Oregon Private Pay & Parity Rules

 Private Pay & Parity Rules / Posted 6 months ago by Telehealthist

Definitions
Treatment of Diabetes: “Telemedical means delivered through a two-way electronic communication, including but not limited to video, audio, Voice over Internet Protocol or transmission of telemetry that allows a health professional to interact with a patient, a parent or guardian of a patient or another health professional on a patient’s behalf, who is at an originating site.”

Requirements
Health plans must provide coverage of a health service that is provided using synchronous two-way interactive video if the service would be covered when provided in-person, it is a medically necessary service, the service is determined to be safely and effectively provided using live video according to generally accepted health care practices and standards and the technology and application to provide the service meets all standards required by state and federal laws governing privacy and security of protected health information.

Parity
Oregon requires a health benefit plan to provide coverage of a health service that is provided using synchronous two-way interactive video conferencing under certain circumstances.