| (a) Telemedicine medical services provided at an established medical site may be used for all patient visits, including initial evaluations to establish a proper physician-patient relationship between a distant site provider and a patient. (b) For new conditions, a patient site presenter must be reasonably available onsite at the established medical site to assist with the provision of care. It is at the discretion of the distant site physician if a patient site presenter is necessary for follow-up evaluation or treatment of a previously diagnosed condition. (1) A distant site provider may delegate tasks and activities to a patient site presenter during a patient encounter. (2) A distant site provider delegating tasks to a patient site presenter shall ensure that the patient site presenter to whom delegation is made is properly supervised. (c) If the only services provided are related to mental health, a patient site presenter is not required except in cases where the patient may be a danger to themselves or others. |
