Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3566 - Telemedicine and Telehealth Delivered Health Service and Reimbursement Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 following definitions apply to the Divisions administrative rules governing
			 Managed Care Entities (MCEs) as defined in Oregon Administrative Rule (OAR)
			 410-141-3500;
(a) "Asynchronous" means not simultaneous or
			 concurrent in time. For the purpose of this rule, asynchronous
			 telecommunication technologies for telemedicine or telehealth services may
			 include audio and video, audio, or member portal and may include transmission
			 of data from remote monitoring. "Asynchronous" does not include voice messages,
			 facsimile, electronic mail or text messages.
(b) "Audio only" means the use of audio
			 technology, permitting real-time communication between a health care provider
			 and a member for the purpose of diagnosis, consultation or treatment. "Audio
			 only" does not include the delivery of health services that are customarily
			 delivered by audio telephone technology and customarily not billed as separate
			 services by a health care provider, such as the sharing of laboratory
			 results.
(c) "Meaningful access"
			 means member-centered access reflecting the following statute/and standards:
(A) Pursuant to Title VI of the Civil Rights
			 Act of 1964, Section 1557 of the Affordable Care Act and the corresponding
			 Federal Regulation at 45 CFR Part 92 and The Americans with Disabilities Act
			 (ADA), providers telemedicine or telehealth shall accommodate the needs of
			 individuals who have difficulty communicating due to a medical condition, who
			 need accommodation due to a disability, advanced age or who have Limited
			 English Proficiency (LEP) and including providing access to auxiliary aids and
			 services as described in Federal Regulation at 45 CFR Part 92 ;
(B) National Culturally and Linguistically
			 Appropriate Services (CLAS) Standards at
https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53
;
(C) Tribal based practice standards:
https://www.oregon.gov/OHA/HSD/AMH/Pages/EBP.aspx
.
(d) "Synchronous" means an
			 interaction between a provider and a member that occurs at the same time using
			 an interactive technology. This may include audio only, video only, or audio
			 and video and may include transmission of data from remote
			 monitoring.
(e) "Telecommunication
			 technologies" means the use of devices and services for telemedicine or
			 telehealth delivered services. These technologies include video conferencing,
			 store-and-forward imaging, streaming media including services with information
			 transmitted using landlines, and wireless communications, including the
			 Internet and telephone networks.
(f) "Telehealth" includes telemedicine and
			 includes the use of electronic information and telecommunications technologies
			 to support remote clinical healthcare, member and professional health-related
			 education, public health, and health administration.
(g) "Telemedicine" means the mode of
			 delivering remote clinical health services using information and
			 telecommunication technologies to provide consultation and education or to
			 facilitate diagnosis, treatment, care management or self-management of a
			 members healthcare.
(h) "Trauma
			 informed approach" as defined in OAR
			 410-141-3500
(i) "Trauma informed services" as defined in
			 OAR 410-141-3500