Oregon Telemedicine Laws & Policies, Simplified.

Healthcare legislation is complicated. Let’s clarify a few things.

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Oregon Telemedicine Policy

Oregon Telemedicine Policy

Oregonians, you’re lucky! Telemedicine policies in Oregon are rapidly changing to improve access. Oregon’s Medicaid programs is one of the few that will reimburse for email and telephone under its telehealth policy.

Oregon’s interstate practice laws are still a little restrictive, and with no legislation proposed for joining the Interstate Medical Licensure Compact, we don’t know how long it could take for those policies to change. Regardless, Oregon is well on its way to being a true leader in the telehealth policy department.

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Oregon’s telemedicine parity law includes mandates for private payers and, as of June 2015, state employee health plans! However, it’s parity law specifically only covers live video telemedicine, and not other forms of care. A telemedicine parity law requires private payers to reimburse telemedicine services in the same way as in-person services.

  • Medicaid

    Oregon’s Medicaid program defines telemedicine as “the use of medical information, exchanged from one site to another, via telephonic or electronic communications, to improve a patient’s health status.” The agency covers live video telemedicine, and store-and-forward technology when used in lieu of live video. The program is also unique for covering email and telephone when used for patient consulting.

  • Type of Telemedicine Covered

    Oregon’s parity law mandates that private insurers and state employee health plans provide coverage for live video telemedicine.

    Oregon Medicaid will reimburse for live video, as well as email and telephone when used for patient consulting or when videoconferencing availability is limited. According to the agency’s Behavioral Health Services Manual, store-and-forward solutions may be covered when there are issues or access barriers to videoconferencing technology. 

  • Covered Health Services

    Oregon state law does not limit what medical services can be treated via telemedicine.

  • Eligible Healthcare Providers

    Oregon does not specify which healthcare providers can practice telemedicine.

  • Online Prescriptions

    In order to ePrescribe, a physician must first establish a physician-patient relationship. Physicians are not allowed to prescribe medications based solely on an internet consult.

  • Informed Patient Consent

    No consent requirements are stated or have been written into law. However, we always recommend getting consent before starting a virtual visit. 

    Learn more about patient consent here.

  • Cross-State Telemedicine Licensing

    While Oregon is not yet part of the Interstate Medical Licensure Compact, the state allows qualifying out-of-state physicians to applying for a full license or a telemedicine permit to practice in Oregon. 

  • Restrictions on Locations

    Oregon’s originating site location restrictions were just removed in June 2015! Additionally, plans may not distinguish between originating sites that are rural and urban in providing coverage.

  • Reimbursement Rates

    Reimbursement rates for telemedicine services are on par with rates for in-person services.

  • Billing Codes

    Note sure how to bill for telemedicine services through Oregon Medicaid? You can find the agency’s billing guidelines here.

    Don’t forget your GT modifier! Providers should use the GT modifier if an evaluation was made by a synchronous (live and interactive) transmission.

  • Helpful Resources

    We used the sites below to gather information for this guide. Check them out for more details on your state’s policy!

Additional resources to help you get started.

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