Page 146 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia
P. 146
Center for Connected Health Policy
STATE LAW/REGULATIONS MEDICAID PROGRAM
conditions. programs or state Medicaid managed care program
contracts.
Source: OK Statute, Title 36 Sec. 6803.
Eligible services:
(see Medicaid column & “Private Payers” section)
• Consultations;
• Office visits;
• Individual psychotherapy;
• Psychiatric diagnostic interview examinations
and testing;
• Mental health assessments;
• Pharmacologic management.
Eligible distant-site providers:
• Physicians;
• Advanced registered nurse practitioners;
• Physician assistants;
• Genetic counselors;
• Licensed behavioral health professionals;
• Dieticians;
• An Indian Health Service facility, a Tribal health
facility or an Urban Indian (I/T/U) clinic with
specialty service providers as listed here.
Coverage of all telemedicine services is at the discretion
of the Oklahoma Health Care Authority.
Source: OK Admin. Code Sec. 317:30-3-27 & Health Care
Authority, Providers, Telemedicine
http://okhca.org/providers.aspx?id=10014 (accessed Jan. 15,
2015).
Office and outpatient visits count toward benefit limits.
Source: OK Statute, Title 36 Sec. 6803.
Store and Forward Reimbursement
(see Medicaid column) SoonerCare will reimburse for “conventional health care
delivery”, the service does not require face-to-face
contact between the patient and the provider.
Examples include:
• Tele-radiology;
• Tele-pathology;
• Fetal monitor strips;
• Physician interpretation of electrocardiogram
and electroencephalogram readings.
SoonerCare does not consider these services
telemedicine as defined by OHCA.
Source: OK Admin. Code Sec. 317:30-3-27(e).
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