Page 67 50 State Telemedicine Gaps Analysis Coverage and Reimbursement
P. 67
50 State Telemedicine Gaps Analysis: Coverage & Reimbursement
Telemedicine in
Oregon
PARITY:
Private Insurance C Oregon’s private insurance parity law
193
Medicaid B was enacted in 2009. OR is 1 of 3
191
State Employee Health Plan F states that cover interactive audio-
MEDICAID SERVICE video only as a condition of their
COVERAGE & CONDITIONS parity law.
OF PAYMENT: 2015 legislation introduced to include
Patient Setting A telemedicine parity for self-insured
Eligible Technologies B state employee health plans and
192
Distance or Geography A remove originating site restrictions.
Restrictions
Eligible Providers A Medicaid
Physician-provided B Medicaid imposes restrictions on the
Services covered services.
Mental/behavioral Health B Allows coverage for interactive
Services audio-video, telephone, and online/e-
Rehabilitation F mail consultations. Medicaid will
Home Health F also cover store-and-forward when
Informed Consent A used in lieu of video conferencing.
Telepresenter A
INNOVATIVE PAYMENT
OR SERVICE DELIVERY
MODELS:
State-wide Network
Medicaid Managed Care
Medicare-Medicaid Dual
Eligibles
Health Home
HCBS Waiver
Corrections
Other
Page | 62
American Telemedicine Association
2015
