Telehealth is an emerging strategy to address access and quality of care issues. The term telehealth includes subtopics such as an exchange of medical information from one site to another via electronic communications for the purpose of providing clinical support or care; remote clinical care and patient monitoring; e-health; professional and patient-related health education; and health information management.
On September 13, 2012, the State Medical Board of Ohio (SMBO) adopted an interpretive guideline concerning Ohio Administrative Code Rule 4731-11-09 and the requirement to personally physically examine and diagnose a patient prior to initially prescribing. The interpretive guideline applies solely to cases that involve prescribing or personally furnishing non-controlled substances and recognizes that with advances in medical technology it may be possible for the “personal” and “physical” examination, required by Rule 4731-11-09, to occur when the provider and patient are located in remote locations.
On January 29, 2014, the Ohio Senate passed House Bill 123. The bill doesn’t attempt to establish standards for payment for telemedicine services, but instead requires Medicaid to establish those standards. The bill neglects to set any payment standards for private insurers relative to telemedicine services choosing to focus on Medicaid payments alone.
- 4731-11-01 Definitions (for rules in Chapter 4731-11, Ohio Administrative Code)
- 4731-11-09 Prescribing for persons not seen by the physician.
Ohio Academy of Family Physicians Resources
- Telemedicine Bill Receives Hearing (Weekly Family Medicine Update, May 22, 2018)
- State Medical Board of Ohio Issues FAQ on Telemedicine Prescribing (Weekly Family Medicine Update, October 10, 2017)
- Telemedicine Rules Effective March 23 (Weekly Family Medicine Update, March 28, 2017)
- Public Hearing on Telemedicine Rules Scheduled for December 8 (Weekly Family Medicine Update, November 8, 2016)
- State Medical Board Files Revised Telemedicine Rules with Common Sense Initiative (Weekly Family Medicine Update, September 27, 2016)
- Telemedicine Rules Submitted to CSI (Weekly Family Medicine Update, July 12, 2016)
Medical Board Policy Committee Discusses Prescribing to Patients Not Seen (Weekly Family Medicine Update, March 15, 2016)
OAFP Submits Comments on Telemedicine Rules (Weekly Family Medicine Update, February 2, 2016)
Health Policy Institute of Ohio Resources
- Second Annual Telehealth Leadership Summit (August 19, 2014)
- Telehealth Leadership Summit: Key findings and Considerations (August 2013)
- Looking Ahead: Understanding Telehealth in Ohio (April 16, 2013)
Additional Information and Resources
- AAFP Virtual Care
- We’re Working to Make Sure Telemedicine Is Real Medicine (In the Trenches, January 22, 2019)
- Telemedicine Kiosk Company Signs Technology Integration Deal with Sprint (MedCity News, February 16, 2012)
- Federation of State Medical Boards’ Telemedicine Report (March 10, 2011)