Okla. Stat. tit. 36, § 36-6803

A. For services that a health care professional determines to

be appropriately provided by means of telemedicine, health care

service plans, disability insurer programs, workers' compensation

programs, or state Medicaid managed care program contracts issued,

Oklahoma Statutes - Title 36. Insurance Page 1366

amended, or renewed on or after January 1, 1998, shall not require

person-to-person contact between a health care professional and a

patient.

B. Subsection A of this section shall apply to health care

service plan contracts with the state Medicaid managed care program

only to the extent that both of the following apply:

1. Telemedicine services are covered by, and reimbursed under,

the fee-for-service provisions of the state Medicaid managed care

program; and

2. State Medicaid managed care program contracts with health

care service plans are amended to add coverage of telemedicine

services and make any appropriate capitation rate adjustments.

C. Any health benefit plan that is offered, issued or renewed

in this state by an insurer on or after the effective date of this

act shall provide coverage of health care services provided through

telemedicine, as provided in this section.

D. An insurer shall not exclude a service for coverage solely

because the service is provided through telemedicine and is not

provided through in-person consultation or contact between a health

care professional and a patient when such services are appropriately

provided through telemedicine. An insurer may limit coverage of

services provided by telehealth consistent with coding and clinical

standards recognized by the American Medical Association or the

Centers for Medicare and Medicaid Services as covered if delivered

by telehealth or telemedicine, except as agreed to by the insurer

and provider.

E. An insurer shall reimburse the treating health care

professional or the consulting health care professional for the

diagnosis, consultation or treatment of the patient delivered

through telemedicine services on the same basis and at least at the

rate of reimbursement that the insurer is responsible for coverage

for the provision of the same, or substantially similar, services

through in-person consultation or contact.

F. An insurer shall not apply any deductible to telemedicine

services that accumulates separately from the deductible that

applies in the aggregate to all items and services covered under the

health benefit plan.

G. Any copayment or coinsurance applied to telemedicine

benefits by an insurer shall not exceed the copayment or coinsurance

applied to such benefits when provided through in-person

consultation or contact.

H. An insurer shall not impose any annual or lifetime

durational limits or annual or lifetime dollar maximums for benefits

or services provided through telemedicine that are not equally

imposed upon all terms and services covered under the health benefit

plan.

Oklahoma Statutes - Title 36. Insurance Page 1367

I. An insurer shall not impose any type of utilization review

on benefits provided through telemedicine unless such type of

utilization review is imposed when such benefits are provided

through in-person consultation or contact. Any type of utilization

review that is imposed on benefits provided through telemedicine

shall not occur with greater frequency or more stringent application

than such form of utilization review is imposed on such benefits

provided through in-person consultation or contact.

J. An insurer shall not restrict coverage of telemedicine

benefits or services to benefits or services provided by a

particular vendor, or other third party, or benefits or services

provided through a particular electronic communications technology

platform; provided, that nothing shall require an insurer to cover

any electronic communications technology platform that does not

comply with applicable state and federal privacy laws.
e of telemedicine

benefits or services to benefits or services provided by a

particular vendor, or other third party, or benefits or services

provided through a particular electronic communications technology

platform; provided, that nothing shall require an insurer to cover

any electronic communications technology platform that does not

comply with applicable state and federal privacy laws.

K. An insurer shall not place any restrictions on prescribing

medications through telemedicine that are more restrictive than what

is required under applicable state and federal law.

L. No later than January 1, 2023, the State Department of

Health shall request a report from the Statewide Health Information

Exchange that will provide the following data:

1. The number of providers using telehealth, including the

location, frequency and specific services for which telehealth is

utilized; and

2. The overall cost and cost savings associated with the

utilization of telehealth services.