Medicaid provider meets with a mom and her son online

Learn about your responsibilities, if your office provides telehealth services.

Delivery of telehealth services

Telehealth services must be delivered in accordance with all state and federal laws, including:

  • The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
  • Any HIPAA-related directives from the Office for Civil Rights at the Department of Health and Human Services issued during the COVID-19 national emergency
  • 42 CFR Part 2 (Jan. 1, 2021)

We require providers who offer our members telehealth services to:

  • Maintain documentation in accordance with HIPAA requirements for healthcare services delivered through telehealth
  • Deliver services in accordance with rules set forth by their respective licensing board and accepted standards of clinical practice
  • Document the specific telehealth modality used

If you provide telehealth services to one of our members for longer than 12 consecutive months, we expect you to:

  • Conduct at least one in-person annual visit, or
  • Refer the member to a practitioner or his or her usual source of clinical care (other than an emergency department) for an in-person annual visit

Please note that telehealth services:

  • Do not replace provider choice and/or member preference for in-person service delivery
  • Will not be considered as an alternative to meeting provider network access requirements

Ohio Medicaid

  • Humana Healthy Horizons in Ohio
  • Answers to FAQs
  • Availity
  • Behavioral and physical health clinical coverage policies
  • Behavioral Health Tool Kit
  • Claims and payments
  • Clinical practice guidelines
  • Communications and network notices
  • Documents and resources
  • External medical review
  • Join our network
  • Optimization of pregnancy outcomes
  • Pharmacy
  • Pharmacy clinical coverage policies
  • Prior authorization
  • Provider network management
  • Services for children
  • Telehealth services
  • Training materials