State Telehealth Policies

The health care workforce is stretched to its limits in most states and, despite federal, state and local efforts, the demand for health care providers outpaces the supply in many communities. Telehealth has emerged as a cost-effective alternative to traditional in-person consultations or examinations between provider and patient.

Telehealth is defined by the Department of Health and Human Services as “the use of technology to deliver health care, health information or health education at a distance.” The three primary types of telehealth applications are 1) real-time communication, 2) store-and-forward and 3) remote patient monitoring.

  1. Real-time communication allows patients to connect with providers via video conference, telephone or a home health monitoring device.
  2. Store-and-forward refers to transmission of data, images, sound or video from one care site to another for evaluation.
  3. Remote patient monitoring involves collecting a patient's vital signs or other health data while the patient is at home or another site, and transferring the data to a remote provider for monitoring and response as needed.

Mobile health (mhealth) is also an emerging telehealth application that includes health education, information or other services via a mobile device. The mhealth applications are less common in state policy. 

Medicaid and Private Payer Coverage and Reimbursement Policies

States continue to refine their telehealth reimbursement policies with regard to Medicaid and private payer laws.

  • Medicaid policies include those with some type of reimbursement for telehealth but the scope of these policies varies among states. All states and District of Columbia reimburse for live video services in their Medicaid program. At least 10 states stipulate Medicaid coverage and reimbursement for all three common modalities. The types of providers, services and locations eligible for reimbursement also vary within state Medicaid programs. The map below indicates states with reimbursement for at least one telehealth modality and service or specialty.
  • Private payer policies include those related to telehealth coverage or reimbursement for private insurers. At least 43 states and the District of Columbia have some type of private payer policy. Typically, these policies require coverage and/or reimbursement that is comparable to what is covered and/or reimbursed for in-person visits—however, not all these policies mandate coverage or reimbursement. State laws governing private payers vary as to whether they require coverage or reimbursement, include all services, or set the same rates for reimbursement.

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Telehealth Coverage and Reimbursement Policies:
Medicaid and Private Payers

AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MO MS MT NE NV NH NY NJ NM NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC AS GU MP PR VI

Medicaid and Private Payer

 Medicaid Only

Click on a state for details. 

Note: The following labels for each state indicate the following:

  • "N/A" means no policy was found.
  • "No" means the state explicitly does not cover or reimburse for that service.
  • "Yes" means there is a policy in place.

Some links to state statutes may be broken.

Source: Center for Connected Health Policy; NCSL.

Alabama

Medicaid Reimbursement

Remote Patient Monitoring: Yes

AL Medicaid Management Information System Provider Manual, (40-33), July 2020

Live Video: Yes

AL Admin. Code r. 560-X-6.14(f)(5)

Store and Forward: N/A

Private Payer Law

Policy: N/A

Alaska

Medicaid Reimbursement

Remote Patient Monitoring: Yes

Alaska Admin. Code, Title 7, 110.625(a)

Live Video: Yes

Alaska Admin. Code, Title 7, 110.620, 110.630

Store & Forward: Yes

Alaska Admin. Code, Title 7, 110.620625

Private Payer Law

Policy: Yes
Alaska Stat. § 21.42.422 (HB 29-2020 Session)

Arkansas

Medicaid Reimbursement

Remote Patient Monitoring: Yes
Ark. Admin. Rule 016.06.18

Live Video: Yes
Ark. Admin. Rule 016.06.18

Store & Forward: No

Private Payer Law

Policy: Yes
Ark. Stat. Ann. § 23-79-1602

California

Medicaid Reimbursement

Remote Patient Monitoring: N/A
Cal. WIC § Code 14132.724(3)(B)

Live Video: Yes
Cal. WIC § Code 14132.724(3)(A)

Store & Forward: Yes
Cal. WIC § Code 14132.725

Private Payer Law

Policy: Yes
AB19-744 (2019), Cal. HSC Code § 1374.13-14, Cal. INS Code § 10123.855

Colorado

Medicaid Reimbursement

Remote Patient Monitoring: Yes
SB20-212 (2020) , Colo. Rev. Stat. § 25.5.5-321

Live Video: Yes
Colo. Rev. Stat. § 25.5.5-320

Store & Forward: Yes
Colo. Rev. Stat. § 25.5.5-321.5

Private Payer Law

Policy: Yes
Colo. Rev. Stat. § 10-16-123(2)(b)

Connecticut

Medicaid Reimbursement

Remote Patient Monitoring: N/A

Live Video: Yes
Conn. Gen. Stat. § 19a906(b)(1), 17b245(e)

Store & Forward: No

Private Payer Law

Policy:  Yes
Conn. Gen. Stat. § 38a-499(a)

Delaware

Medicaid Reimbursement

Remote Patient Monitoring: N/A

Live Video: Yes
Del. Medical Assistance Program. Practitioner Provider Specific Manual, 3/9/20. Ch. 16 Telemedicine, Sec. 16.8.2, pg. 82

Store & Forward: No

Private Payer Law

Policy: Yes
Del. Code. Ann § 18-33-3370

District of Columbia

Medicaid Reimbursement

Remote Patient Monitoring: Not currently in effect due to budgeting and appropriations.
D.C. Code § 31-3864

Live Video: Yes
D.C. Code § 31-3863

Store & Forward: No

Private Payer Law

Policy: Yes
D.C. Code § 31-3862

Florida

Medicaid Reimbursement

Remote Patient Monitoring: N/A

Live Video: Yes
Fla. Admin. Code § 59G1.057

Store & Forward: N/A

Private Payer Law

Policy: Yes
Fla. Stat. § 641.31

Fla. Stat. § 627.42396

Georgia

Medicaid Reimbursement

Remote Patient Monitoring: N/A

Live Video: Yes

Ga. Dept. of Community Health, Physician Services Manual, p. R-1 (July 1, 2020)

Store & Forward: Yes
Ga. Dept. of Community Health, Ga. Medicaid Telehealth Guidance Handbook, p. 5 (July 1, 2020)

Private Payer Law

Policy: Yes
Ga. Code § 33-24-56.4

Hawaii

Medicaid Reimbursement

Remote Patient Monitoring: Yes
Hawaii Rev. Stat. § 34659.1

Live Video: Yes
Hawaii Admin. Code 171737-51.1(c)

Store & Forward: Yes
Hawaii Rev. Stat. § 34659.1, 431:10A116.3; Hawaii Admin. Code 171737-51.1(c)

Private Payer Law

Policy: Yes
Hawaii Rev. Stat. § 431:10A-116.3, 432D-23.5, 432:1-601.5, 431:26-103

Idaho

Medicaid Reimbursement

Remote Patient Monitoring: N/A

Live Video: Yes
Idaho Admin. Code 16.03.09210(09)

Store & Forward: No

Private Payer Law

Policy: N/A

Indiana

Medicaid Reimbursement

Remote Patient Monitoring: Yes
Ind. Code § 1215-5-11(c)

Live Video: Yes
Ind. Code § 1215-5-11
405 IAC 58-3 & 4

Store & Forward: Yes
405 IAC 538-2 & 4

Private Payer Law

Policy: Yes
Ind. Code § 27-8-34-6

Ind. Code § 27-13-7-22

Iowa

Medicaid Reimbursement

Remote Patient Monitoring: Yes, but not required.
Iowa Hawki Benefits

Live Video: Yes
Iowa SF 505 (2015), Sec. 12(23), pg. 3233
Iowa Admin Code Sec. 441, 78.55 (249A)

Store & Forward: N/A

Private Payer Law

Policy: Yes
Iowa Code § 514C.34(2)

Kansas

Medicaid Reimbursement

Remote Patient Monitoring: Yes
Dept. of Health and Environment, Kansas Medical Assistance Program, Provider Manual, Home Health, p. 829 (Jul. 2020)

Live Video: Yes
Kan. Stat. Ann. § 402,213(b)

Store & Forward: No

Private Payer Law

Policy: Yes
Kan. Stat. Ann. § 40-2,213

Kentucky

Medicaid Reimbursement

Remote Patient Monitoring: No unless it is a part of a value-based payment arrangement.
Ky. Admin. Regs. Title, 907 § 3:170

Live Video: Yes
Ky. Rev. Stat. § 205.559
Ky. Admin. Regs. Title, 907 § 3:170

Store & Forward: Yes
Ky. Rev. Stat. § 205.559

Private Payer Law

Policy: Yes
Ky. Rev. Stat. § 304.17A-138

Massachusetts

Medicaid Reimbursement

Remote Patient Monitoring: N/A

Live Video: Yes
MassHealth All Provider Bulletin 281, p. 1, Jan. 2019

Store & Forward: N/A

Private Payer Law

Policy: Yes
Mass. Gen. Laws Ann. ch. 175, § 47BB, SB 2984 (2021)

Michigan

Medicaid Reimbursement

Remote Patient Monitoring: Yes
Mich. Comp. Laws § 400.105g
HB 5415 (2020)

Live Video: Yes
Dept. of Health and Human Services, Medicaid Provider Manual, p. 70, Jan. 1, 2021

Store & Forward: No

Private Payer Law

Policy: Yes
Mich. Comp. Laws § 500.3476, 550.1401k

Minnesota

Medicaid Reimbursement

Remote Patient Monitoring: Yes, but only for telehomecare.
MN Dept. of Human Svcs., Provider Manual, Elderly Waiver (EW) and Alternative Care (AC) Program, As revised Jan. 7, 2020

Live Video: Yes
Minn. Stat. § 256B.0625, Subd. 3b(a)

Store & Forward: Yes
Minn. Stat. § 256B.0625 Subd. 3b(d)

Private Payer Law

Policy: Yes
Minn. Stat. § 62A.672

Missouri

Medicaid Reimbursement

Remote Patient Monitoring: Yes, but subject to appropriation.
Mo. Rev. Stat. § 208.686

Live Video: Yes
MO Revised Statute Ch. 208 Sec. 208.670

Store & Forward: Yes
MO HealthNet, Dental Manual, p. 261. (Feb. 14, 2020); Mo. Rev. Stat. § 208.670

Private Payer Law

Policy: Yes
Mo. Rev. Stat. § 376.1900;
Mo. Consolidated State Reg. 22:10-3.057. pg. 23, April 30, 2020

Montana

Medicaid Reimbursement

Remote Patient Monitoring: No

Live Video: Yes
MT Dept. of Public Health and Human Svcs., Medicaid and Medical Assistance Programs Manual, General Information for Providers, Telemedicine (Feb. 2020).

Store & Forward: No

Private Payer Law

Policy: Yes
Mont. Code Ann. § 33-22-138

New Hampshire

Medicaid Reimbursement

Remote Patient Monitoring:
N/A

Live Video:
Yes

N.H. Rev. Stat. Ann. § 167:4-d

Store and Forward:
N/A

Private Payer Law

Policy:
Yes

N.H. Rev. Stat. Ann. § 415-J:2

New Jersey

Medicaid Reimbursement

Remote Patient Monitoring: Yes
N.J. Rev. Stat. § C.30:4D-6k

Live Video: Yes
N.J. Rev. Stat. § C.30:4D-6k

Store & Forward: Yes
N.J. Rev. Stat. § C.30:4D-6k

Private Payer Law

Policy: Yes
N.J. Rev. Stat. § C.26:2S-29

New Mexico

Medicaid Reimbursement

Remote Patient Monitoring: N/A

Live Video: Yes
N.M. Administrative Code 8.310.2.12(M)

Store & Forward: Yes
N.M. Administrative Code 8.310.2.12(M(3))

Private Payer Law

Policy: Yes
N.M. Stat. Ann. § 59A-22-49.3

North Carolina

Medicaid Reimbursement

Remote Patient Monitoring: N/A

Live Video: Yes
NC Div. of Medical Assistance, Medicaid and Health Choice Manual, Clinical Coverage Policy No: 1H, Telemedicine and Telepsychiatry, pgs. 1-2, Dec. 31, 2019.

Store & Forward: No

Private Payer Law

Policy: N/A

North Dakota

Medicaid Reimbursement

Remote Patient Monitoring: N/A

Live Video: Yes
ND Div. of Medical Assistance, General Information Provider Manual, Telemedicine, p. 157

Store & Forward: No

Private Payer Law

Policy: Yes
N.D. Cent. Code § 26.1-36-09.15;

N.D. Admin. Code 92-01-02-34 (3d)

Ohio

Medicaid Reimbursement

Remote Patient Monitoring: Yes
OAC 5160-1-18

Live Video: Yes
Ohio Rev. Code Ann. § 5164.95.(B)

Store & Forward: No
OAC 5160-1-18

Private Payer Law

Policy: Yes
Ohio Rev. Code Ann. § 3902.30

Oklahoma

Medicaid Reimbursement

Remote Patient Monitoring: Yes
Okla. Admin. Code Sec. 317:30-3-27(e)

Live Video: Yes
Okla. Health Care Authority, Telehealth

Store & Forward: Yes
Okla. Admin. Code Sec. 317:30-3-27(a)&(e)

Private Payer Law

Policy: Yes
Okla. Stat. tit. 36 § 6803

Pennsylvania

Medicaid Reimbursement

Remote Patient Monitoring: No

Live Video: Yes, but limited to federally qualified health centers and rural health clinics for telepsychiatry services.
PA PROMISe, 837 Professional/CMS-1500 Claim Form, Provider Handbook, Appendix E – FQHC/RHC. p. 10 (Apr. 22, 2014)

Store & Forward: No

Private Payer Law

Policy: N/A

Rhode Island

Medicaid Reimbursement

Remote Patient Monitoring: N/A

Live Video: Yes
RI Department of Health. Medicaid Fee Schedule Rates

Store & Forward: N/A

Private Payer Law

Policy: Yes
R.I. Gen. Laws § 27-81-4(a)

South Carolina

Medicaid Reimbursement

Remote Patient Monitoring: Yes dependent on an order or referral.
SC Health and Human Svcs. Dept. Provider Administrative and Billing Manual, p. 11-12

Live Video: Yes
SC Health and Human Svcs. Dept. Physicians Provider Manual, p. 29

Store & Forward: No

Private Payer Law

Policy: N/A

South Dakota

Medicaid Reimbursement

Remote Patient Monitoring: No

Live Video: Yes
SD Medicaid Billing and Policy Manual: Telemedicine, p. 4 & 13

Store & Forward: No

Private Payer Law

Policy: Yes
S.D. Cod. Laws Ann. § 58-17-168

Tennessee

Medicaid Reimbursement

Remote Patient Monitoring: Yes
Tenn. Code Ann. § 56-7-10
HB 8002 (2020 Session)

Live Video: Yes
Tenn. Code Ann. § 56-7-1002(e) & (g)

Store & Forward: Yes
Tenn. Code Ann. § 56-7-1003
HB 8002 (2020 Session)

Private Payer Law

Policy: Yes
Tenn. Code Ann. § 56-7-1002

Texas

Medicaid Reimbursement

Remote Patient Monitoring: Yes
Tex. Admin Code, Title 1, Sec. 355.7001(e)

Live Video: Yes
Tex. Govt. Code Ann. § 531.0217(d)
Tex. Admin. Code, Title 1 Sec. 355.7001

Store & Forward: Yes
Tex. Admin. Code, Title 1 Sec. 354.1430

Private Payer Law

Policy: Yes
Tex. Insurance Code Ann. § 1455.004

Utah

Medicaid Reimbursement

Remote Patient Monitoring: Yes
Utah Medicaid Provider Manual: Physician Manual, p. 24

Live Video: Yes
UT Code Annotated Sec. 26-18-13
UT Admin. Code R414-42-3, R414-42-4, & R414-42-5

Store & Forward: N/A

Private Payer Law

Policy: Yes
Utah Code Ann. § 31A-22-613.5(2)(f), 31A-22-649

Vermont

Medicaid Reimbursement

Remote Patient Monitoring: Yes
Vt. Health Care Administrative Rule 3.101

Live Video: Yes
Vt. Stat. Ann. tit. 8 § 4100k, 9361

Store & Forward: No

Private Payer Law

Policy: Yes
Vt. Stat. Ann. tit. 8 § 4100k

Wisconsin

Medicaid Reimbursement

Remote Patient Monitoring: Yes
Wis. Stat. § 49.45 (61)

Live Video: Yes
Wis. Stat. § 49.45 (61)

Store & Forward: No

Private Payer Law

Policy: N/A

Wyoming

Medicaid Reimbursement

Remote Patient Monitoring: N/A

Live Video: Yes
WY Dept. of Public Health Insurance, Medicaid, CMS 1500 ICD-10, p. 110-111 (Jul. 1 2020)

Store & Forward: No

Private Payer Law

Policy: N/A

American Samoa

Information unavailable at this time

Virgin Islands

Information unavailable at this time

Guam

Information unavailable at this time

Mariana Islands

Information unavailable at this time

Puerto Rico

Information unavailable at this time

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