MedicaidBilling CodesHigh impact
Telemedicine-telehealth billing guidance for Oregon Health Plan fee-for-service providers
Oregon Health Plan·OR·Provider
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Oregon Health Plan expanded telemedicine/telehealth billing coverage for all provider types during COVID-19, allowing reimbursement at in-person rates for video and telephone services with specific place of service codes and modifiers.
Action Required
Immediately: Billing team must update system to use Place of Service 02 for all telemedicine services. For physical health: add modifier 95 for video services, no modifier for telephone-only. For behavioral health: use GT modifier for video, no modifier for telephone. For oral health: use Place of Service 02 with no modifiers. Update encounter forms and train staff on new billing requirements. Services can be billed retroactively to January 1, 2020.