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Report: State Telehealth Laws and Reimbursement Program Policies

The updated Fall 2020 version of “State Telehealth Laws and Reimbursement Policies” from PHI's Center for Connected Health Policy offers policymakers, health advocates and other interested health care professionals a detailed compendium of state telehealth laws, regulations and Medicaid policies.

infographic: State Telehealth Laws and Reimbursement Program Policies

The updated Fall 2020 version of “State Telehealth Laws and Reimbursement Policies” from PHI’s Center for Connected Health Policy (CCHP) offers policymakers, health advocates, and other interested health care professionals a detailed compendium of state telehealth laws, regulations, and Medicaid policies.

Please note: For the most part, states continue to keep their temporary telehealth COVID-19 emergency policies siloed from their permanent telehealth policies.  In instances where the state has made policies permanent, CCHP has incorporated those policies into this report; however, temporary COVID-19 related policies are not included.

Visit CCHP’s website to download the ‘At A Glance” infographic of the key findings and the full PDF version of State Telehealth Laws and Reimbursement Policies Report, or use CCHP’s interactive state policy map to conduct specific searches.

Download the full report

Fall 2020 Telehealth Policy Trends

States continue to refine and expand their telehealth reimbursement policies though they are not treated across the board in the same manner as in-person delivered services. Limitations in regards to reimbursable modality, services, and location of the patient continue to be seen. Although each state’s laws, regulations, and Medicaid program policies differ significantly, certain trends are evident. Live video Medicaid reimbursement, for example, continues to far exceed reimbursement for store-and-forward and remote patient monitoring (RPM). Reimbursement for RPM and store-and-forward continues to be limited. Although telephone has been allowed as a care delivery method on a temporary basis in most states as a result of the pandemic, very few states have made telephone reimbursement permanent. Other noteworthy trends include either expanding lists of eligible providers or eliminating the list altogether and allowing any enrolled Medicaid provider to be reimbursed for telehealth delivered services. Teledentistry and reimbursement for allied professionals, such as physical, occupational and speech therapists were two areas where reimbursement was noticeably expanded since CCHP’s Spring 2020 edition. Additionally, some state Medicaid programs have begun incorporating specific documentation and/or confidentiality, privacy, and security guidelines within their manuals for telehealth specifically.

Key findings include:

  • Fifty states and Washington DC provide reimbursement for some form of live video in Medicaid fee-for-service.
  • Eighteen state Medicaid programs reimburse for store-and-forward. However, four additional jurisdictions (HI, MS, NH, and NJ) have laws requiring Medicaid reimburse for store-and-forward but as of the creation of this edition, yet to have any official Medicaid policy indicating this is occurring.
  • Twenty-one state Medicaid programs provide reimbursement for RPM. This is a decrease of two states since Spring 2020, as we saw both Washington and South Carolina eliminate their remote monitoring programs. As is the case for store-and-forward, two Medicaid programs (HI and NJ) have laws requiring Medicaid reimburse for RPM but at the time this report was written, did not have any official Medicaid policy.
  • Ten state Medicaid programs (Alaska, Arizona, Maryland, Maine, Minnesota, Missouri, New York, Oregon, Texas, and Virginia) reimburse for all three, although certain limitations apply.

Visit CCHP’s website to download the ‘At A Glance” infographic of the key findings and the full PDF version of State Telehealth Laws and Reimbursement Policies Report, or use CCHP’s interactive state policy map to conduct specific searches.


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