A health care professional providing telehealth services shall obtain a patient’s consent before billing for the cost of providing the services, but the requirement to do so applies only once.
SOURCE: Ohio Revised code 4743.09, (Accessed Jun. 2024).
Medical Board
“Consent for telehealth treatment” means a process of communication between a patient or, if applicable, the patient’s legal representative and the health care professional discussing the risks and benefits of, and alternatives to, treatment through a remote evaluation that results in the agreement to treatment that is documented in the medical record or signed authorization for the patient to be treated through an evaluation conducted through appropriate technology, as specified in this rule, when the health care professional is in a location remote from the patient.
The health care professional shall document the consent for telehealth treatment of the patient or, if applicable, the patient’s legal representative;
The health care professional shall promptly document in the patient’s medical record the patient’s or, if applicable, the patient’s legal representative, consent for telehealth treatment, pertinent history, evaluation, diagnosis, treatment plan, underlying conditions, any contraindications, and any referrals to appropriate health care providers, including primary care providers or health care facilities.
SOURCE: OH Administrative Code 4731-37-01 (Accessed Jun. 2024).
Speech Language Pathology
A provider of telehealth services shall inform the patient as to the limitations of providing these services. See rule for specific requirements.
SOURCE: OH Admin. Code 4753-2-01(D). (Accessed Jun. 2024).
Counseling, Social Work or Marriage and Family Therapy
During the initial session, licensees must establish informed consent in accordance with 4757-5-02(B) of the Administrative Code. Informed consent shall include information defining teletherapy delivery as practiced by the licensee, as well as potential risks, security issues, and confidentiality issue when receiving teletherapy. In the case of a minor client, the licensee must address any potential issues specifically associated with treating minors.
Informed consent should include a discussion of how teletherapy may affect billing and access to insurance benefits.
Licensees shall not provide services without client(s) informed consent which can be documented through verbal acknowledgement, online signature, or by signing a hard copy form. Licensees must make available to the client a copy of the consent documents regardless of the form of consent by the client.
SOURCE: OH Admin. Code 4757-5-13 (Accessed Jun. 2024).
Chiropractic Physicians
Provided that the standard of care for an in-person visit can be met for the patient and the patient’s medical condition through the use of the technology selected, each licensee that performs telehealth services must comply with the provisions outlined in Chapter 4734. of the Revised Code and Chapter 4734. of the Administrative Code. The following provisions additionally apply to telehealth services: …
- Consent to receive telehealth services must be documented in the medical record or signed authorization of the patient or, if applicable, the patient’s parent, guardian, or person designated under the patient’s health care power of attorney.
SOURCE: OH Admin Code 4734-8-10, (Accessed Jun. 2024).
Vision Professionals
“Consent for telehealth treatment” means a process of communication between a patient or, if applicable, the patient’s legal representative and the health care professional discussing the risks and benefits of, and alternatives to, treatment through a remote evaluation that results in the agreement to treatment that is documented in the medical record or signed authorization for the patient to be treated through an evaluation conducted through appropriate technology, as specified in this rule, when the health care professional is in a location remote from the patient.
A health care professional shall comply with all of the following administrative requirements to provide telehealth services to a patient which meet the standard of care including, but not limited to: …
- The health care professional shall document the consent for telehealth treatment of the patient or, if applicable, the patient’s legal representative
A health care professional shall comply with all of the following clinical requirements necessary to provide telehealth services to a patient which meet the standard of care including, but not limited to: …
- The health care professional shall promptly document in the patient’s medical record the patient’s or, if applicable, the patient’s legal representative, consent for telehealth treatment, pertinent history, evaluation, diagnosis, treatment plan, underlying conditions, any contraindications, and any referrals to appropriate health care providers, including primary care providers or health care facilities.
A health care professional may provide telehealth services through the use of remote monitoring devices for the purpose of data acquisition, patient communication, confirmation of expected therapeutic results, confirmation of stability/or homeostasis, and assessing changes in previously diagnosed chronic conditions, provided that:
- The patient or, if applicable, the patient’s legal representative, gives consent to the use of remote monitoring devices
SOURCE: Ohio Administrative Code 4725-25-01. (Accessed Jun. 2024).
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