Children's Hospital Colorado

Telemedicine Resources for Primary Care Providers During the COVID-19 Crisis

As primary care providers (PCPs) are impacted by the COVID-19 pandemic, we want to help with the unique challenges you're facing. To help you work through operational concerns regarding the health and safety of your patients and staff, services for patients, telehealth functionality, personal protective equipment (PPE) and more, Children's Hospital Colorado has collected these resources to guide you in implementing telemedicine services.

Colorado standard telehealth regulations and requirements

Telehealth platforms must be HIPAA compliant and secure for sharing of patient information (temporarily modified March 17, 2020 for COVID-19). Platforms must have more than simply technical encryption and must satisfy requirements set by the HIPAA and HITECH acts.

  • Any storage of electronic PHI by a third-party or telehealth vendor requires a BAA – many telehealth platforms offer this document during the implementation process, including DoxyMe, Zoom for Healthcare, SnapMD, Spruce, etc.

The use of telehealth services in Colorado requires providers to obtain all first-time patient's written consent before a telehealth visit occurs.

  • Required consent can be electronic for many payers, and in some cases (current CMS modifications) can be verbal. Please check with your specific vendor for more information.
  • Several telehealth platforms reviewed by Children's Colorado provide options for informed consent by patients. When using telehealth communications, providers must ensure that each patient and family agrees to the use of telehealth services, and notify them that the use of these third-party applications potentially introduces privacy risks to their information.
  • Use all privacy mode and encryption features available in these applications.

As of January 2017, Colorado has a full parity law covering the state, meaning that all private payers are required to reimburse live telemedicine visits as they would in-person visits.

All regulations are based on the location of the patient, not the location of the provider. When working with patients across state lines, new state licenses are generally needed but specific details can be found through the Interstate Medical Licensure Compact. Colorado Medical Board Policies also highlight telehealth requirements for providers.

Read our entire Telehealth Reference Guide (last updated March 19, 2020) for the most up-to-date information on recent regulatory and legislative changes, billing requirements and more.

Tips for successful telemedicine visits

Children's Colorado has curated advice and recommendations to assist you with what questions to ask during telehealth appointments, and how to connect with patients and families during these virtual visits.

Additional telemedicine resources for PCPs