedicine for Behavioral Health, (Accessed Jun. 2021).

School Based Health Services

Oregon Health Authority reimburses for all the same covered services outlined in OAR 410-133-0080 when furnished through telehealth (See OAR 410-133-0080):

The Authority may reimburse telehealth, tele-electronic/telephonic School-Based Health Services (SBHS) provided to the same extent the services would be covered if they were provided in person and billed to Medicaid using appropriate SBHS procedure codes and modifiers.

For services covered using synchronous audio and video with modifiers GT, the Division will cover the same services provided by synchronous audio (e.g. telephone), when billed with the same codes but without modifier GT when provision of the same service via synchronous audio and video is not available or feasible, when the patient declines to enable video, or necessary consents cannot reasonably be obtained with appropriate documentation in the child/student’s plan of care.

SOURCE: OR OAR 410-133-0080, Health Systems Division: Medical Assistance Programs, School-Based Health Services, Coverage (Accessed Jun. 2021).

Reproductive Health Access Program

Covered services provided by telehealth technology may be billed to the RH Program, as appropriate. The CVR must indicate that the visit was conducted via telehealth. All telehealth visits must adhere to applicable state and federal telehealth regulations.

SOURCE: OR OAR 333-004-3110, RH Access Fund Billing and Claims (Accessed Jun. 2021).

Newborn Nurse Home Visiting Services – Effective Only During Governor-Declared or Authority-Declared public health emergency and up to 120 days after the emergency ends

All services provided by telehealth must be provided according to clinical and telehealth guidelines approved by the Authority. All services provided by telehealth must be provided in accordance with these rules except that:

  • Screening for intimate partner violence may be delayed or omitted for safety reasons during a telehealth visit.
  • Certified providers may obtain oral consent for services, as an alternative to written consent, prior to provision of services. Providers must document consent for services in the family’s record.

Certified providers providing services through telehealth shall develop and implement telehealth policies and procedures that describe appropriate use of communication technology and considerations for privacy protections.

Certified providers may virtually observe telehealth home visits for quality assurance review.

Certified providers must allow for virtual reviews of the provider and permit the Authority/designee timely access to provider records as an alternative to an on-site review.

SOURCE: Oregon Administrative Rules Sec. 333-006-0170 (Accessed Jun. 2021).


ELIGIBLE PROVIDERS

Telehealth providers shall meet the following requirements:

  1. Shall be enrolled with the Authority as an Oregon Health Plan (OHP) provider, per 410-120-1260.
  2. Shall provide services via telehealth that are within their respective certification or licensing board’s scope of practice and comply with telehealth requirements including, but not limited to:
    1. Documenting patient and provider agreement of consent to receive services;
    2. Allowed physical location of provider and patient;
    3. Establishing or maintaining an appropriate provider-patient relationship.

SOURCE: OAR 410-120-1990, Health Systems Division: Medical Assistance Programs, Telehealth. (Effective Jan. 1, 2021). (Accessed Jun. 2021).

Dentists providing Medicaid services must be licensed to practice dentistry within the State of Oregon or within the contiguous area of Oregon and must be enrolled as a Health Systems Division (Division) provider.  Providers billing covered teledentistry/telehealth services are responsible for complying with specific standards.  See rule for teledentistry/telehealth services requirements for providers billing.

SOURCE: OR OAR 410-123-1265, Health Systems Division: Medical Assistance Programs, Oregon Health Plan, Teledentistry. (Effective Jan. 1, 2021). (Accessed Jun. 2021).

See rule for requirements for providers billing behavioral health services.

SOURCE: OAR 410-172-0850, Health Systems Division: Medical Assistance Programs, Medicaid Payment for Behavioral Health Services, Telemedicine for Behavioral Health). (Accessed Jun. 2021).

School Based Health Services

Must be provided by a licensed practitioner/clinician employed by or contracted by an Oregon public school district or Education Service District, enrolled with Oregon Health Authority (OHA) as a “school medical (SM)” provider with authority to provide SBHS to Oregon Medicaid beneficiaries. Must also be performed by or under a supervising licensed practitioner/clinician within the scope of practice governed by their licensing board, who meet the federal requirements as described in medically qualified staff in OAR 410-133-0120, and who hold a current and valid license without restriction from a state licensing board where the provider is located. See OAR 410-133-0140 for additional provider requirements.

SOURCE: OR OAR 410-133-0080, Health Systems Division: Medical Assistance Programs, School-Based Health Services, Definitions (Accessed Jun. 2021).

CCOs shall provide reimbursement for telehealth services and reimburse Certified and Qualified Health Care Interpreters (HCIs) for interpretation services provided via telemedicine at the same reimbursement rate as if it were provided in person. This requirement does not supersede the CCOs direct agreement(s) with providers, including but not limited to, alternative payment methodologies, quality and performance measures or Value Based Payment methods described in the CCO contract. However, nothing either in this requirement or within CCO direct agreement(s) with providers referenced herein supersedes any federal or state requirements with regard to the provision and coverage of health care interpreter services.

SOURCE: OAR 410-141-3566, (Accessed Jun. 2021).


ELIGIBLE SITES

The patient may be in the community or in a health care setting.

The provider may be in any location in which appropriate privacy and confidentiality can be ensured.

SOURCE: OAR 410-120-1990, Health Systems Division: Medical Assistance Programs, Telehealth. (Effective Jan. 1, 2021). (Accessed Jun. 2021).

The authority shall include the costs of telemedicine services in its rate assumptions for payments made to clinics or other providers on a prepaid capitated basis.

SOURCE: OR Statute Ch. 414 & House Bill 2508 (2021 Session), (Accessed Jun. 2021).

School-Based Health Services

Telehealth may occur between an alternate site such as the child/student’s home, childcare facility, or other public education programs and settings, and the distant site setting of the practitioner/clinician. Telehealth can be interactive audio/telephonic services provided to a child/student in a geographical area where synchronous audio and video is not available or consent for audio/video is refused for services provided to a child/student.

SOURCE: OR OAR 410-133-0040 (Accessed Feb. 2021).

The originating site may bill a CDT code only if a separately identifiable service is performed within the scope of practice of the practitioner providing the service. The service must meet all criteria of the CDT code billed.

SOURCE: OR OAR 410-123-1265, Health Systems Division: Medical Assistance Programs, Oregon Health Plan, Teledentistry. (Effective Jan. 1, 2021). (Accessed Jun. 2021).


GEOGRAPHIC LIMITS

No Reference Found


FACILITY/TRANSMISSION FEE

The originating site code Q3014 is covered only when the patient is present in an appropriate health care setting and receiving services from a provider in another location.

SOURCE: Oregon Health Authority, Health Evidence Review Commission, Guideline Note Changes for the February 1, 2021 Prioritized List of Health Services, p. AD-3. (02/19/21). (Accessed Jun. 2021).

Last updated 06/30/2021

Miscellaneous

Providers billing for covered telemedicine services are responsible for the following:

  • Complying with HIPAA and the Authority’s Privacy and Confidentiality Rules and security protections for the patient in connection with the telehealth communication and related records requirements (OAR chapter 943 division 14 and 120, OAR 410-120-1360 and 1380, 42 CFR Part 2, if applicable, and ORS 646A.600 to 646A.628 (Oregon Consumer Identity Theft Protection Act) except as noted in section (7) below;
  • Obtaining and maintaining technology used in telehealth communication that is compliant with privacy and security standards in HIPAA and the Authority’s Privacy and Confidentiality Rules described in subsection (A) except as noted in section (7) below;
  • Developing and maintaining policies and procedures to prevent a breach in privacy or exposure of patient health information or records (whether oral or recorded in any form or medium) to unauthorized persons and timely breach reporting;
  • Maintaining clinical and financial documentation related to telehealth services as required in OAR 410-120-1360 and any program specific rules in OAR Ch 309 and Ch 410;
  • Complying with all federal and state statutes as required in OAR 410-120-1380.

Providers must also ensure services are within their respective certification or licensing board’s scope of practice and comply with telehealth requirements. See rules for details.

SOURCE: OAR 410-120-1990, Health Systems Division: Medical Assistance Programs, Telehealth. (Effective Jan. 1, 2021) & OAR 410-141-3566 Health Systems Division: Medical Assistance Programs, Oregon Health Plan, Telehealth Service and Reimbursement Requirements. (Effective Jan. 1, 2021). (Accessed Jun. 2021).

Teledentistry

Providers billing for covered teledentistry/telehealth services are responsible for (A) through (D) above, as well as:

  • A patient 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;
  • The patient’s chart documentation shall reflect notification of the right to interactive communication with the distant site dentist;
  • A patient 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.

A patient 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.

SOURCE: OR OAR 410-123-1265, Health Systems Division: Medical Assistance Programs, Oregon Health Plan, Teledentistry. (Effective Jan. 1, 2021). (Accessed Jun. 2021).

Providers’ 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) and including providing access to auxiliary aids and services.

SOURCE: OR OAR Sec. 410-120-1990. (Accessed Jun. 2021).

Last updated 06/30/2021

Out of State Providers

The Authority may expand network capacity through remote care and telehealth services provided across state lines.

SOURCE: OR OAR 410-120-1990 (Accessed Jun. 2021).

A provider located in a state other than Oregon whose services are rendered in that state shall be licensed and otherwise certified by the proper agencies in the state of residence as qualified to render the services. Certain cities within 75 miles of the Oregon border may be closer for Oregon residents than major cities in Oregon, and therefore, these areas are considered contiguous areas, and providers are treated as providing in-state services.  See rule for additional requirements.

SOURCE: OR OAR 410-120-1180 (Accessed Jun. 2021).

Last updated 06/30/2021

Overview

As of January 1, 2021, Oregon Health Authority covers medically necessary and appropriate physical, behavioral and oral health services within Oregon Health Plan (OHP) covered benefit plans.  A recently passed piece of legislation also requires coverage of synchronous and asynchronous transmission using audio-only, video only, audio and video and transmission of data from remote monitoring devices in certain circumstances.

Last updated 06/30/2021

Remote Patient Monitoring

POLICY

To encourage the efficient use of resources and to promote cost-effective procedures in accordance with ORS 413.011 (1)(L), the Oregon Health Authority shall reimburse the cost of health services delivered using telemedicine, including but not limited to:

  • Health services transmitted via landlines, wireless communications, the Internet and telephone networks;
  • Synchronous or asynchronous transmissions using audio only, video only, audio and video and transmission of data from remote monitoring devices; and
  • Communications between providers or between one or more providers and one or more patients, family members, caregivers or guardians.

The authority shall pay the same reimbursement for a health service regardless of whether the service is provided in person or using any permissible telemedicine application or technology.

SOURCE: OR Statute Ch. 414 & House Bill 2508 (2021 Session), (Accessed Jun. 2021).

Oregon will reimburse “dental care providers” for ‘remote patient monitoring’, which is defined as “personal health and dental information is collected by dental care providers in one location then transmitted electronically to a dentist in a distant site location for use in care”

SOURCE: OR OAR 410-123-1265, Health Systems Division: Medical Assistance Programs, Oregon Health Plan, Teledentistry. (Effective Jan. 1, 2021). (Accessed Jun. 2021).


CONDITIONS

No Reference Found


PROVIDER LIMITATIONS

No Reference Found


OTHER RESTRICTIONS

No Reference Found

Last updated 06/30/2021

Store and Forward

POLICY

To encourage the efficient use of resources and to promote cost-effective procedures in accordance with ORS 413.011 (1)(L), the Oregon Health Authority shall reimburse the cost of health services delivered using telemedicine, including but not limited to:

  • Health services transmitted via landlines, wireless communications, the Internet and telephone networks;
  • Synchronous or asynchronous transmissions using audio only, video only, audio and video and transmission of data from remote monitoring devices; and
  • Communications between providers or between one or more providers and one or more patients, family members, caregivers or guardians.

The authority shall pay the same reimbursement for a health service regardless of whether the service is provided in person or using any permissible telemedicine application or technology.

SOURCE: OR Statute Ch. 414 & House Bill 2508 (2021 Session), (Accessed Jun. 2021).

Coverage of interprofessional consultations delivered online, through electronic health records or by telephone is included as follows:

  • Consulting Providers (CPT 99451, 99446-99449) – See guidance for additional requirements.
  • Requesting Providers (CPT 99452) – See guidance for additional requirements.

Limited information provided by one clinician to another that does not constitute collaboration (e.g., interpretation of an electroencephalogram, report on an x-ray or scan, or reporting the results of a diagnostic test) is not considered a consultation. See HERC prioritized list guidelines for additional criteria.

SOURCE: Oregon Health Authority, Health Evidence Review Commission, Guideline Note Changes for the February 1, 2021 Prioritized List of Health Services, p. AD-3-4. (02/19/21). (Accessed Jun. 2021).

Behavioral Health Services:

Unless specifically authorized by OAR 410-120-1200 other types of telecommunication are not covered such as images transmitted via facsimile machines and electronic mail when:

  • Those methods are not being used in lieu of videoconferencing, due to limited video conferencing equipment access; or
  • Those methods and specific services are not specifically allowed pursuant to the Oregon Health Evidence Review Commission’s Prioritized List of Health Services and Evidence Based Guidelines.

SOURCE: 410-172-0850 Health Systems Division: Medical Assistance Programs, Medicaid Payment for Behavioral Health Services, Telemedicine for Behavioral Health. (Accessed Jun. 2021).

Teledentistry

Teledentistry can take multiple forms, including ‘store and forward’, defined as “an asynchronous transmission of recorded health information such as radiographs, photographs, video, digital impressions, or photomicrographs transmitted through a secure electronic communication system to a dentist, and it is reviewed at a later point in time by a dentist. The dentist at a distant site reviews the information without the patient being present in real time.”

The assessment and evaluation may not be billed or covered by both the originating site dental care provider and a distant site dentist using the modality of teledentistry, even if due to store-and-forward review, if the dates of services are on different days.

Unless authorized in OAR 410-120-1200 Exclusions or OAR 410-120-1990, other types of telecommunications such as telephone calls, images transmitted via facsimile machines, and electronic mail are not covered:

  • When those types are not being used in lieu of teledentistry, due to limited teledentistry equipment access; or
  • When those types and specific services are not specifically allowed in this rule per the Oregon Health Evidence Review Commission’s Prioritized List of Health Services.

SOURCE: OR OAR 410-123-1265, Health Systems Division: Medical Assistance Programs, Oregon Health Plan, Teledentistry. (Effective Jan. 1, 2021). (Accessed Jun. 2021).


ELIGIBLE SERVICES/SPECIALTIES

See HERC prioritized list guidelines for covered S&F codes.

SOURCE: Oregon Health Authority, Health Evidence Review Commission, Guideline Note Changes for the February 1, 2021 Prioritized List of Health Services, p. AD-3-4. (02/19/21). (Accessed Jun. 2021).

Teledentistry

A dentist may collect the transmission of recorded health information such as radiographs, photographs, video, digital impressions, or photomicrographs transmitted through a secure electronic communication system to a dentist, and it is reviewed at a later point in time by a dentist.

Payment for dental services may not distinguish between services performed using teledentistry, real time, or store-and-forward and services performed in-person.

SOURCE: OR OAR 410-123-1265, Health Systems Division: Medical Assistance Programs, Oregon Health Plan, Teledentistry. (Effective Jan. 1, 2021). (Accessed Jun. 2021).


GEOGRAPHIC LIMITS

No Reference Found


TRANSMISSION FEE

The originating site code Q3014 is covered only when the patient is present in an appropriate health care setting and receiving services from a provider in another location.

SOURCE: Oregon Health Authority, Health Evidence Review Commission, Guideline Note Changes for the February 1, 2021 Prioritized List of Health Services, p. AD-3. (02/19/21). (Accessed Jun. 2021).

Last updated 06/30/2021

Definitions

“Telemedicine” means the mode of delivering health services using information and telecommunication technologies to provide consultation and education or to facilitate diagnosis, treatment, care management or self-management of a patient’s health care.

“Audio only” means the use of audio telephone technology, permitting real-time communication between a health care provider and a patient for the purpose of diagnosis, consultation or treatment.  “Audio only” does not include:

  • The use of facsimile, electronic mail or text messages.
  • The delivery of health services that are customarily delivered by audio telephone technology and customarily not billed as separate services by a health care provider, such as the sharing of laboratory results.

SOURCE: OR Statute Ch. 743A.058 & House Bill 2508 (2021 Session), (Accessed Jun. 2021).

Treatment of Diabetes

“Telemedical means delivered through a two-way electronic communication, including but not limited to video, audio, Voice over Internet Protocol or transmission of telemetry that allows a health professional to interact with a patient, a parent or guardian of a patient or another health professional on a patient’s behalf, who is at an originating site.”

SOURCE: OR Revised Statutes Sec. 743A.185(1)(c). (Accessed Jun. 2021).

Worker’s Compensation

“Telehealth” means providing healthcare remotely by means of telecommunications technology, including but not limited to telemedicine and telephonic or online digital services.

“Telemedicine” means synchronous medical services provided via a real-time interactive audio and video telecommunications system between a patient at an originating site and a provider at a distant site.

SOURCE: OR Administrative Rules 436-009-0012, (Accessed Jun. 2021).

Last updated 06/30/2021

Parity

SERVICE PARITY

A health benefit plan and a dental-only plan must provide coverage of a health service that is provided using telemedicine if:

  • The plan provides coverage of the health service when provided in person by a health professional;
  • The health service is medically necessary;
  • The health service is determined to be safely and effectively provided using telemedicine according to generally accepted health care practices and standards; and
  • The application and technology used to provide the health service meet all standards required by state and federal laws governing the privacy and security of protected health information.

Plans may not distinguish between originating sites that are rural and urban in providing coverage.

Coverage is subject to the terms and conditions of the plan and the reimbursement specified in the contract between the plan and the health professional.

A health benefit plan and dental-only plan must pay the same reimbursement for a health service regardless of whether the service is provided in person or using any permissible telemedicine application or technology.

SOURCE: OR Statute Ch. 743A.058 as amended by House Bill 2508 (2021 Session), (Accessed Jun. 2021).

Treatment of Diabetes

A health benefit plan must provide coverage of a telemedical health services provided in connection with the treatment of diabetes if:

  • The plan provides coverage of the health service when provided in-person by the health professional;
  • The service is medically necessary;
  • The telemedical health service relates to a specific patient; and
  • One of the participants in the telemedical health service is a representative of an academic health center.

A health benefit plan may subject coverage of a telemedical health service to all terms and conditions of the plan, including but not limited to deductible, copayment or coinsurance requirements that are applicable to coverage of a comparable health service when provided in-person.

SOURCE: OR Revised Statutes Sec. 743A.185. (Accessed Jun. 2021).

Worker’s Compensation

All services must be appropriate, and the form of communication must be appropriate for the service provided.  Medical services that may be provided through telemedicine are not limited to those listed in Appendix P of CPT® 2021.

Equipment or supplies at the distant site are not separately payable.

SOURCE: OR Administrative Rules 436-009-0012, (Accessed Jun. 2021).


PAYMENT PARITY

Plans not prohibited from the use of value-based payment methods, including capitated, bundled, risk-based or other value-based payment methods, and does not require that any value-based payment method reimburse telemedicine health services based on an equivalent fee-for-service rate.

SOURCE: OR Statute Ch. 743A.058 as amended by House Bill 2508 (2021 Session), (Accessed Jun. 2021).

Worker’s Compensation

Insurers must pay distant site providers at the non-facility rate.

The payment amount for code Q3014 is $35.70 per unit or the provider’s usual fee, whichever is lower. In calculating the units of time, 15 minutes, or any portion of 15 minutes, equals one unit.  Professional fees of supporting providers at the originating site are not separately payable.  Insurers are not required to pay a telehealth transmission fee (HCPCS code T1014).

SOURCE: OR Administrative Rules 436-009-0012, (Accessed Jun. 2021).

Last updated 06/30/2021

Requirements

A health benefit plan and a dental-only plan must provide coverage of a health service that is provided using telemedicine if:

  • The plan provides coverage of the health service when provided in person by a health professional;
  • The health service is medically necessary;
  • The health service is determined to be safely and effectively provided using telemedicine according to generally accepted health care practices and standards; and
  • The application and technology used to provide the health service meet all standards required by state and federal laws governing the privacy and security of protected health information.

Permissible telemedicine applications and technologies include:

  • Landlines, wireless communications, the Internet and telephone networks; and
  • Synchronous or asynchronous transmissions using audio only, video only, audio and video and transmission of data from remote monitoring devices.

During a state of emergency, a health benefit plan or dental-only plan shall provide coverage of a telemedicine service delivered to an enrollee residing in the geographic area specified in the declaration of the state of emergency, if the telemedicine service is delivered using any commonly available technology, regardless of whether the technology meets all standards required by state and federal laws governing the privacy and security of protected health information.

A health benefit plan and a dental-only plan may not:

  • Distinguish between rural and urban originating sites in providing coverage or restrict originating sites that qualify for reimbursement.
  • Restrict a health care provider to delivering services only in person or only via telemedicine.
  • Use telemedicine health care providers to meet network adequacy standard.
  • Require an enrollee to have an established patient-provider relationship with a provider to receive telemedicine health services from the provider or require an enrollee to consent to telemedicine services in person.
  • Impose additional certification, location or training requirements for telemedicine providers or restrict the scope of services that may be provided using telemedicine to less than a provider’s permissible scope of practice.
  • Impose more restrictive requirements for telemedicine applications and technologies than those specified above.
  • Impose on telemedicine health services different annual dollar maximums or prior authorization requirements than the annual dollar maximums and prior authorization requirements imposed on the services if provided in person.
  • Require a medical assistant or other health professional to be present with an enrollee at the originating site.
  • Deny an enrollee the choice to receive a health service in person or via telemedicine.
  • Reimburse an out-of-network provider at a rate for telemedicine health services that is different than the reimbursement paid to the out-of-network provider for health services delivered in person.
  • Restrict a provider from providing telemedicine services across state lines if the services are within the provider’s scope of practice and meets certain criteria (see statute).
  • Prevent a provider from prescribing, dispensing or administering drugs or medical supplies or otherwise providing treatment recommendations to an enrollee after having performed an appropriate examination of the enrollee in person, through telemedicine or by the use of instrumentation and diagnostic equipment through which images and medical records may be transmitted electronically.
  • Establish standards for determining medical necessity for services delivered using telemedicine that are higher than standards for determining medical necessity for services delivered in person.

A health benefit plan and a dental-only plan shall:

  • Work with contracted providers to ensure meaningful access to telemedicine services by assessing an enrollee’s capacity to use telemedicine technologies that comply with accessibility standards, including alternate formats, and providing the optimal quality of care for the enrollee given the enrollee’s capacity;
  • Ensure access to auxiliary aids and services to ensure that telemedicine services accommodate the needs of enrollees who have difficulty communicating due to a medical condition, who need an accommodation due to disability or advanced age or who have limited English proficiency;
  • Ensure access to telemedicine services for enrollees who have limited English proficiency or who are deaf or hard-of-hearing by providing interpreter services reimbursed at the same rate as interpreter services provided in person; and
  • Ensure that telemedicine services are culturally and linguistically appropriate and trauma-informed.

No later than March 1, 2023, the Department of Consumer and Business Services shall report to the interim committees of the Legislative Assembly related to health on the impact of the reimbursement on the cost of health insurance premiums in this state.

SOURCE: OR Statute Ch. 743A.058 as amended by House Bill 2508 (2021 Session), (Accessed Jun. 2021).

Worker’s Compensation

Distant site provider:  When billing for telemedicine services, the distant site provider must:

  • Use the place of service (POS) code “02”; and
  • Use modifier 95 to identify the service as a synchronous medical service rendered via a real-time interactive audio and video telecommunications system.

When billing for telehealth services other than telemedicine services, the distant site provider:

  • Must use the POS code “02”; and
  • May not use modifier 95.

When billing for telehealth services, the originating site may charge a facility fee using HCPCS code Q3014, if the site is:

  • The office of a physician or practitioner; or
  • A health care facility including but not limited to a hospital, rural health clinic, skilled nursing facility, or community mental health center.

SOURCE: OR Administrative Rules 436-009-0012, (Accessed Jun. 2021).

Last updated 06/30/2021

Cross State Licensing

Upon application, the Oregon Medical Board may issue to an out-of-state physician a license for the practice of medicine across state lines if the physician holds a full, unrestricted license to practice medicine in any other state of the United States, has not been the recipient of a professional sanction by any other state of the United States and otherwise meets the standards for Oregon licensure .

In the event that an out-of-state physician has been the recipient of a professional sanction by any other state of the United States, the board may issue a license for the practice of medicine across state lines if the board finds that the sanction does not indicate that the physician is a potential threat to the public interest, health, welfare and safety.

A physician shall make the application on a form provided by the board, accompanied by nonrefundable fees for the application and the license in amounts determined by rule of the board. The board shall adopt necessary and proper rules to govern the renewal of licenses issued under this section.

A license for the practice of medicine across state lines is not a limited license for purposes of ORS 677.132.

A license for the practice of medicine across state lines does not permit a physician to practice medicine in this state except when engaging in the practice of medicine across state lines.

SOURCE: OR Revised Statutes Annotated Sec. 677.139. (Accessed Jun. 2021).

A physician granted a license to practice medicine across state lines has the same duties and responsibilities and is subject to the same penalties and sanctions as any other provider licensed in Oregon, including but not limited to:

  • A physician shall establish a physician-patient relationship;
  • Make a judgment based on some type of objective criteria upon which to diagnose, treat, correct or prescribe;
  • Engage in all necessary practices that are in the best interest of the patient; and
  • Refrain from writing prescriptions based only on an Internet sale or consultation.

SOURCE: OR Admin. Rules, 847-025-0000. (Accessed Jun. 2021).

Last updated 06/30/2021

Definitions

Health Care Provider Incentive Program

“Telehealth” means the provision of health services from a distance using electronic communications.

SOURCE: OR Admin. Rules 409-036-0010. (Accessed Jun. 2021).

Community Treatment and Support Services

Telehealth means a technological solution that provides two-way, video-like communication on a secure line.

SOURCE: OR Admin. Rules. 309-032-0860. (Accessed Jun. 2021).

Health Planning

“Telemedicine means the provision of health services to patients by physicians and health care practitioners from a distance using electronic communications.”

SOURCE: OR Revised Statutes 442.015(26). (Accessed Jun. 2021).

Board of Chiropractic Examiners

“‘Telehealth’ means a variety of methods, through the use of electronic and telecommunications technologies, for the distance delivery of health care services, including chiropractic services, excluding in-person services, and clinical information designed to improve the health status of a patient, and to enhance delivery of the health care services and clinical information.”

SOURCE: OR Admin. Rules 811-015-0066. (Accessed Jun. 2021).

Physical Therapy:

“‘Telehealth service’ means a physical therapy intervention, including assessment or consultation that can be safely and effectively provided using synchronous two-way interactive video conferencing, or asynchronous video communication, in accordance with generally accepted healthcare practices and standards.  For purposes of these rules, ‘telehealth service’ also means, or may be referred to, as ‘telepractice, teletherapy, or telerehab’.”

SOURCE: OR Administrative Rule, Sec. 848-040-0100(13). (Accessed Jun. 2021).

Occupational Therapy:

“Telehealth” is defined as the use of interactive audio and video, in real time telecommunication technology or store-and-forward technology, to deliver health care services when the occupational therapist and patient/client are not at the same physical location. Its uses include diagnosis, consultation, treatment, prevention, transfer of health or medical data, and continuing education.

SOURCE: OR Admin. Code 339-010-0006(1) (Accessed Jun. 2021).

Teleoptometry

“Telehealth” means the use of electronic and telecommunications technologies, including remote patient monitoring devices and store and forward technology, to support delivery of optometric clinical health care services. “Telehealth” does not include electronic mail communication, facsimile transmission or audio-only telephone communication between a licensed optometrist and a patient, or the use of an automated computer program or managed website to diagnose or treat ocular or refractive conditions.

“Telemedicine” means the delivery of optometric clinical health care services to a patient by a licensed optometrist through telehealth.

SOURCE: OR Revised Statutes 683.230; (Accessed Jun. 2021).

“Telehealth” is the electronic delivery of optometry care across state lines that complies with the requirements of ORS 683.010 through 683.990 and OAR Chapter 853. Telehealth may include phone applications, online systems, remote patient monitoring devices, 2 way audio, visual or other telecommunications or electronic communications.

SOURCE: OAR 852-001-0002. Board of Optometry, Procedural Rules, Definitions. (Accessed Jun. 2021).

Last updated 06/30/2021

Licensure Compacts

Member of the Physical Therapy Compact.

SOURCE: Compact Map. Physical Therapy Compact. (Accessed Jun. 2021).

Last updated 06/30/2021

Miscellaneous

Oregon requires out-of-state physicians to acquire active telemonitoring status through the Oregon Medical Board before they can perform intraoperative tele-monitoring on patients during surgery.

The Administrative Code defines “telemonitoring” as the “intraoperative monitoring of data collected during surgery and electronically transmitted to a physician who practices in a location outside of Oregon via a telemedicine link for the purpose of allowing the monitoring physician to notify the operating team of changes that may have a serious effect on the outcome or survival of the patient. The monitoring physician is in communication with the operation team through a technician in the operating room.”

The facility where the surgery is to be performed must be a licensed hospital or ambulatory surgical center licensed by the Department of Human Services, must grant medical staff membership and/or clinical privileges to the monitoring physician, and must request the Board grant Telemonitoring active status to the monitoring physician to perform intraoperative telemonitoring on patients during surgery.

Physicians granted Telemonitoring active status must register and pay a biennial active registration fee.

The physician with Telemonitoring active status desiring to have active status to practice in Oregon must submit the reactivation application and fee and satisfactorily complete the reactivation process before beginning active practice in Oregon.

SOURCE: OR Admin. Rules. 847-008-0023. (Accessed Jun. 2021).

Last updated 06/30/2021

Online Prescribing

“telepharmacy” means the delivery of pharmacy services by a pharmacist, through the use of a variety of electronic and telecommunications technologies, to a patient at a remote location staffed by a pharmacy technician.

The pharmacy services for which a pharmacist may use telepharmacy include the supervision of the dispensation of prescription drugs to a patient.

The remote location at which a patient receives pharmacy services through the use of telepharmacy must be affiliated with the pharmacy where the pharmacist providing the pharmacy services through telepharmacy regularly engages in the practice of pharmacy.

The State Board of Pharmacy shall adopt rules to carry out this section. The rules adopted under this section must include rules:

  • Regarding remote supervision of a pharmacy technician in order to facilitate the use of telepharmacy; and
  • Describing the pharmacy services that a pharmacist may provide through telepharmacy.

SOURCE: Senate Bill 629 (2021 Session), (Accessed Jun. 2021).

Last updated 06/30/2021

Professional Board Standards

Board of Occupational Therapy

SOURCE: OR Admin. Code 339-010-0006. (Accessed Feb. 2021).

Board of Physical Therapy

SOURCE: OR Admin. Code 848-040-0180. (Accessed Feb. 2021).

Board of Chiropractic Examiners

SOURCE: OAR 811-015-0066. (Accessed Feb. 2021).