TeleHealth

Telemedicine is the use of interactive audio, video or other electronic media for the purpose of diagnosis, consultation or treatment that occurs in real time and when the member is actively participating during the transmission. Telemedicine service is not an expansion of SoonerCare but a different way to offer quality health care access to SoonerCare members.

To participate, a provider must:

  • Be contracted with SoonerCare and appropriately licensed,
  • Bill for services using the appropriate modifier (GT), and
  • Maintain documentation of services, to include: service rendered, location at which service was rendered, and that service was provided via telemedicine. (Documentation of services must follow all other SoonerCare documentation guidelines as well.)

Additionally, out-of-state providers must comply with all laws and regulations of the provider’s location, including health care and telemedicine requirements.

To participate, a member:

  • May receive telemedicine services outside of Oklahoma when medically necessary;
  • Retains right to withdraw from telemedicine services at any time; and
  • Should be aware that all telemedicine activities must comply with the Health Insurance Portability and Accountability Act (HIPAA) Security Rule, OHCA policy and all other applicable state and federal laws and regulations.   

Also, if member is a minor child, a parent or legal guardian must present the child for services unless exempted by state or federal law. The parent or guardian need not attend the session unless attendance is therapeutically appropriate.

Telemedicine tools and resources:

Contact for policy and billing (applicability and scope of services):  

Melody Anthony, MS
Deputy State Medicaid Director
405-522-7360
melody.anthony@okhca.org