Common use of TELEHEALTH Clause in Contracts

TELEHEALTH. 3.9.1. CONTRACTOR may provide services via telehealth in accordance with BHIN 23-018. 3.9.1.1. Patient choice must be preserved; therefore, patients have the right to request and receive in-person services. 3.9.1.2. All covered SMHS services delivered via telehealth shall be provided in compliance with the privacy and security requirements contained in the federal Health Insurance Portability and Accountability Act (HIPAA) of 1996 found in Parts 160 and 164 of Title 45 of the Code of Federal Regulations, Part 2 of Title 42 of the Code of Federal Regulations, the Medicaid State Plan, and any other applicable state and federal statutes and regulations. Specific guidance for providers regarding HIPAA and telehealth is available from the external resources listed on DHCS’ Telehealth Resources page. More information on telehealth can be found on the DHCS Medi-Cal & Telehealth page and the DHCS Telehealth Resources page. 3.9.1.3. CONTRACTOR must meet all applicable Medi-Cal licensure and program enrollment requirements. CONTRACTOR must be located in California, they must be licensed in California, enrolled as a Medi-Cal rendering provider, and affiliated with a Medi-Cal enrolled provider group in California or a border community, as outlined in DHCS’ Telehealth Policy Paper and the Medi-Cal Provider Manual. 3.9.1.4. CONTRACTOR must also meet the requirements of Business and Professions Code Section 2290.5(a)(3), or otherwise be designated by DHCS as able to render Medi-Cal services via telehealth. All providers that are listed in the California Medicaid State Plan as qualified providers of SMHS services are designated by DHCS as able to render covered services, within their scopes of practice, via telehealth. 3.9.1.5. Any services offered by CONTRACTOR via synchronous audio-only interaction must also be offered via synchronous video interaction to preserve member choice. 3.9.1.6. Any services offered by CONTRACTOR via telehealth must also be: 3.9.1.6.1. Offered via in-person, face-to-face contact; or 3.9.1.6.2. Arranged for a referral to, and a facilitation of, in-person care that does not require a member to independently contact a different provider to arrange for that care.

TELEHEALTH. 3.9.1. CONTRACTOR may provide services via telehealth in accordance with BHIN 23-018.: 3.9.1.113.6.1. Patient choice must be preserved; therefore, patients have the right to request and receive in-person services. 3.9.1.213.6.2. All covered SMHS DMC-ODS services delivered via telehealth shall be provided in compliance with the privacy and security requirements contained in the federal Health Insurance Portability and Accountability Act (HIPAA) of 1996 found in Parts 160 and 164 of Title 45 of the Code of Federal Regulations, Part 2 of Title 42 of the Code of Federal Regulations, the Medicaid State Plan, and any other applicable state and federal statutes and regulations. Specific guidance for providers regarding HIPAA and telehealth is available from the external resources listed on DHCS’ Telehealth Resources page. More information on telehealth can be found on the DHCS Medi-Cal & Telehealth page and the DHCS Telehealth Resources page. 3.9.1.313.6.3. CONTRACTOR must meet all applicable Medi-Cal licensure and program enrollment requirements. CONTRACTOR must be located in California, they must be licensed in California, enrolled as a Medi-Cal rendering provider, and affiliated with a Medi-Cal enrolled provider group in California or a border community, as outlined in DHCS’ Telehealth Policy Paper and the Medi-Cal Provider Manual. 3.9.1.413.6.4. CONTRACTOR CONTRACOTR must also meet the requirements of Business and Professions Code Section 2290.5(a)(3), or otherwise be designated by DHCS as able to render Medi-Cal services via telehealth. All providers that are listed in the California Medicaid State Plan as qualified providers of SMHS SMHS, DMC, or DMC-ODS services are designated by DHCS as able to render covered services, within their scopes of practice, via telehealth. 3.9.1.513.6.5. Any services offered by CONTRACTOR via synchronous audio-only interaction must also be offered via synchronous video interaction to preserve member beneficiary choice. 3.9.1.613.6.6. Any services offered by CONTRACTOR via telehealth must also bebe either: 3.9.1.6.113.6.6.1. Offered via in-person, face-to-face contact; or; 3.9.1.6.213.6.6.2. Arranged for a referral to, and a facilitation of, in-person care that does not require a member beneficiary to independently contact a different provider to arrange for that care.;