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MedicaidAdministrativeMedium impact

Telehealth-only providers permitted during the federal public health emergency

Oregon Health Plan·OR·Plan
Effective date
Jun 17, 2022
We identified it
Aug 19, 2026
Days to comply

Summary

Oregon Health Authority now permits Medicaid plans to contract with telehealth-only providers during the federal public health emergency, provided members have a clear referral process for in-person services upon request. Provider directories no longer require street addresses for telehealth-only providers. This policy clarifies existing rules and does not change billing or coding requirements.

Action Required

Action needed
Immediately: Billing team should review provider network contracts to identify any telehealth-only providers and ensure referral processes for in-person services are documented. No billing code or claim submission changes are required. Update provider directory records to remove street address requirements for telehealth-only providers in Oregon Medicaid plans. Coordinate with credentialing and network management teams to ensure compliance with the referral requirement outlined in OAR 410-141-3566 and OAR 410-120-1990.