Page 143 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia

Center for Connected Health Policy

STATE LAW/REGULATIONS MEDICAID PROGRAM

the drug or drugs to be provided, and the
physician’s care of the patient meets all
applicable standards of care;
• In institutional settings;
• On-call situations;
• Cross-coverage situations;
• Situations involving new patients;
• Protocol situations;
• Situations involving nurses practicing in
accordance with standard care arrangements.

Source: OH Admin. Code 4731-11-09.
Consent
Speech Language Pathology The originating site is responsible for obtaining informed
A provider is required to inform the patient of specific consent.
telehealth limitations.
Source: OH Admin. Code 5160-1.
Source: OH Admin. Code 4753-2-01
Location
No reference found. When the originating site is located within a five mile
radius from the distant site, providers are not eligible for
reimbursement.

Provider types eligible as an originating site, either using
a Q3014 HCPCS code or a GQ modifier:
• Primary Care Clinic
• Outpatient Hospital
• Rural Health Clinic (Medical)
• Federally Qualified Health Clinic (Medical)
• Physician
• Professional Medical Group
• Podiatrist
• Optometrist

See transmittal letter for additional billing rules.

Additional place of service restrictions:
• Inpatient hospital
• Nursing facility
• Inpatient psychiatric hospitals

Source: OH Medicaid Handbook Transmittal Letter No. 3334-15-
01. Jan. 2, 2015, pg. 6-7..
Cross-State Licensing

Ohio issues telemedicine certificates that allow the No reference found.
holder to engage in the practice of telemedicine in the
state.

Providers with telemedicine certificates cannot practice
in OH without a special activity certificate.

Source: OH Revised Code Annotated, Sec. 4731.296(C).

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