Page 152 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

• Community mental health centers;
• Skilled nursing facilities;
• Renal dialysis centers;
• Sites where public health services are provided.

Source: OR Revised Statutes Sec. 743A.058.
Cross-State Licensing

The referring and evaluating practitioner must be
Out-of-state physicians may receive a license to practice licensed to practice medicine within the state of Oregon
across state lines in Oregon, as long as they are fully or within the contiguous area of Oregon and must be
licensed in another state and meet certain requirements. enrolled as a Division of Medical Assistance Programs
(Division) provider.
Source: OR Revised Statutes Annotated Sec. 677.139.
Source: OR Administrative Regulation 410-130-0610(2)(a).
(also see Medicaid column)

Private Payers
Oregon requires coverage of telemedicine services, No reference found.
subject to contract terms and conditions.

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

Source: OR Revised Statutes Sec. 743A.058.

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

• If coverage is provided for in-person services
• The service is medically necessary;
• The service relates to a specific patient; and
• One of the participants in the telemedical health
service is a representative of an academic
health center.

Source: OR Revised Statutes Sec. 743A.185.
Site/Transmission Fee
(see Medicaid column) Oregon Medicaid will provide transmission fees for
originating sites.

Source: OR Admin. Regulation 410-130-0610(5) & OR Div. of
Medical Assistance Programs, Medical-Surgical Svcs. Rulebook,
Div. 130, 410-130-0610, p. 65-6 (Jan. 1, 2015).
Miscellaneous

Comments:
OR New Regulations Passed
• Occupational Therapy (Source: OR Admin. Code 339-010-0006)

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