OAR 409-045-0120
Telemedicine Providers Standard List of Credentialing Documents


(1) To become credentialed by an originating-site hospital, a telemedicine health care practitioner or the distant-site hospital must provide, to the extent it is not available in the system, the following information and documentation to the originating-site hospital:
(a) A completed current (within the past 6 months) Oregon Practitioner Credentialing Application (OPCA) and the following documents:
(A) A copy of copy of the state license authorizing practice;
(B) Drug Enforcement Agency certificate;
(C) State approved foreign education equivalency certificate or report, if applicable; and
(D) Certification of professional liability insurance.
(b) Attestation by medical staff at the distant-site hospital that they have conducted primary source verification of all materials of the OPCA except for:
(A) Hospital affiliations other than to the distant-site hospital; and
(B) Work history beyond the previous five years.
(2) Originating-site hospitals may request documentation of all the verifications above from the distant-site hospital or the telemedicine health care practitioner to the extent the documentation is not available in the system. Verifications that are not provided may be obtained separately by the originating-site hospital.
(3) Originating-site hospitals may not require either the telemedicine health care practitioner or the distant-site hospital to provide the following documentation for the purposes of credentialing or privileging a telemedicine provider:
(a) Proof of Tuberculosis screening;
(b) Proof of vaccination or immunity to communicable diseases; and
(c) HIPAA training verification;
(4) Originating-site hospitals may not require a telemedicine provider to attend physician and staff meetings at the originating-site hospital.
(5) Originating-site hospitals may not request credentialing information if the credentialing information was made available under OAR 409-045-0120 (Telemedicine Providers Standard List of Credentialing Documents) or through the system and is not subject to change.
(6) To become recredentialed by an originating-site hospital, every two years a telemedicine health care practitioner or the distant-site hospital must provide a completed current Oregon Practitioner Recredentialing Application and all other information required in OAR 409-045-0120 (Telemedicine Providers Standard List of Credentialing Documents).

Source: Rule 409-045-0120 — Telemedicine Providers Standard List of Credentialing Documents, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=409-045-0120.

Last Updated

Jun. 8, 2021

Rule 409-045-0120’s source at or​.us