​​Telehealth Definitions

Asynchronous store and forward: The transmission of a patient’s medical information from an originating site to the health care provider at a distant site without the presence of the patient. (Business and Professions Code section 2290.5(a)(1))

Distant site: A site where a health care provider who provides health care services is located while providing these services via a telecommunications system. (Business and Professions Code section 2290.5(a)(2))

E-Consults: Asynchronous health record consultation services that provide an assessment and management service in which the patient's treating health care practitioner (i.e., attending or primary) requests the opinion and/or treatment advice of another health care practitioner (i.e., consultant) with specific specialty expertise to assist in the diagnosis and/or management of the patient's health care needs without patient face-to-face contact with the consultant. E-consults between health care providers are designed to offer a coordinated multidisciplinary case reviews, advisory opinions, and recommendations of care.  

Originating site fee: An amount paid to the originating site when providing service by two-way, real-time interactive communication or store and forward, when billed with HCPCS Code Q3014. (Medi-Cal Provider Manual: Telehealth)

Health care provider: A person who is licensed under Division 2 of the Business and Professions Code, an associate marriage and family therapist, and a health care provider who meets equivalent requirements under California law in which the provider is considered to be licensed, e.g., providers who are certified by the Behavior Analyst Certification Board, which is accredited by the National Commission on Certifying Agencies. (Business and Professions Code section 2290.5(a)(3))

Interactive telecommunications system: Multimedia communications equipment that includes, at a minimum, audio and video equipment permitting two-way, real time interactive communication between the patient and distant site physician or practitioner. Telephones, facsimile machines, and electronic mail systems do not meet the definition of an interactive telecommunications system. (Title 42 of the Code of Federal Regulations, Part 410.78 (a)(3))

Originating site: A site where a patient is located at the time health care services are provided via a telecommunications system or where the asynchronous store and forward service originates. (Business and Professions Code section 2290.5(a)(4))

Synchronous interaction: A real-time interaction between a patient and a health care provider located at a distant site. (Business and Professions Code section 2290.5(a)(5))

Telehealth: The mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient’s health care while the patient is at the originating site and the health care provider is at a distant site. Telehealth facilitates patient self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers. (Telehealth includes telemedicine.) (Business and Professions Code section 2290.5(a)(6))

Telemedicine: Two-way, real time interactive communication between the patient and the physician or practitioner at the distant site. This electronic communication means the use of interactive telecommunications equipment that includes, at a minimum, audio and video equipment. (Centers for Medicare and Medicaid Services website)

Transmission fees: An amount paid to both the originating site and distant site when providing service by a two-way, real-time interactive communications system, when billed with HCPCS code T1014. (Medi-Cal Provider Manual: Telehealth)


Last modified date: 3/23/2021 9:08 AM