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Oregon PT/OT Telehealth

March 30, 2020

Emergency Orders

Oregon Medicaid Expansion of Telehealth

Physical Therapy

Standards for Telehealth Services

A Licensee may provide telehealth services to a patient who is domiciled or physically present in the state of Oregon at the time the services are provided. An aide may not provide telehealth services.

Telehealth services provided must conform to the scope and standards of practice and documentation as provided in Oregon Revised Statutes 688.010 through 688.201 and these Division 40 rules. Telehealth services must be at least equivalent to the quality of services delivered in-person.

Prior to the initiation of telehealth services, a Licensee shall obtain the patient’s consent to receive the services via telehealth. The consent may be verbal, written, or recorded and must be documented in the patient’s permanent record.

When providing telehealth services, a Licensee shall have procedures in place to address remote medical or clinical emergencies at the patient’s location.

The application and technology used to provide telehealth services shall meet all standards required by state and federal laws governing the privacy and security of a patient’s protected health information.

A Licensee providing telehealth services to a person who is domiciled in another state and physically present in that state at the time the telehealth services are being provided, may be required to be licensed in the state where the services are being rendered.

Reference

OAR 848-040-0180

Occupational Therapy

"Telehealth" is defined as the use of interactive audio and video, in real time telecommunication technology or store-and-forward technology, to deliver health care services when the occupational therapist and patient/client are not at the same physical location. Its uses include diagnosis, consultation, treatment, prevention, transfer of health or medical data, and continuing education.

Telehealth is considered the same as Telepractice for Occupational Therapists working in education settings; and Teletherapy and Telerehab in other settings.

In order to provide occupational therapy services via telehealth to a patient/client in Oregon, the occupational therapist providing services to a patient/client must have a valid and current license issued by the Oregon OT Licensing Board. Oregon licensed Occupational Therapists using telehealth technology with a patient/client in another state may also be required to be licensed in the state in which the patient/client receives those services and must adhere to those state licensure laws.

Occupational therapists shall obtain informed consent of the delivery of service via telehealth from the patient/client prior to initiation of occupational therapy services via telehealth and maintain documentation in the patient's or client's health record.

Occupational therapists shall secure and maintain the confidentiality of medical information of the patient/client as required by HIPAA and state and federal law.

In making the determination whether an in-person evaluation or intervention are necessary, an occupational therapist shall consider at a minimum:

    • The complexity of the patient's/client's condition;
    • His or her own knowledge skills and abilities;
    • The patient's/client's context and environment;
    • The nature and complexity of the intervention;
    • The pragmatic requirements of the practice setting; and
    • The capacity and quality of the technological interface.

An occupational therapist or occupational therapy assistant providing occupational therapy services via telehealth must:

    • Exercise the same standard of care when providing occupational therapy services via telehealth as with any other mode of delivery of occupational therapy services;
    • Provide services consistent the AOTA Code of Ethics and Ethical Standards of Practice; and comply with provisions of the Occupational Therapy Practice Act and its regulations.

Supervision of Occupational Therapy Assistant under routine and general supervision, can be done through telehealth, but cannot be done when close supervision is required.

An Occupational Therapist who is supervising a fieldwork student must follow the ACOTE standards and other accreditation requirements.

Failure to comply with these regulations shall be considered unprofessional conduct under OAR 339-010-0020.‚Äč

Reference

OAR 339-010-0006

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