Source: https://www.apaservices.org/practice/clinic/covid-19-telehealth-state-summary
Timestamp: 2020-06-06 01:00:12
Document Index: 287352707

Matched Legal Cases: ['§ 21', '§ 21', '§ 47', '§ 47', '§ 20', '§32', '§ 23', '§ 23', '§ 2290', '§1374', '§1374', '§ 10123', '§ 10123', '§ 14132', '§ 10', '§ 25', '§ 25', '§ 12', '§ 19', '§ 31', '§627', '§641', '§456', '§456', '§33', '§431', '§432', '§432', '§5', '§5', '§ 27', '§ 514', '§441', '§ 40', '§ 304', '§ 304', '§ 22', '§ 4316', '§ 15', '§15', '§47', '§ 500', '§ 550', '§ 62', '§ 256', '§ 83', '§ 376', '§ 208', '§ 33', '§ 44', '§ 44', '§ 689', '§ 45', '§ 26', '§ 52', '§ 52', '§ 30', '§13', '§59', '§59', '§59', '§ 8', '§12', '§3217', '§ 4306', '§ 2999', '§ 4406', '§ 367', '§26', '§ 3902', '§ 6802', '§ 743', '§ 410', '§ 27', '§ 58', '§56', '§ 63', '§ 1455', '§ 31', '§ 31', '§ 36', '§ 36', '§ 4100', '§ 38', '§ 48']

Home // Practice // Clinic // Telehealth guidance by state during...
Last updated: May 13, 2020 Date created: April 24, 2020
American Psychological Association. (2020, May 13). Telehealth guidance by state during COVID-19. http://www.apaservices.org/practice/clinic/covid-19-telehealth-state-summary
While many states already had laws in place requiring commercial health plans and state Medicaid programs to cover telehealth services, the requirements were not universal and varied in the levels of service covered.
In response to the pandemic, some state Governors have issued emergency orders to increase access to telehealth services and to increase the pool of available health care providers.
Below, we provide answers to several important questions regarding telehealth policies by state during COVID-19.
It is important to note that the state-specific information below does not apply to Medicare, including information about trainees’ services. The Centers for Medicare and Medicaid Services does not cover services provided by supervised trainees to Medicare beneficiaries. This APA resource explains why. Information about how telehealth services may be delivered to Medicare beneficiaries during the public health emergency can be found on the APA Practice Information Hub.
We will continue to keep this resource updated regularly for the duration of the COVID-19 public health emergency. Government and payer policies in response to the coronavirus crisis are changing rapidly, so we recommend that you check our Practice Information Hub frequently.
Telehealth Coverage Mandate: A state law that prohibits insurers from refusing to cover a health care service because it was provided using telehealth if that same service is otherwise covered as an in-person service. There is some variability among state laws about what kinds of health plans are covered, what kinds of technologies are included in the definition of telehealth, what are eligible services and/or providers, whether coverage may be limited to an insurer’s in-network providers, and whether reimbursement parity is required.
Reimbursement Parity: A state policy requiring that the reimbursement rate for telehealth services be the same as comparable in-person services.
Originating Site: The location where the patient is at the time when telehealth services are delivered.
Distant Site: The location where the provider is at the time when telehealth services are delivered.
Licensure Waiver: State action temporarily suspending state-based licensing requirements for out-of-state licensed providers during the declaration of a public health emergency.
close View Your State's Actions
Status as of April 24, 2020
Existing state telehealth coverage mandate?
Emergency state action on coverage of telehealth services?
Department of Insurance Guidance updated 4/8/20 outlines commercial payers’ coverage policies, including telehealth, during the public health emergency.
State guidance issued 3/13/20 addresses telehealth standards of care.
Yes. On 3/18, guidance from the state Medicaid office was issued that allows for telepsychological services to be performed by licensed psychologists.
Emergency licensure waiver?
Yes. Guidance issued by the Alabama Board of Examiners in Psychology allows individuals licensed in another jurisdiction to practice up to 60 days without an Alabama license. Registration is required and out-of-state licensed psychologists must submit the completed Emergency Practice Registration Form within 10 days of practicing in the state.
Supervised Trainee Telehealth Services – Telesupervision and Medicaid Reimbursement
Per guidance from the Medicaid office, it is unclear whether interns and postdocs are able to perform telehealth services.
Generally, per the Medicaid manual, interns and postdocs’ services are billable for in-person services IF they have a master's degree & (have completed a practicum as part of that) or (have 6 months post master’s experience).
However, the guidance released on 3/18 does not specifically name technicians (or interns or postdocs).
Status as of May 12, 2020
YES for telemental health services provided by commercial health plans using audio and/or video
Alaska Stat. § 21.42.422
Bill signed by Governor on March 16, 2002 amends Alaska Stat. § 21.42.422 which mandates coverage for telehealth and does not require prior in-person contact. References definition of telehealth under Alaska Stat. § 47.05.270(e)
This amendment expands existing law to include in-network and out-of-network providers and states that new patients are eligible for telehealth services.
Division of Insurance Bulletin 20-07 states that while “AS 21.42.422 does not require health care providers to use a particular technology platform,” health care providers “must use a HIPAA compliant service to protect consumer privacy.”
Emergency state action on telehealth reimbursement parity?
CMS Section 1135 Medicaid Waiver approved 4/2/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
Emergency state action to include audio-only phone?
Alaska Stat. § 47.05.270(e) defines “telehealth” to include audio-only communications, indicating that telephone calls are permitted.
Emergency changes in originating sites requirements?
Division of Insurance Bulletin 20-07 states that the newly enacted statute does not limit the location of services for telehealth. If a health care service is covered when delivered in-person, the service should also be covered when performed via telehealth.
Division of Corporations, Professions and Licensing guidance on Telehealth and Licensing during COVID-19 updated 4/20/20 states that out-of-state licensed psychologists must obtain an emergency courtesy license to provide emergency psychological care to patients in Alaska within their scope of practice and duration of the declared emergency. This emergency courtesy license will remain valid date the Governor lifts the state of emergency or November 15, 2020; whichever is first.
Download the Psychologist Emergency Courtesy License Application (PDF, 1.2MB).
Alaska also requires health care providers to apply with the Alaska Telemedicine Business Registry to provide services to Alaska-based clients. This applies to businesses delivering health care services; individual providers only apply for the telemedicine registry if they have a sole proprietorship business license.
Trainees are not eligible to perform telehealth services as they are not licensed, and Alaska’s Section 1135 waiver requires all providers to be licensed to perform services.
YES for all health care services organizations and disability insurers; may limit to in-network providers; excludes audio-only phones
Ariz. Stat. §§ 20-841.09, 20-1057.13, 20-1376.05, 20-1406.05
Executive Order 2020-15 dated 3/25/20 expands telemedicine to require insurers to cover telehealth services on the same basis as in-person services. This also applies to Medicaid.
Telemedicine is defined as health care services for mental health disorders. AZ 20-1057.13
Executive Order 2020-15 dated 3/25/20 also requires insurers to pay the same reimbursement rate for telehealth services. This also applies to Medicaid.
CMS Section 1135 Medicaid Waiver approved 3/23/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
Guidance from the Arizona Board of Psychologist Examiners dated 4/6/20 temporarily waives any restrictions to the delivery of psychology services via electronic means and includes phone only communications.
Executive Order 2020-15 dated 3/25/20 recognizes the patient’s home as an eligible originating site.
Guidance from the Arizona Board of Psychologist Examiners dated 4/6/20 temporarily expands the 20-day temporary licensure exemption for out-of-state licensed psychologists to a full temporary unrestricted license to practice for the duration of the declared COVID-19 state emergency.
The Board requires all out-of-state licensed psychologists to submit electronically the Temporary registration for independent practice application form.
Guidance from the Arizona Board of Psychologist Examiners dated 4/6/20 temporarily waives any time limitations on telesupervision and telepractice for interns, trainees and post-doctoral candidates for psychologist licensure during the declared state of emergency and for 3 months following.
Any limitations on supervision through telepractice are temporarily waived for the duration of the declared emergency.
At its April 15, 2020 meeting, Arizona Board of Psychologist Examiners voted to waive certain licensure requirements specified in A.R.S. §32-2071 (A)(5) and (K) for psychology program graduates with degree completion dates between August 1, 2019 through September 30, 2020.
In addition, doctoral program psychology students impacted by events such as school closures may elect to submit a psychologist application for exam and/or licensure during the state of emergency while this waiver is in effect, which expires at midnight on the date the Governor of Arizona lifts the state of emergency.
YES for all policies offered by commercial insurers, self-funded government and church plans and Medicaid programs; includes reimbursement parity required only for physician services; insurers have discretion to cover audio-only phone, email or text messaging
Ark. Code §§ 23-79-1601, 1602
Executive Order 20-05 dated 3/13/20 suspends the provisions of the Telemedicine Act under Ark. Code Ann. 17-80-401, et seq. and waives the initial in-person or face-to-face examination via audio-video conferencing to establish a professional relationship in order to diagnose or treat a patient via telehealth.
It should be noted that the Arkansas Department of Health has temporarily suspended certain regulations to expand the definition of “physician” to include psychologists per Executive Order No. 20-06.
Guidance by the Board of Psychology states: For 120 days from 3/20/2020, licensees will not be required to submit a new Statement of Intent (SOI) to practice Telepsychology in Arkansas. Licensees must comply with APA Telepsychology Guidelines; Arkansas Telemedicine Act, HIPAA, and any other rules, statutes, or orders pursuant to the practice of psychology.
Department of Insurance has published COVID-19 Health Insurance Policy Information, linking to individual commercial payers’ websites for specific coverage information.
Department of Insurance Bulletin No. 13-2020 dated 3/27/20 directs all health insurance carriers (including short-term limited-duration plans) to comply with the telehealth reimbursement parity requirements specified in Ark. Code. Ann. § 23-79-1602(c), (d).
Executive Order 20-05 temporarily allows audio-only phone to provide telehealth services.
The Arkansas Psychology Board has issued an emergency telepsychology rule for licensees.
The Board is also revising its rules which includes proposed changes to the temporary practice provision (see Section 5.6.D.) – changing from a one-time 60-day temporary practice provision to a 30-day temporary practice provision per calendar year. The out-of-state psychologist would still be required to notify the Board in advance.
Psychology Interns are not included as eligible providers as part of the emergency rule released by the Arkansas Board of Psychology: “All Providers providing care via Telepsychology to a patient/client located within the State of Arkansas shall be licensed to practice psychology in the State of Arkansas.”
YES for all commercial health plans and Medicaid plans; no restrictions on originating sites; and requires reimbursement parity.
Cal Bus & Prof Code § 2290.5
Cal Health & Safety Code §1374.13, §1374.14
Cal Ins Code § 10123.85, § 10123.855
Cal Wel & Inst Code § 14132.725
An announcement dated 3/21/20, commercial and Medi-Cal managed care plans were directed to allow members to obtain health care via telehealth.
The California Board of Psychology issued guidance for trainees and supervisors regarding service delivery (using HIPAA compliant video) and face-to-face supervision requirements (using video or phone).
Insurance Commissioner guidance dated 3/30/20 directs health insurance companies to provide increased access to telehealth services, including reimbursement parity for telehealth services mirroring rates for equivalent in-person services.
See also DMHC APL 20-013 dated 4/7/20 directing all health plans to allow for reimbursement of telehealth services and establish common billing procedures.
Insurance Commissioner guidance dated 3/30/20 directs health insurance companies to provide increased access to telehealth services by allowing network providers to use all available and appropriate technologies, including phone calls to deliver care.
Medi-Cal Information Notice No. 20-09 updated 3/19/20 allows for audio-only phone to deliver services during the declared public health emergency.
Executive Order No. N-39-20 dated 3/30/20 grants authority to the Department of Consumer Affairs to temporarily waive licensing requirements for health care providers during the declared public health emergency.
The order encourages out-of-state providers to register with the California Health Corps to provide non-COVID-19 services to California residents at designated health care sites.
No further information yet available on the California Board of Psychology website.
Per guidance from the board of Psychology, trainees can provide psychological services via telehealth as long as they are properly supervised in doing so and the supervisor is adequately trained and experienced in providing services via telehealth. SPE can be accrued if they meet the requirements set forth in title 16 CCR section 1387.
YES for commercial health plans, state employee health plans and Medicaid; requires reimbursement parity; includes patient’s home as an eligible originating site.
CRS § 10-16-123
CRS § 25.5-5-320
CRS § 25.5-5-414
Executive Order No. D2020-20 dated 4/1/20 temporarily suspends any and all limitations to telehealth services, including exclusions as to what services are covered and the requirement that only HIPAA-compliant platforms may be used for services to be covered.
This waiver expires on May 1, 2020 unless extended by executive order.
Colorado Department of Regulatory Agencies – Division of Insurance issued Emergency Regulation 20-E-05 requiring reimbursement parity for telehealth services and suspend any other restrictions to reimbursement. This emergency rule became effective April 3, 2020 and remains in effect for 120 days or as long as the Governor’s Emergency Declaration is in effect, whichever is shorter.
CMS Section 1135 Medicaid Waiver approved 3/26/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
Guidance issued by the Department of Health Care Policy and Financing allows telephone-only service and live chat for Colorado Health First (Medicaid). However, pediatric behavioral health care providers may not use audio-only phone or live chat with their patients.
Executive Order No. D2020-20 dated 4/1/20 also temporarily suspends the 20-day limitation in the temporary practice provision for mental health providers (C.R.S. § 12-245-217(2)(e)(II)) to allow out-of-state licensed psychologists and other licensed mental health providers to individuals in Colorado.
Trainee and telesupervision issues
Trainees are not eligible to perform telehealth services as they are not licensed, and Colorado’s Section 1135 waiver requires all providers to be licensed to perform services.
YES for commercial health plans
CT. Gen. Stat. § § 19a-906, 38a-499a and 38a-526a
CMS Section 1135 Medicaid Waiver approved 3/27/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
Executive Order No. 7F dated 3/18/20 authorizes the Medicaid agency to cover telehealth services provided by audio-only telephone.
Executive Order No. 7G dated 3/19/20 allows enrolled Medicaid providers and network providers for commercial health plans to provide telehealth services to existing patients using audio-only phone.
Executive Order No. 7FF allows for the use of audio-only phone for telehealth services to “new or established patients” who are Medicaid recipients.
Order issued by Dept. of Public Health dated 3/23/20 temporarily suspends licensure requirements for 60 days for professions including psychology.
There are no forms or registration with the Board required.
Trainees are not eligible to perform telehealth services as they are not licensed, and Connecticut’s Section 1135 waiver requires all providers to be licensed to perform services.
YES for commercial health plans; requires reimbursement parity; and allows audio-only phone
Del. Code Title 18, Ch. 33
Delaware Health & Social Services (DHSS)/Division of Medical Assistance (DMMA) Guidance related to Changes to Telehealth Policies to Respond to COVID-19 revised 4/23/20 provides that audio-only phone services are permissible where interactive telehealth services are unavailable and phone-only is medically permitted for the underlying covered service.
Delaware Health & Social Services (DHSS)/Division of Medical Assistance (DMMA) Guidance related to Changes to Telehealth Policies to Respond to COVID-19 revised 4/23/20 recognizes the patient’s home or alternate location as eligible originating sites.
A joint order issued 3/24/20 by the Department of Health and Human Services and Emergency Management Agency allows out-of-state mental health providers with an active license to provide in-person and telemedicine mental health services. Further, all mental health providers who held a Delaware license within the last 5 years which is now inactive, expired or lapsed may provide services.
Online registration form is available.
Trainees are not eligible to provide telehealth services as they are not licensed in Delaware (and those performing services from other jurisdictions are required to have an active license elsewhere). Postdoctoral students licensed as Psychology Assistants would be eligible to perform services.
YES for all commercial health plans and Medicaid
DC Code §§ 31-3861 et seq.
Administrative Order 2020-02 dated 3/20/20 temporarily waives licensing requirements for out-of-state licensed health care professionals (in good standing) providing services (including telehealth) to DC patients in a facility or telehealth services to existing patients who are in DC.
Per the Administrative Order on 3/20/20, trainees are not eligible to perform telehealth services as they are not licensed (in DC or elsewhere). Postdoctoral Students who have a Psychology Associate license would, however, be eligible to provide telehealth services.
Florida law merely states that for insurers opt to provide telehealth coverage, any provider contract provision that would cause telehealth reimbursement to be different than reimbursement for the same services provided in person must be agreed to and initialed by the provider.
Fla. Stat. §627.42396
Fla. Stat. §641.31(45)
State law also establishes telehealth practice standards and recordkeeping requirements.
Fla. Stat. §456.47
CMS Section 1135 Medicaid Waiver approved 3/16/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
Executive Order 20-003 dated 3/20/20 granting 30-day licensure waiver for out-of-state licensed health care providers (in good standing) delivering telehealth services to patients in Florida.
See also Executive Order 20-002 dated 3/16/20
Fla. Stat. §456.47 enacted in 2019 establishes a registration system for out-of-state telehealth providers (licensed in good standing). DOH has established an online system.
Trainees are not eligible to perform telehealth services as they are not licensed in Florida or elsewhere (per the Executive Order), and Florida’s Section 1135 waiver requires all providers to be licensed to perform services. Postdoctoral Students who have a provisional license (often postdoctoral students) would, however, be eligible to provide telehealth services.
YES for commercial health plans including state employee health benefit plans; allows for audio-only phone
OGCA §33-24-56.4
CMS Section 1135 Medicaid Waiver approved 4/1/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
In the DCH Telehealth Guidance for Medicaid/PeachCare for Kids®/Fee-for-service Providers dated 3/18/20, Georgia Medicaid is temporarily allowing the use of telephones, video cellphone communications and other audio and video technology to deliver telehealth services during the public health emergency.
In the DCH Telehealth Guidance to All Providers dated 3/26/20, Georgia Medicaid is temporarily waiving any restrictions on originating sites (where the patient is located) and distant sites (where the provider is located) during the public health emergency.
Qualified providers should continue to follow all applicable licensure rules specific to their profession. Services delivered from distant sites will be billed using the provider billing address associated with the enrolled Medicaid practice or facility. Claims must be billed using the associated procedure code, GT modifier and place of service code 02 to indicate telehealth delivery.
(No. Only physicians and nurses.)
Emergency Rule amending Board Rule 510-2-.05 allows for supervision of practicum students, interns or post-doctorate fellows to be conducted by telephone and/or videoconferencing for the duration of the COVID-19 state of emergency, and for a period of not more than 120 days thereafter.
Services provided by psychology trainees with (at least) a bachelor’s degree are eligible for reimbursement by Medicaid, so they would be eligible to perform telehealth services as per the DCH guidance.
YES for commercial health plans & Medicaid; includes reimbursement parity; and no restrictions on eligible originating sites – can include patient’s home or place of work.
HRS §431:10A-116.3
HRS §432:1-601.5
HRS §432D-23.5
Services performed by trainees are not eligible for Medicaid reimbursement because Medicaid requires all providers to be enrolled as Qualified Mental Health Providers (QMHP). Being under supervision precludes one from becoming a QMHP.
Additionally, Trainees are not eligible to perform telehealth services as they are not licensed, and Hawaii’s Section 1135 waiver requires all providers to be licensed to perform services.
Insurance Commissioner Bulletin No. 20-03 dated 4/6/20 temporarily requires health insurance carriers offering individual or employer sponsored group major medical health insurance policies to cover telehealth services provided by in-network providers.
Insurance Commissioner Bulletin No. 20-03 dated 4/6/20 temporarily allows in-network providers to use non-HIPAA compliant communication platforms (such as Skype, Facebook Messenger, or Apple Facetime) as well as audio-only phone to provide patient care.
No. Executive Order dated 3/23/20 waives regulations for several professions, but NOT psychologists or other mental health providers.
Trainees are not eligible to perform telehealth services as they are not licensed, and Idaho’s Section 1135 waiver requires all providers to be licensed to perform services.
If an insurer chooses to provide telehealth coverage, then it must not impose additional requirements for the insured to access telehealth services.
IL Comp. Stat. Ann. §5/356z.22
Executive Order 2020-09 dated 3/19/20 requires coverage for telehealth services provided by in-network providers.
Executive Order 2020-33 reissues and extends a number of executive orders including EO 2020-09 through 05/29/20.
According to Executive Order 2020-09, insurers are required to cover the costs of all telehealth services and may not impose cost-sharing for services rendered by in-network providers.
Executive Order 2020-09 dated 3/19/20 allows audio or video communication technology to provide telehealth services.
While providers are allowed to use any non-public remote communications technology during this public health emergency, they are still encouraged to use encryption and privacy protections for telehealth. Public facing video communication applications like Facebook Live, Twitch, or TikTok are not allowed.
FAQ dated 3/30/20 allows Medicaid providers to use audio-only phones to deliver services during the public health emergency.
Executive Order 2020-09 removes any limitations to the patient’s location for receiving telehealth services. See Section 1
FAQ dated 3/30/20 allows removes any restrictions on the patient’s location and the provider’s location when delivering telehealth services during this public health emergency.
IL DFPR Guidance dated 3/30/20 interprets Executive Order 2020-09 to permit an out-of-state health care provider not licensed in Illinois to continue to provide health care services to an existing patient in Illinois via telehealth where there is a previously established provider/patient relationship for the duration of the declared public health emergency.
Services provided by interns and postdocs to Medicaid and commercial Blue Cross Blue Shield-enrolled patients are reimbursed, and would be eligible for telehealth reimbursement because of IL Comp. Stat. Ann. §5/356z.22.
Ind. Code Ann. §§ 27-8-34, 27-13-1-34, 27-13-7-22
Executive Order No. 20-05 dated 3/19/20 allows mental health professionals to practice via telehealth.
Executive Order No. 20-13 dated 3/30/20 authorizes the state Family and Social Services Administration to suspend restrictions to expanded telehealth services under Medicaid; instructs the state Department of Insurance to request health insurers to provide coverage for expanded telehealth services during the public health emergency.
CMS Section 1135 Medicaid Waiver approved 3/25/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
Executive Order No. 20-13 dated 3/30/20 allows audio-only phone to provide telehealth services.
Executive Order No. 20-05, No. 20-13 allow out-of-state providers to practice in Indiana if they are licensed in good standing elsewhere. Out-of-state licensed providers must register with the Indiana Professional Licensing Agency via its website.
Because services performed by interns are currently reimbursed by Medicaid at 50% of supervisor rate if they are employed at a CMHC, these services would continue to be reimbursed consistent with Executive Order No. 20-05.
YES for commercial health plans; coverage and reimbursement parity for Medicaid
Iowa Code. Ann § 514C.32
Iowa Admin. Code §441-78.55(249A)
Iowa Medicaid COVID-19 Provider Toolkit allows for the use of audio-only phone during the public health emergency.
Iowa Medicaid COVID-19 Provider Toolkit allows for patients to receive telehealth services in any location.
Governor’s Proclamation of Disaster Emergency (Section 15) dated 3/22/20 temporarily suspends state licensing requirements for out-of-state licensed mental health care providers, including psychologists, in good standing to provide services to patients in Iowa via telephone or other electronic means.
The governor issued a proclamation extending the declaration expires through April 30, 2020.
Per Iowa Board of Psychology Guidance from 3/27/20, for individuals who are currently participating in the supervised professional experience, the requirement to meet “face to face” can be satisfied using electronic means. In addition, the requirement for the supervisor to work in the same physical setting as the supervisee is waived to the extent that the supervisor and supervisee may be working remotely during this emergency.
YES for commercial health plans and Medicaid
Kan. Stat. Ann. §§ 40-2.211, 40-2.213
See Insurance Commissioner bulletin dated 3/23/20 encouraging providers to check with each insurer for its coverage/billing policies.
Are health insurers covering telehealth services due to COVID-19?
The Commissioner of Insurance does not have the authority to mandate expansion of telehealth services or modifications in reimbursement amounts. However, we know many health insurers, but not all, are voluntarily making changes to allow telehealth services and to modify their payment practices to reimburse those services at the same level as in-person services. We encourage everyone to check with their health insurer regarding the coverage of telehealth services.
CMS Section 1135 Medicaid Waiver approved 3/24/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
Kansas Medicaid Bulletin 20045: Telemedicine Reimbursement Update states that reimbursement for telehealth services must be equivalent to in-person services during the emergency declaration period.
Kansas Medicaid Bulletin No. 20046: UPDATED - Telemedicine Updates in Response to COVID-19 Emergency outlines the coding requirements for eligible telemental health services.
Kansas Medicaid Bulletin No. 20046: UPDATED - Telemedicine Updates in Response to COVID-19 Emergency temporarily allows for use of phones to provide telehealth services.
Kansas Medicaid Bulletin 20045: Telemedicine Reimbursement Update allows for patients to receive telehealth services in their homes during the emergency declaration period.
Note while Executive Order No. 20-08 (3/20/20) temporarily waives licensing requirements for out-of-state licensed physicians and other professions regulated by the KS Board of Healing Arts; however, this does not include the Kansas Behavioral Sciences Board under which psychology is housed.
Trainees are not eligible to perform telehealth services.
YES for commercial health plans (including self-insured plans as permitted by ERISA) and Medicaid; includes reimbursement parity; and patient’s home or office as an eligible originating site.
Ky Rev Stat § 304.17A-138
Ky Rev Stat § 304.17A-005
Insurance Commissioner issued guidance dated 3/18/20 stating that insurers cannot require that the patient have a prior relationship with the provider in order to have services delivered through telehealth, if the provider determines that telehealth would be medically appropriate.
See Kentucky’s Telehealth Program for more information about telehealth coverage and reimbursement policies for both Medicaid and private insurance.
Insurance Commissioner issued guidance dated 3/18/20 temporarily waiving state requirements for HIPAA compliance consistent with the OCR guidance so long as providers use telehealth such as non-public facing audio or video communication products in good faith.
No, guidance from the Kentucky Board of Examiners of Psychology dated 3/13/20 provides that out-of-state licensed psychologists must comply with existing temporary non-resident registration process to provide services, including telehealth, in Kentucky. The Board has temporarily waived the registration fee.
Board memorandum dated 3/25/20 allows out-of-state licensed psychologists employed by the state to provide services immediately upon written notification to the Board and verification of holding an IPC, CPQ or ABPP board certification; out-of-state licensed psychologists to practice temporarily pursuant to the ARC-APA disaster response network upon notification to the Board; and encourages licensees to use telehealth to provide services including electronic supervision to supervisees.
Postdocs who hold the Psychological Associate license would be eligible to perform telehealth services to Medicaid beneficiaries. Interns and other trainees would not.
Board memorandum dated 3/25/20 states supervision shall not be required to be face-to-face or by direct observation until the state of emergency is lifted. Licensees are not required during this time to seek Board permission for electronic supervision.
The law provides that reimbursement for telehealth shall not be denied for the physician at the originating site and shall not be less than 50% of the normal rate of an in-person office visit. No mention of the distant site physician or inclusion of other health care providers.
La. Rev. Stat. Ann. § 22:1821(F)
Department of Insurance’s Emergency Rule 37 temporarily requires all health insurers to waive any coverage limitations restricting telemedicine access to providers included within a plan’s telemedicine network as well as any requirement that the patient and provider have a prior relationship in order to have services delivered through telemedicine.
Specifically, mental health services must be covered to the same extent as in-person services.
This emergency rule is in effect through 5/12/20.
Executive Order No. JBE 2020-32 dated 3/19/20 compels all licensing boards to promulgate any rules necessary to promote and facilitate use of telehealth in delivering health care services.
Louisiana Department of Health’s Health Plan Advisory 20-8 dated 3/25/20 instructs Medicaid managed care organizations to cover assessments/evaluations and psychological testing conducted via telehealth based on the clinical judgment of the psychologist or psychiatrist.
CMS Section 1135 Waiver approved 3/23/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.
Emergency Rule 37 temporarily waives any limitation on the use of audio-only phone consultations to provide telemedicine services, including the use of personal devices, as outlined in the guidance from HHS’s Office of Civil Rights.
Medicaid Director issued a provider update dated 3/17/20 allowing for the use of audio-only phone to deliver telehealth services when an interactive audio/video system is not available.
Louisiana Department of Health’s Health Plan Advisory 20-8 dated 3/25/20 advises that Medicaid has no originating site limitations.
Executive Order No. 25 JBE 2020 dated 3/11/20 grants authority to Department of Health to take any and all actions during the public health emergency but no mention of emergency licensure waivers for out-of-state providers.
Louisiana State Board of Examiners of Psychologists has established an online application process for out-of-state licensed psychologists to apply for emergency temporary registration to provide temporary services, including telepsychology. The Board will waive the requirement that the temporary practice request be associated with an organized relief effort.
Louisiana Department of Health Notice #2020-COVID19-ALL-006 dated 3/21/20 requires all health care providers to postpone all in-person services for 30 days and transition to telehealth services where appropriate.
Telesupervision is permitted after supervisors register with Board of Psychology via the Application for Authorization to Provide Tele-Supervision to Psychology Trainees/Unlicensed Assistants to Psychologists form and pay a $25 fee per supervisee.
YES for all commercial health plans and Medicaid; includes reimbursement parity
24-A Me. Rev. Stat. § 4316
State guidance dated 3/12/20 from Maine Bureau of Insurance emphasizes existing state law mandates coverage of telehealth services.
Under the existing state mandate, audio-only phone would be permitted only if the scheduled telehealth service is not technologically available at the time of service.
Executive Order No. 35 FY19/20 dated 4/6/20 allows all Maine licensed psychologists and psychological examiners can provide services through all video and audio, and audio-only, electronic media for the duration of the public health emergency.
MaineCare guidance dated 3/16/20 states audio-only phone is permitted for telehealth services.
There are no restrictions on where the patient must be to receive telehealth services.
Executive Order No. 35 FY19/20 dated 4/6/20 allows for the following:
Any licensed psychologist who has held an active Maine license within the past three years and was in good standing, can have his/her Maine license immediately reactivated upon request. The license will remain valid for 60 days after the state of emergency ends.
Any out-of-state licensed psychologist in good standing (no disciplinary action in the past ten years) may apply for a temporary Maine license valid until 60 days after the end of the state of emergency. Services can be provided either in-person or using telehealth.
Also, Maine psychology licenses set to expire during the state of emergency shall be extended until 30 days following the end of the emergency.
Maine does not permit Medicaid reimbursement for trainee services.
YES for commercial health plans and Medicaid; reimbursement parity is required.
Md. Code Ann. Ins. § 15-139
Md. Code Ann. Health Gen. §15-105.2
COMAR 10.09.49
DOH guidance states that behavioral health providers must contact the Medicaid behavioral health managed care organization with questions regarding prior authorization requirements for telehealth services.
Medicaid Memorandum regarding Provider Enrollment COVID-19 Temporary Changes dated 3/25/20 advises that Maryland Medicaid will not suspend any providers whose licenses about to expire and will allow enrollment for a provider with an expired Maryland license or out-of-State license, as long as there is no apparent Board sanction during the state of emergency.
CMS Section 1135 Medicaid Waiver approved 3/26/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency. **
Executive Order No. 20-04-01-01 further authorizes additional telehealth services by temporarily allowing the use of audio-only phones to deliver health care services during the public health emergency.
Executive Order No. 20-03-20-01 dated 3/20/20 expressly allows for reimbursement of audio-only health care services under Medicaid.
Maryland Department of Health guidance dated 3/25/20 allows for notebook computers, smartphones or audio-only phones for Medicaid telehealth services during the public health emergency.
If Medicaid participants cannot access cellphone based video technology, audio-only telephone calls are permitted.
DOH guidance dated 3/21/20 (and previous guidance dated 2/12/20) allows temporary expansion of Medicaid (FFS and managed care) originating sites to include the patient’s home
Executive order dated 3/16/20 temporarily waives licensure requirements for out-of-state licensed health care providers for those working at a MD health care facility.
Otherwise, seek a temporary health care license; boards are ordered to expedite processing during the public emergency period.
Maryland Board of Psychology guidance dated 4/3/20 advises that out-of-state licensed psychologists (in good standing) must apply for a Temporary Exception to Practice in order to treat current patients located in Maryland via telehealth. There is a $100 application fee. The exception is valid for 30 days and eligible for extension upon request.
It is important to note that the Temporary Exception to Practice is only available to licensed psychologists, not psychology associates or interns.
Maryland does not permit Medicaid reimbursement for trainee services and the board specifically says via guidance on 4/3 that the waiver of licensure does not apply to interns or psychology associates.
The law is permissive, meaning that an insurer is not required to provide coverage for telehealth services. But if an insurer chooses to provide coverage for telehealth services, it may limit coverage to in-network providers and coverage shall be consistent with in-person services.
Mass. Gen. Laws. Ann. Ch. 175 §47BB
Medicaid does provide coverage and reimbursement parity for telehealth.
Executive Order dated 3/15/20 mandates all commercial insurers including BCBS and HMOs to cover in-network telehealth services.
Department of Insurance Bulletin No. 2020-04 dated 3/16/20 waives any preauthorization requirements for telehealth services by in-network providers. Commercial health plans must also reimburse for telehealth services at the same rate as paid for the same services when delivered in-person. (But this does not include facility fees for distant or originating sites.)
MassHealth Provider Bulletin 289 dated March 2020 confirms that telehealth services will be covered for both FFS and managed care Medicaid plans.
Executive Order dated 3/15/20 requires that reimbursement for telehealth services must be the same as in-person.
MassHealth Provider Bulletin 289 dated March 2020 specifies that the reimbursement rates for telehealth services will be the same as in-person rates and outlines the telehealth billing policies including telephone assessment codes.
Executive Order dated 3/15/20 cannot impose specific requirements on telehealth technologies used so audio-only phone is allowed.
MassHealth FAQ: COVID-19 and Behavioral Health Providers dated 4/10/20 confirms that behavioral health providers may deliver telehealth services using audio-only phone.
MassHealth (Medicaid) does not have any limitations on originating sites.
Executive Order (Rescinding and Replacing the March 29, 2020 Order of the Commissioner of Public Health) dated 4/3/20 temporarily allowing out-of-state licensed health care providers including psychologists (in good standing) to provide services both in-person and across State lines into Massachusetts using telemedicine where appropriate.
This order also allows previously licensed Massachusetts health care providers within past 10 years to renew or reactivate their licenses without meeting state requirements and said license would be valid for 90 days beyond the end of the public health declaration. Any relevant fees shall be waived.
The Mental Health Practitioner Emergency Temporary Licensure Application is available here. There is no application fee.
The Emergency Temporary License Reinstatement Application is available online.
Medicaid reimburses for supervised trainee services which are eligible to be performed through telehealth means.
MassHealth FAQ: COVID-19 and Behavioral Health Providers dated 4/10/20 confirms that a licensed supervisor may use telehealth technology to provide clinical supervision of an unlicensed behavioral clinician providing face-to-face, telephonic or telehealth services to Medicaid patients.
MCLS § 500.3476
MCLS § 550.1401k
Michigan Medicaid listed the codes and coverage changes for the COVID-19 response that are in effect for 30 days following the termination of Governor Whitmer’s Declaration of a State of Emergency Order (2020-04, COVID-19), or on the first of the following month, whichever is later.
The existing state law mandating telehealth coverage already allows for audio-only phone.
Executive order dated 3/12/20 allows Medicaid patients to receive telehealth services at home.
Executive Order 2020-13 grants additional flexibility to LARA/DHHS regarding decisions about licensing, registration, and workflow requirements
Executive Order 2020-30 temporarily waives state licensure requirements and allows out-of-state licensed providers in good standing to practice in Michigan for the duration of the public health emergency.
Interns and postdoc supervised services are reimbursed by Medicaid and eligible to be performed via telehealth.
YES for commercial health plans and Medicaid; includes reimbursement parity
Minn. Rev. Stat. § 62A.672
Minn. Rev. Stat. § 256B.0625
Joint DOI-DOH Memorandum to Health Insurance Carriers Related to COVID-19 dated 3/13/20 advises health plans to take the necessary steps to eliminate any barriers to telehealth services consistent with state law.
Medicaid CV16 implementing Executive Order 20-12, MinnesotaCare allows for audio-only phone to deliver health care services.
It also allows providers to treat new patients via audio-only phone, allows CHIP and Medicaid beneficiaries to have more than three telemedicine visits per week; and requires managed care plans to follow these policies.
2020 SF 4334 signed into law on 3/17/20 adds patient’s home to list of eligible originating sites for telehealth.
This provision became effective on 3/18/20 and expires 2/1/21.
Emergency Executive Order 20-28 temporarily allows out-of-state licensed mental health care providers (including psychologists) in good standing to provide telehealth services to individuals in Minnesota during the state of emergency.
Providers must register with the appropriate Minnesota licensing board which includes submitting a copy of their current license and obtain the board’s acknowledgement of receipt of registration.
YES for all commercial health plans including state employee benefit plans and Medicaid but may limit coverage to services from in-network providers
Miss. Code Ann. §§ 83-9-351, 83-9-353
Mississippi Insurance Department Bulletin 2020-1 dated 3/16/20 temporarily suspends any health plan’s requirement limiting coverage of telehealth services to providers in the plan’s telehealth network. The bulletin advises that coverage of telehealth services should be the same as in-person services.
Medicaid’s Emergency Telehealth Policy dated 4/10/20 outlines the telehealth billing policies and approved billing codes.
Mississippi Insurance Department Bulletin No. 2020-9 dated 4/24/20 extends its previous bulletin on use of telemedicine during the COVID-19 crisis (Bulletin 2020-1) through 6/30/20.
Mississippi Insurance Department Bulletin 2020-1 dated 3/16/20 temporarily allows the use of audio-only phones to deliver telehealth services. This is effective through 4/30/20.
Medicaid’s Emergency Telehealth Policy dated 4/10/20 temporarily allows use of audio-only phone to deliver telehealth services.
Medicaid’s Emergency Telehealth Policy dated 4/10/20 temporarily recognizes the patient’s home as an eligible originating site to receive telehealth services. (See page 3.) This policy is effective through 5/31/20.
MS Board of Psychology issued guidance dated 3/17/20 temporarily waiving the 30-day limit on temporary practice for out-of-state licensed psychologists during public health emergency period. But must still apply for Temporary Practice Certificate from the Board which will expedite review/approval process.
YES for all commercial health plans including state employee and retiree health benefit plans and Medicaid/ MOHealthNet; includes reimbursement parity; BUT may restrict coverage to services from in-network providers
R.S.Mo. § 376.1900
R.S.Mo. § 208.670
MO HealthNet Division (Medicaid) in its telehealth guidance revised 3/26/20 is temporarily allowing the use of telephone for telehealth services.
In addition to already allowing the patient’s home as an originating site, MO HealthNet Division (Medicaid) in its telehealth guidance revised 3/26/20 is temporarily allowing allowing quarantined providers and/or providers working from alternate sites or facilities to provide and bill for telehealth services. These services should be billed as distant site services using the provider number.
Pursuant to Executive Order 20-04, Missouri Department of Insurance bulletin dated 3/20/20 temporarily waives licensing requirements for out-of-state licensed providers during the COVID-19 public health crisis.
MO HealthNet Division (Medicaid) in its telehealth guidance revised 3/26/20 is temporarily allowing out-of-state licensed providers to deliver telehealth services.
Executive Order No. 20-10 dated 5/4/20 extends previously issued EO 20-04 through 06/15/20.
Trainees can perform telehealth services if the trainee is being supervised by a Missouri licensed psychologist and that licensed psychologist supervisor knows the services are being delivered in such a manner (per guidance from Committee of Psychologists).
YES for commercial health plans; includes reimbursement parity
Mont. Code Ann. § 33-22-138
No but Insurance Commissioner’s press release dated 3/19/20 lists those health plans that have voluntarily expanded telehealth coverage during the public health emergency.
CMS Section 1135 Medicaid Waiver approved 3/30/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
Executive order dated 3/20/20 allows for use of audio-only phone in providing telehealth services.
Medicaid Director guidance recognizes audio-only phone and secure messaging for telehealth services during public health emergency period.
Medicaid Director guidance recognizes patient’s home as eligible originating site to receive telehealth services.
Montana has developed an interstate licensure registration system for out-of-state licensed providers for the duration of the public health emergency.
Montana does not permit Medicaid reimbursement for trainee services (1135 waiver says only licensed practitioners). No mention of telesupervision changes on their board website.
YES for commercial health plans including self-funded employee benefit plans (not preempted by ERISA)
Neb. Rev. Stat. § 44-7, 107
Neb. Rev. Stat. § 44-312
Department of Insurance published Telehealth Questions and Responses dated 4/9/20 summarizing telehealth coverage and billing policies for commercial health plans in the state.
Executive Order No. 20-12 dated 3/31/20 instructs the Department of Health and Human Services to provide guidance for health care providers regarding the use of telehealth by licensed practitioners and guidance for the payment of Medicaid services provided via telehealth.
Medicaid Provider Bulletin 20-06 dated 3/17/20 advises that telephone evaluation and management services will be covered during the public health emergency.
Medicaid and Long-Term Care COVID-19 FAQ dated 3/23/20 temporarily allows audio-only phone when telehealth is unavailable.
Nebraska Department of Insurance Telehealth Questions and Responses confirm that patients may receive telehealth services at home during the COVID-19 public health emergency.
Executive Order No. 20-10 temporarily waives state licensing requirements and allows out-of-state licensed health care providers to work in Nebraska during the state of emergency so long as they are in good standing and free from disciplinary action in the states where they are licensed.
Telehealth FAQ revised 4/1/20 allows those out-of-state licensed providers permitted to practice pursuant to Executive Order 20-10 to use telehealth.
Executive Order No. 20-10 temporarily allows out-of-state health care providers (actively licensed in good standing free from disciplinary action) to use telehealth to practice in Nebraska without a Nebraska license. This will remain in effective for 30 days after the public health emergency declaration is lifted.
Interns are not eligible to perform telehealth services as they are not licensed (and Nebraska’s section 1135 waiver requires all providers to be licensed) but postdocs enrolled in Medicaid as psychological assistants would be eligible to perform services via telehealth.
YES for commercial health plans including small employer health benefit plans and industrial insurance and Medicaid
Nev. Rev. Stat. Ann. §§ 689A.0463, 6898.0369, 689C.195, 616C.730, 695A.265, 695B.1904, 695C.1708, 695D.216, 695G.162
Department of Insurance emergency regulation dated 3/5/20 prohibiting insurers from charging out-of-pocket costs for preventative visits related to COVID-19 and requiring insurers to notify patients and network providers about available benefits including telehealth services.
Check specific commercial insurer for individual guidance.
Nevada Telehealth Resource Guide dated 3/18/20 outlines Medicaid’s coverage and billing policies for telehealth services.
In the Nevada Telehealth Memo updated 3/19/20, Medicaid lifted restrictions on use of telehealth for group therapy.
In the Nevada Telehealth Memo dated 3/27/20, Medicaid advised certain ABA services provided via telehealth will be covered during the public health emergency.
Nevada Telehealth Memo dated 3/17/20 temporarily allows audio-only phone for delivering services to Medicaid beneficiaries.
COVID-19 FAQ for Medicaid Providers dated 3/18/20 states that patients may receive telehealth services in their home.
Declaration of Emergency Directive 011 temporarily suspends state licensure requirements for out-of-state licensed health care providers (in good standing) to provide services in Nevada during the public health emergency. Providers must notify the applicable Nevada professional licensing board to confirm home state licensing status.
Trainees are eligible to perform telehealth services for Medicaid reimbursement.
YES for commercial health plans including state employee health benefit plans, and Medicaid
RSA 415-J:1 et seq.
Emergency Order #8 requires all health insurers, health benefit plans and Medicaid (including managed care plans) to allow in-network providers to provider telehealth services during the state of emergency.
Emergency Order #8 requires reimbursement parity for telehealth services but waives any cost-sharing for medically necessary treatment delivered via telehealth related to COVID-19.
Emergency Order #8 allows all modes of telehealth, including video and audio, audio- only, or other electronic media.
NH Medicaid Guidance dated 3/18/20 allows for Medicaid providers to use audio-only phones to deliver services for the duration of the public health emergency.
Emergency Order #8 expansively defines “originating site” to include patients’ homes, schools and clinical settings.
NH Medicaid Guidance dated 3/18/20 affirms that there are no restrictions on originating sites for the duration of the public health emergency.
Executive Order #15 allows for temporary authorization for out-of-state providers to provide medically necessary services and provide services through telehealth including NH students enrolled in schools within or outside of the state.
Emergency Rule PLC 802.01 describes the application process for an emergency license pursuant to Executive Order #15.
New Hampshire does not permit Medicaid reimbursement for trainee services (1135 waiver says only licensed practitioners). No mention of telesupervision changes on their board website.
Board of Psychologists Standing Order dated 4/3/20 temporarily waives the face-to-face requirement for intern and postdoctoral supervision for the duration of the public health emergency.
YES for commercial health plans including state employee health benefit plans and school employee health benefit plans, and Medicaid/NJ FamilyCare programs; includes reimbursement parity; but allows insurers to limit coverage to services provided by in-network providers
N.J. Stat. § 45:1-6
N.J. Stat. § 26:2S-29
N.J. Stat. § 52:14-17.29w
N.J. Stat. § 52:14-17.46.6h
N.J. Stat. § 30:4D-6k
Insurance Commissioner bulletin 20-07 dated 3/22/20 requires insurers to review plans for network adequacy; to grant any requested in-plan exceptions for individuals to access out-of-network telehealth providers if network telehealth providers are not available; and to encourage in-network providers to use telehealth whenever possible and clinically appropriate.
Insurance Commissioner bulletin 20-07 dated 3/22/20 requires insurers to waive any cost-sharing for telehealth service; and to ensure reimbursement parity for telehealth services.
It also prohibits insurers from imposing any restriction on telehealth reimbursement that requires the provider who is delivering the services to be licensed in a particular state, so long as the provider is in compliance with recently enacted A3860 and A3862 and this guidance.
Effective immediately, emergency legislation (A3860) allows for the use of telephone to deliver telehealth services during the COVID-19 public health emergency.
Insurance Commissioner bulletin 20-07 dated 3/22/20 requires insurers to update their policies to allow for telephone-only services within the definition of telehealth and to not impose any specific requirements on the technologies used to deliver telemedicine and/or telehealth services (including any limitations on audio-only or live video technologies) during the state of emergency and public health emergency declared pursuant to EO 103.
NJ Department of Banking and Insurance issued COVID-19: Telehealth and Telemedicine FAQs which confirm patients may receive telehealth services in their homes.
Effective immediately, emergency legislation (A3860) allows out-of-state licensed providers in good standing to deliver telehealth services to patients in NJ (subject to certain conditions) during the COVID-19 public health emergency.
Under this emergency legislation, an out-of-state provider may only provide telehealth services and bill for the encounter if it involves an existing patient or the screening, diagnosis or treatment of COVID-19.
Emergency legislation (A3682) orders NJ Division of Consumer Affairs to expedite licensing for out-of-state individuals and to waive certain requirements, such as a criminal history record background check of an individual and payment of certain fees for the license, certificate of registration or certification.
There is an online application process for accelerated temporary licensure for out-of-state licensed health care professionals to provide services via telehealth or in-person.
Executive Order No. 112 grants immunity from civil liability for out-of-state providers practicing via telehealth in New Jersey via temporary license for acts or omissions done in good faith as result of providing services in support of COVID-19 response during the public health emergency.
Services provided by interns in “Independent Clinic-Mental Health or Independent Clinic Drug/Alcohol setting” are reimbursed by Medicaid and are eligible to be performed via telehealth.
YES for all commercial health plans including state employee health benefit plans and any form of self- insurance, and Medicaid (FFS and managed care) plans; includes reimbursement parity
N.M. Stat. Ann. §13-7-14
N.M. Stat. Ann. §59A-22-49.3
N.M. Stat. Ann. §59A-23-7.12
N.M. Stat. Ann. §59A-46-50.3
NMAC §§ 8.310.2.12(M), 8.308.9.18
NM Department of Insurance issued guidance dated 3/6/20 state that insurers should encourage network providers to utilize telehealth services and take other proactive measures.
NM Medicaid Special COVID-19 Supplement #3 – Guidance for NM Medicaid Providers dated 4/6/20 states in addition to existing psychotherapy codes, ABA services provided by phone, telephone assessment and management services, and e-visit services will be covered for the duration of the public health emergency.
NM State Medicaid Program and Superintendent of Insurance issued new requirement dated 3/20/20 calling for reimbursement parity for telehealth services.
Superintendent of Insurance Bulletin 2020-05 confirms that there must be reimbursement parity between telehealth and comparable in-person services.
NM State Medicaid Program and Superintendent of Insurance issued new requirement dated 3/20/20 allowing for phone or computer video to deliver telehealth services.
NM Medicaid Letter of Direction #30 dated 3/30/20 instructs all Medicaid managed care organizations on new COVID-19 billing policies including the use of audio-only phone.
The companion document - NM Medicaid Special COVID-19 Supplement #3 – Guidance for NM Medicaid Providers dated 4/6/20 outlines the list of accepted behavioral services that may temporarily be provided by phone.
There are no restrictions on eligible originating sites (where the patient is to receive telehealth services) under existing state law.
Executive Order 2020-004 compels the Department of Health et al to credential out-of-state professionals during the declared public emergency (see NMSA §12-10-11).
No specific guidance on DOH explaining credentialing process.
Interns and postdocs would be eligible to provide services via telehealth to Medicaid beneficiaries.
NY CLS Ins Law §3217-h
NY CLS Ins Law § 4306-g
NY CLS Pub Health § 2999-dd NY CLS Pub Health § 4406-g
NY CLS Soc Serv § 367-u(2)
NY Department of Financial Services Emergency Insurance Regulation 62 waives cost-sharing for all in-network telehealth services during the declared state of emergency.
NY Office of the Professions has existing guidance recognizing audio-only phone, e-mail, chat and videoconferencing for telepractice.
NY Office of Mental Health has issued supplemental guidance dated 3/17/20 allowing use of phone and/or commonly available video apps for delivery of telehealth services to Medicaid patients during public health emergency period.
NY Medicaid Bulletin Vol. 36, No. 5 dated 3/23/20 allows audio-only phone to deliver services during the public health emergency.
NY Medicaid Bulletin Vol. 36, No. 5 dated 3/23/20 removes any limitations on the originating sites (where the patient is) and distant sites (where the provider is) when delivering telehealth services for the duration of the public health emergency.
Recent executive orders temporarily waive state licensing requirements for certain medical providers; however, NYSED Office of the Professions emphasize that all other licensed professionals must have a NYS license to provide services.
New York does not permit Medicaid reimbursement for trainee services (1135 waiver says only licensed practitioners).
Insurance Commissioner advisory bulletin No. 20-B-05 dated 3/12/20 compels insurers to remove all barriers to care, including ensuring their telehealth programs with participating providers are robust and will be able to meet any increased demand.
The NC Department of Insurance includes links to major health plans for information about telehealth coverage and billing policies.
NC Medicaid Summary of NC Payers COVID-19 Telehealth Policies outlines the general coverage policies for each NC payer serving Medicaid patients.
Medicaid Special Bulletin COVID-19 #34 confirms that there are no restrictions on originating sites for receiving telehealth services. There are also no restrictions on distant sites (where the treating provider is located).
Executive Order No. 130 dated 4/8/20 temporarily waives state licensing requirements for out-of-state licensed providers (in good standing) including psychologists to provide services either via telehealth in person.
This order is in effect through 6/7/20.
North Carolina Psychology Board COVID-19 FAQ #5 advises that out-of-state psychologists must notify the Board in advance and provide the following information:
Intent to provide psychological services to someone located in North Carolina and under exemption they are eligible for emergency temporary practice;
Name of the state(s) in which they are currently licensed, if applicable;
The identity and contact information of the NC psychologist in who will provide the required supervision, if applicable;
The name of the organization under which they are volunteering, if applicable; and,
Any other required information or documentation.
Postdocs licensed as psychology associates are eligible to perform services for Medicaid beneficiaries via telehealth, but interns and other trainees are not.
The Board references a statement including information about face to face supervision by electronic means: As long as a licensee is practicing in a manner consistent with his/her training and experience, and is receiving supervision as is appropriate, the medium for doing so is not at issue.
YES for commercial health plans including public employee health benefit plans; requires for negotiations between insurers and providers to be conducted in same manner for telehealth as for in-person services
N.D. Cent. Code §26.1-36-09.15
Executive Order 2020-05.1 dated 3/20/20 specifies that insurers shall cover virtual check-ins and e-visits for established patients and shall not subject telehealth (including virtual check-ins and e-visits) to any cost-sharing requirements for established patients.
Executive Order 2020-05.1 dated 3/20/20 also allows for audio-only phone to provide telehealth services, prohibits insurers from imposing any specific requirements on telehealth technologies used, and expands state’s “secured connection” requirement to be consistent OCR’s guidance.
Existing state law does not appear to impose any restrictions on eligible originating sites.
Executive Order 2020-05.1 dated 3/19/20 temporarily suspends licensing requirements for out-of-state licensed health care professionals (in good standing) to provide health care services, including telehealth, to ND residents.
ND Department of Health has set up an online emergency licensure application process.
North Dakota does not permit Medicaid reimbursement for trainee services (1135 waiver says only licensed practitioners).
YES for commercial health plans but limited to telehealth services provided by physicians, nurse practitioners and physician assistants; includes reimbursement parity
Ohio Rev. Stat. Ann. § 3902.30 (effective Jan. 1, 2021)
Insurance Commissioner bulletin 2020-02 dated 3/11/20 encourages insurers to implement early adoption of Ohio’s telehealth coverage mandate law that goes into effect as of Jan. 1, 2021.
It is important to note that the coverage mandate is limited to services provided by physicians, nurse practitioners and physician assistants.
Medicaid’s Telehealth Billing Guidelines During COVID-19 State of Emergency outlines all of the services/billing codes that can be delivered via telehealth during the public health emergency.
Insurance Commissioner bulletin 2020-02 dated 3/11/20 reminds insurers that the coverage mandate includes reimbursement parity for telehealth services.
Departments of Health and Medicaid announced emergency orders (3/14/20) reducing restrictions on telehealth, ensuring that every Ohioan has access to behavioral health care via telehealth services by landline or cell phone as authorized by Executive Order 2020-05D dated 3/19/20
Medicaid emergency rule No. 5160-1-21 dated 3/20/20 temporarily allows audio-only phone and other video technologies consistent with recent OCR guidance.
Ohio Board of Psychology issued advisory guidance dated 3/11/20 stating that under the current COVID-19 public health emergency, Ohio-licensed psychologists may use their professional judgment, on a case-by-case basis, to use audio-only phone to ensure client welfare and continuity of care when the client and psychologist are prohibited from meeting in-person because of efforts to contain COVID-19.
This bulletin also confirms that telecommunications may be used for psychological work and training supervision.
Medicaid’s Telehealth Billing Guidelines During COVID-19 State of Emergency provides that Medicaid patients may access telehealth services wherever they are located, including their homes.
Ohio Board of Psychology issued follow-up guidance dated 3/20/20 confirming that licensing requirements have NOT been waived.
However, out-of-state licensed psychologists (and independently practicing master’s level psychology providers) may apply for a Non-Resident Temporary Permit to practice in Ohio in-person or via telehealth. The time limit has been temporarily extended to 90 days/ calendar year. This also may be extended to supervisees practicing psychology under supervision.
Interns and postdocs services are eligible for reimbursement when performed via telehealth for Medicaid beneficiaries.
With regard to telesupervision, at the supervising psychologist's discretion, supervisees may provide services to patients living in Ohio. Supervisees must practice under supervision of the authorized psychologist in their home state.
YES for commercial health plans, disability insurer programs, workers compensation programs, and Medicaid (FFS) programs
36 Okla. St. Ann. §§ 6802, 6803
Amended Executive Order No. 2020-07 temporarily waives the preexisting provider-patient requirement for telehealth during the declared public health emergency.
Oklahoma Health Care Authority has expanded use of telehealth to include coverage of telephone assessment services. This is effective through 4/30/20.
Oklahoma SoonerCare (Medicaid) allows for audio-only phone to deliver telehealth services during the declared public health emergency.
Guidance by the Oklahoma State Board of Examiners of Psychologists advises that formal, face-to-face supervision for trainees may be conducted via HIPAA-compliant videoconferencing in the event of social distancing or mandated site closure until the conclusion of the COVID-19 emergency as declared by the Oklahoma Governor or Dec 31, 2020, whichever is sooner.
The trainee should clearly indicate this on the weekly log and the primary supervisor should verify this information.
The Telehealth Registration Form for out-of-state providers is available online.
Interns and postdoc supervised services are reimbursed by Medicaid and commercial insurance and eligible to be performed via telehealth.
YES for commercial health plans including public health benefit plans and school employees benefit plans
Or. Rev. Stat. §§ 743A.058, 743A.185
For Medicaid telehealth coverage, see Or. Admin. Code §§ 410-123-1265, 410-172-0850
Guidance jointly issued by the Oregon Health Authority (OHA) and the Department of Business and Consumer Services (DCBS) requires commercial and Medicaid health plans to cover all telehealth services provided by network providers whenever possible and clinically appropriate; to allow telehealth access for existing and new patients; to ensure provider networks to ensure robust telehealth services are available; and to ensure patients maintain access to behavioral health services for the duration of the COVID-19 outbreak.
Joint OHA-DCBS guidance encourages reimbursement rates for telehealth services to mirror payment rates for an equivalent office visit or that providers and health plans quickly agree on applicable reimbursement rates.
Joint OHA-DCBS guidance requires commercial and Medicaid health plans to waive encryption requirements and to allow all modes of telehealth delivery including synchronous video, telephone-based service delivery, and other appropriate methods (e.g., Google Hangouts, FaceTime, and Skype pursuant to recent OCR guidance) for the duration of the COVID-19 outbreak.
Oregon Health Plan (Medicaid) issued guidance dated 3/20/20 confirming certain telephone services will now be covered:
Oregon Health Authority guidance dated 3/23/20 expanding telehealth to include telephone services provided by IHS/Tribal providers, FQHCs and Rural Health Clinics during the public health crisis.
Joint OHA-DCBS guidance instructs insurers to remove related to originating sites to allow patients to receive services at home, in a nursing home, or where they are physically present and can receive the service; and to enable providers to deliver telehealth service from their own home.
The Oregon Board of Psychology filed a temporary rule amendment (OBP 4-2020) allowing an out-of-state psychologist licensed in good standing to temporarily provide telemental health services in Oregon.
The out-of-state psychologist must obtain the permit before providing services.
There is an online application for the emergency visitor’s permit.
This temporary rule is effective from 3/3/20 to 9/26/20.
Interns and residents are eligible to perform telehealth services under Medicaid through Coordinated Care Organizations.
The Oregon Board of Psychology has posted guidance indicating that residents may receive supervision via electronic means if in-person meetings are prohibited due to COVID-19.
Department of Human Services Provider Quick Tip #242 dated 4/9/20 outlines what kinds of telehealth care services are covered Medicaid Fee-For-Service.
DHS- Office of Mental Health and Substance Abuse Services Issued Telehealth Guidelines Related to COVID-19 dated 3/15/20 allowing Medicaid providers to use phone-based video technology such as FaceTime or Skype to provide services and if video is unavailable, phone only services.
The policy will remain in effect for 90 days or while a valid emergency disaster declaration related to the COVID-19 virus remains in effect, whichever is earlier.
Department of Human Services Provider Quick Tip #242 dated 4/9/20 allows Medicaid patients to receive telehealth services in their homes.
Department of State's Bureau of Professional and Occupational Affairs (BPOA) issued guidance dated 3/18/20 that temporarily expands the existing 14-day temporary practice provision, allowing out-of-state licensed health care professionals to deliver services to Pennsylvania patients via telemedicine during the coronavirus emergency.
Out-of-state providers must notify the appropriate Pennsylvania board prior to practicing telehealth into the state.
Department of State issued guidance dated 3/22/20 temporarily suspending certain licensing requirements for supervision, allowing the use of electronic means, preferably on a HIPAA-compliant platform, but if that is not possible, then by online methods such as Skype or Facetime to conduct the required weekly in-person meetings with psychology residents.
Department of State issued an additional temporary waiver dated 3/26/20 that allows certain mental health trainees (including psychology) who are receiving clinical supervision for experience qualifications for licensure may provide teletherapy services so long as they are receiving supervision from a supervisor who complies with all required state regulatory requirements.
Trainees are not eligible to perform telehealth services under Medicaid.
Department of State issued a temporary waiver dated 3/26/20 allowing psychology post-doctoral trainees to provide teletherapy services so long as they are being supervised by a supervisor who complies with all required regulatory requirements.
Department of State issued a temporary waiver dated 3/22/20 temporarily allowing psychology trainees to receive individual supervision via electronic means using a HIPAA-compliant platform, if available.
YES for commercial health plans; allows for the patient’s home as an originating site “where medically appropriate”
R.I. Gen. Laws §§ 27-81-1 et seq.
Yes. Executive Order No. 20-06 dated 3/18/20 mandates telehealth services.
This Executive Order will remain in effect until 4/17/20 unless renewed, modified or terminated by subsequent executive order.
Executive Order No. 20-28 dated 4/17/20 extends Executive Order No. 20-06 to 5/8/20.
Yes — Executive Order No. 20-06 dated 3/18/20 requires reimbursement parity for telehealth services provided by in-network providers.
Yes — Executive Order No. 20-06 dated 3/18/20 allows for audio-only phone.
Department of Health Guidance confirms that audio-only phone is available for patients with private insurance as well as Medicaid beneficiaries during the public health emergency.
Yes — Executive Order No. 20-06 dated 3/18/20 waives the patient site requirement and allows patients to receive telehealth services in any location.
Announcement by Governor and Department of Health dated 3/18/20 expands the existing temporary practice provision (up to 10 days/ year and not more than 5 consecutive days), allowing out-of-state licensed providers (in good standing) to obtain a 90-day temporary license subject to a one-time renewal.
Department of Insurance COVID-19 resource page summarizes the COVID-19 telehealth coverage/billing policies for private health insurance plans with links to each plan’s website.
Department of Health and Human Services issued FAQs dated 4/13/20 outlining its telehealth Medicaid coverage policies for services during the state of emergency.
The list of telehealth services that may be provided to new Medicaid patients is available here.
CMS Section 1135 Medicaid Waiver approved 3/31/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
The Department of Health and Human Services posted its Medicaid telehealth billing requirements and indicated that telehealth services will be paid at the same rate as in-person services.
Guidance issued by SC Medicaid Office dated 3/19/20 allows for telehealth and telephone only care for established patients who need check-ins subject to the following limitations:
These codes should not be billed if the telephonic encounter originates from a related E/M service provided within the preceding seven days nor if it leads to an E/M service or procedure within the subsequent 24 hours. Up to three encounters will be allowed every 30 days, and services may be provided regardless of the Medicaid member's location.
Guidance issued by the Board of Psychology stating that it will suspend enforcement of South Carolina licensing provisions for psychologists who are licensed out-of-state, who have an established client relationship with an individual now in South Carolina, to allow continuity of care by means of telecommunication for the duration of the public health emergency.
Trainees are eligible to perform telehealth services under Medicaid to both patients with an existing client relationship and new patients, though services available to new patients are limited by the list in this Department of Health and Human guidance.
S.D. Codified Laws §§ 58-17-167 to 58-17-170
Executive Order No. 2020-07 dated 3/23/20 temporarily suspends any limitations to Medicaid telehealth services.
Executive Order No. 2020-16 dated 4/15/20 temporarily waives the prior provider-patient relationship requirement mandated by the state telehealth health practice act.
South Dakota Medicaid Telemedicine Provider Manual updated May 2020 allows for the patient’s home to be an eligible originating site if primarily telehealth is primarily used to reduce risk of exposure to COVID-19.
Executive Order No. 2020-16 dated 4/15/20 temporarily waives limitations established by the state telehealth practice act, allowing providers to deliver telehealth services using audio-only phone.
Executive Order No. 2020-07 dated 3/23/20 temporarily waives state licensing requirements, allowing out-of-state psychologists who are licensed in member states of the Emergency Management Assistance Compact (EMAC) to deliver services in South Dakota during the state of emergency.
Executive Order No. 2020-15 extended the state of emergency through 5/31/20.
Trainees are not eligible to perform telehealth services under Medicaid as they are not licensed (and South Dakota’s section 1135 waiver requires all providers to be licensed).
YES for commercial health plans and Medicaid managed care plans; incudes reimbursement parity
Tenn. Code Ann. §56-7-1002
Executive Order No. 20-20 dated 3/26/20 temporarily waives Tenn. Code Ann. § 63-1-155(a)(1) allowing any TN licensed health care provide to deliver services using telehealth.
Executive Order No. 20-15 dated 3/19/20 encourages insurers to cover telehealth services irrespective of a provider’s network status. See Section 38.
Executive Order No. 20-15 dated 3/19/20 encourages providers to follow recent CMS guidance regarding the use of equipment and everyday communications technologies that may be used for the provision of telemedicine services. See Section 38.
TennCare Provider Memo dated 3/25/20 temporarily allows for audio-only phones to deliver behavioral health care services during the public health emergency.
Executive Order No. 20-15 dated 3/19/20 encourages insurers to cover telehealth services irrespective of originating site. See Section 38.
Executive Order No. 20-15 dated 3/19/20 temporarily waiving licensing requirements for out-of-state licensed health care professionals to provide telehealth services. See subsection 38.
Executive Order No. 20-24 dated 4/3/20 temporarily allows unlicensed individuals with mental health training (at masters or doctoral level) individuals to provide telemental health services under the supervision of a licensed psychologist or other licensed mental health provider.
This temporary practice authorization is valid through 5/18/20.
There is an online application for non-licensed behavioral health provider.
Trainees are not eligible to perform telehealth services under Medicaid as they are not licensed (and Tennessee’s section 1135 waiver requires all providers to be licensed).
YES for commercial plans including self-insured plans (to extent permitted by ERISA)
Tex. Ins. Code §§ 1455.001 to 1455.006
Texas Department of Insurance Emergency Rule 2020-6287 dated 3/17/20
temporarily establishes reimbursement and documentation parity for in-person services.
This emergency rule may not be in effect for longer than 120 days, with the possibility for a 60-day extension.
CMS Section 1135 Medicaid Waiver approved 3/30/20 allows for
reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
temporarily prohibits insurers from limiting, denying or reducing for telehealth services based on the health professional's choice of platform for delivering the service or procedure.
Texas Health & Human Services Guidance for Behavioral Health Services Providers temporarily allows audio-only phone to deliver health care services to Medicaid beneficiaries during the public health emergency.
Trainees are eligible to perform telehealth services under Medicaid.
Guidance from the Texas State Board of Examiners of Psychologists dated 4/6/20 advises the governor’s suspension of Rule 465.2(a)(7)(C) to allow for supervision of trainees to be done through remote or electronic means.
This means any face-to-face or in-person supervision requirements may be satisfied using remote or electronic means during the pendency of the suspension.
Trainees may also provide supervised services via telehealth, if appropriate, for a particular patient or situation.
This waiver will remain in effect until terminated by the Office of the Governor or until the March 13, 2020 disaster declaration is lifted or expires.
YES for commercially health plans (expanded to include telepsychological services as recognized by CMS effective Jan 1, 2021)
Utah Code Ann. § 31A-22-649
Utah Code Ann. § 31A-22-649.5
Utah Code Ann. § 36-60-102
Utah Code Ann. § 36-60-103
Yes. Department of Commerce Division of Occupational and Professional Licensing Guidance permits the provision of telehealth services in accordance with HHS’s guidance.
Utah Department of Health COVID-19 Telehealth Resource Center lists the telehealth the technical billing and reimbursement guidance from private health insurance payers and Medicaid.
Utah Medicaid Guidance affirms reimbursement parity for Medicaid telehealth services.
Executive Order 2020-07 dated 3/25/20 temporarily waives state law requirements that health care providers must use HIPAA-compliant platforms to deliver telehealth services during the state of emergency.
Utah Medicaid Guidance temporarily allows the use of audio-only phones to deliver health care services during the public health emergency.
Existing state law does not have limitations on eligible originating sites.
Department of Commerce Division of Occupational and Professional Licensing (DOPL) Guidance states that out-of-state licensed mental health professionals may work in Utah within their scope of practice without restrictions or conditions may practice in Utah for the duration of the declared emergency by obtaining a DOPL Time-limited Emergency License. See Practice Exemptions During Declared Emergency - Mental Health.
This emergency license expires upon the earlier of 180 days, 30 days from the end of the declared emergency, or upon 10 days’ notice from DOPL.
The emergency license application is available online.
Trainees are able to perform telehealth services under Medicaid.
Department of Occupation and Professional Licensing guidance advises that trainee supervision may be conducted using real-time electronic means. Supervisors must protect the security of electronic, confidential data and information.
YES for all commercial health plans including self-funded or publicly funded plans and Medicaid; may limit coverage to telehealth services delivered by in-network providers; originating site is defined to include the patient’s home and the patient’s workplace
8 V.S.A. § 4100k
Department of Financial Regulation issued Emergency Rule H-2020-02-E dated 3/30/20 specifies coverage and reimbursement for telehealth services, including telephone triage services (code G2012) and requires mental health parity compliance.
This emergency rule is in effect for the duration of the state of emergency.
Vermont Medicaid Provider Memorandum dated 4/8/20 temporarily allows for audio-only phone to deliver services to Medicaid patients.
The memorandum also specifies billing requirements for certain codes/services provided via telephone.
Department of Financial Regulation issued Emergency Rule H-2020-02-E dated 3/30/20 governing coverage of telehealth services to allow use of audio-only phone to deliver telehealth services.
Existing law recognizes the patient’s home as an eligible originating site.
The Office of Professional Regulation issued guidance about the emergency legislation signed into law on 3/30/20, which temporarily allows out-of-state providers licensed in good standing to provide telehealth services in Vermont during the COVID-19 public emergency. (See pp. 12-14)
You only need to submit your information to OPR if you are providing services in a Vermont facility.
The emergency legislation also allows licensing boards to issue temporary licenses to graduates of an approved professional program who are unable to take the required exam due to COVID-19. The temporary license is valid for 90 days, or until termination of the declared state of emergency, whichever occurs first, as long as provided the licensee remains in good standing. The board may reissue the temporary license if the declared state of emergency continues longer than 90 days. (See pp. 10-11)
Fees for the temporary license are waived.
YES for commercial health plans; reimbursement parity included
Va. Code Ann. § 38.2-3418
Medicaid Director Memo dated 3/19/20 states that DMAS will reimburse for Medicaid-covered services delivered via telehealth where the following conditions are met:
To the extent feasible under the circumstances, providers must assure the same rights to confidentiality and security as provided in face-to-face services. Providers must ensure the patient’s informed consent to the use of telehealth and advise members of any relevant privacy considerations.
Medicaid Director Memo dated 3/19/20 states that DMAS will reimburse for telehealth services at the same rate as the analogous service provided face-to-face.
For behavioral health services, providers delivering services via telehealth (including phone communications) shall simply bill and submit a claim as they normally would in their regular practice. The Place of Service (POS) that the provider usually bills should remain the same and no modifiers shall be necessary.
DMAS will allow for telehealth (including telephonic) delivery of all behavioral health services with several exceptions. Services that will be allowable via telehealth include:
Service needs assessments (including the Comprehensive Needs Assessment and the
IACCT assessment in mental health and the Multidimensional Assessment in ARTS) and all treatment planning activities
DMAS Guidance to Allow Home as Originating Site:
During the current emergency, DMAS will allow the home as the originating site. This is particularly important for members who are quarantined, those who are diagnosed with or demonstrating symptoms of COVID-19, or those who are at high risk of serious illness from COVID-19.
Clinicians shall use clinical judgment when determining the appropriate use of home as the originating site. No originating site fee shall be paid for telehealth in the home.
Executive Order No. 57 (Section 4) dated 4/17/20 temporarily allows health care providers to use non-public facing audio or remote communication product that is available to communicate with patients to provide telehealth services.
The executive order remains in effect until 6/10/20 unless otherwise modified by executive order.
Executive Order No. 57 (Section 2) dated 4/17/20 provides that an out-of-state psychologist licensed in good standing may obtain a temporary license by endorsement to provide services. The out-of-state provider must submit an application to the Virginia Board of Psychology that includes verification of an active license in good standing and no current reports in the HHS National Practitioner Databank.
The temporary license expires 90 days after the state of emergency ends.
Application for the Temporary License is available online.
Executive Order No. 57 (Section 3) dated 4/17/20 also allows out-of-state providers with an active license issued by another state to provide continuity of care to their current patients who are Virginia residents through telehealth services.
For new patients, the out-of-state psychologist must have a temporary license.
Trainees are not able to perform telehealth services. Board of Psychology guidance requires full licensure for telepractice in Virginia.
YES for commercial health plans BUT only if the plan covers the comparable in-person service; the telehealth service is medically necessary; the telehealth service is recognized as an essential health benefit as defined by PPACA; the service is determined to be provided safely and effectively via telehealth according to generally accepted health care practices and standards.
2020 SB 5385 amending Wash. Rev. Code § 48.43.735 will require reimbursement parity for telehealth services for commercial health plans beginning Jan. 1, 2021.
Executive Order 20-29 on Telemedicine (Amending Proclamation 20-05) temporarily suspends and waives the January 1, 2021 implementation date for the newly enacted 2020 SB 5385 and requires that health plans to institute reimbursement parity immediately. This waiver will remain in effect until 4/24/20.
CMS Section 1135 Medicaid Waiver approved 3/19/20 allows for reimbursement of payable claims by out of state licensed providers not enrolled in the state Medicaid program subject to certain conditions for the duration of the public health emergency.**
Insurance Commissioner Emergency Order No. 20-02 recognizes audio-only phone for delivering telehealth services during the public health emergency.
This shall remain in effect through 5/23/20 unless further extended by order of the insurance commissioner.
Existing state law mandating telehealth coverage already recognizes the patient’s home as an eligible originating site.
Washington has enabled its emergency volunteer health care practitioners program which allows out of state providers to practice in Washington with restrictions around compensation. It requires an application.
Trainees are not able to perform telehealth services under Medicaid in Washington state.
2020 HB 4003 was enacted on 3/7/20 creating a new state law requiring coverage of telehealth services for health plans beginning July 1, 2020.
Medicaid Commissioner memorandum dated 3/12/20 allows for psychological testing in Medicaid through the “Telehealth Modality” for procedure codes 96130, 96131, 96136, 96137, 96132, 96113 and 96146 through May 31, 2020. (Bureau of Medical Services will reevaluate after that)
The other services the state is allowing appear to be all E&M services.
West Virginia Insurance Commission Bulletin No. 20-03 encourages health plans to implement telehealth policies as described in the newly enacted 2020 HB 4003 as quickly as possible to meet the access needs during the public health emergency.
DHHR Letter COVID-19 dated 3/26/20 encourages the use of phone or video communications to provide telehealth services where clinically appropriate during the state of emergency.
Although not effective until July 1, 2020, the newly enacted state telehealth coverage mandate has no restrictions on originating sites and includes the patient’s home.
WV Board of Examiners of Psychology issued Guidance to allow telepsychology if HIPAA compliant, and allow temporary practice of 10 days or 80 hours.
West Virginia does not allow interns to bill under Medicaid, though postdocs are allowed. However, the licensing board put out updated guidance on 3/27/20 which states that telesupervision is now permissible.
No – Insurance Commissioner Bulletin dated 3/6/20 states: Health Plan Issuers are reminded to review provisions in current policies regarding the delivery of health care services via telehealth and ensure their telehealth programs with participating providers are robust and will be able to meet any increased demand.
In addition to permanently allowable telehealth services for Medicaid, Department of Health Services Guidance No. 2020-12 outlines those services, such as mental health screenings, that are temporarily allowed to be delivered via telehealth during the public health emergency.
Department of Health Services Guidance No. 2020-12 advises that beginning 3/12/20, the use of audio-only phone to deliver telehealth services is temporarily allowed for Medicaid for the duration of the public health emergency.
Department of Health Services Guidance No. 2020-09 allows telehealth services to be provided to Medicaid patients at any originating sites.
Department of Health Services Guidance No. 2020-12 advises that there are no restrictions on distant sites (where the provider is located when delivering telehealth services) for Medicaid.
Emergency Order No. 16 dated 3/27/20 allows any temporary licenses issued for out-of-state licensed health care providers shall remain valid for 30 days beyond the termination of the public health emergency declaration.
Emergency Order No. 20 modifies Emergency Order No. 16 to retroactively include temporary or otherwise valid licenses that were current before the public health emergency declaration on March 12, 2020 in Executive Order #72 but have since expired.
Insurance Commissioner Bulletin No. 20-01 encourages health insurers to liberalize telehealth benefits during the public health emergency and to allow consumers to access telehealth benefits through their current health care providers.
No — Wyoming Board of Psychology guidance dated 3/25/20 is that since the Practice Act does not specifically prohibit telepsychology, it may be provided where appropriate. One must be licensed in WY in order to treat a client located in WY.
Trainees are eligible to provide telehealth services under Medicaid.
We prepared this page to quickly provide information to psychologists in this rapidly changing landscape. Because the law and related information continually change, we will strive to update the page weekly, so note the date stamp. Please email us with any updates.
Please note this document does not constitute legal advice. APA cannot guarantee the completeness or accuracy of this document, and we recommend that psychologists independently verify this information (partly by using the hyperlinks included) and consult with counsel in their state with appropriate experience before relying on or making decisions based on this information.