State and Territory COVID Waivers

Existing Prior in Person Originating Site Reimbursement Reimbursement Telehealth Emergency Licensure Process for Out of State Contact Requirement Audio-Only Supervision Reimbursement Parity Private Out of State Statute Licensure Waiver In Effect Required Waived Allowed? Trainees and Post-Doc Allowed Parity Medicaid Insurers Providers Other Considerations After November 17, 2020, all temporary emergency licensees that wish to continue The Board and Commission have established Per guidance from the practicing in Alabama temporary emergency licensure processes to Medicaid office, it is unclear Alabama No Yes should apply now for authorize physicians to provide health care to No Yes Yes whether interns and postdocs Yes Varies by insurer Yes permanent licensure Alabamians suffering from and affected by are able to perform telehealth through the Board Covid. services. (typically 2-3 months) or the Interstate Medical Licensure Compact (within 30 days).

For as long as the Secretary’s designation of a PHE remains in effect, DEA-registered practitioners may issue prescriptions for controlled substances to patients for whom they have not conducted an in-person medical evaluation, provided all of the Out-of-state licensed phsycians must obtain an following conditions are met: Alaska Stat. § Yes, active despite the emergency courtesy license to provide care to As trainees are not licensed, (1) The prescription is issued for a No (in existing Yes (existing law Alaska 21.42.422; § Yes conclusion of the State of patients in Alaska within the scope of their Yes they are not eligible to Yes Yes Yes legitimate medical purpose by a statute) allows) 47.05.270 Emergency. practice and only for the duration of the perform telehealth services. practitioner acting in the usual course declared emergency. of his/her professional practice. (2) The telemedicine communication is conducted using an audio-visual, real-time, two-way interactive communication system. (3) The practitioner is acting in accordance with applicable federal and state law.

Temporarily waives any time Yes, any The Arizona Medical Board is allowing limitations on limitations on Ariz. Stat. §§ 20- physicians (MDs) licensed in another state to telesupervision and supervision 841.09, 20- Yes, in effect until the apply for temporary licensure in the State of telepractice for interns, through Arizona 1057.13, 20- Yes state of emergency is Arizona using the emergency temporary No Yes Yes trainees and post-doctoral telepractice are Yes Yes Yes 1376.05, 20- terminated. licensure application. All MD licenses expire candidates for psychologist temporarily waived 1406.05 after 90 days, or at the termination of the State licensure during the declared for the duration of of Emergency. state of emergency and for 3 the declared months following. emergency.

Arkansas is party to the Uniform Arkansas State Medical Board voted to grant a Emergency Volunteer Health Border State Emergency Temporary License to Practitioners Act, which allows state physicians that are currently practicing in any Yes, but currently set to As trainees are not licensed, government, in a declared emergency, Ark. Code §§ 23- of the six bordering states and also holds an Yes, in existing Arkansas Yes expire on February 27, No Yes Yes they are not eligible to No Yes, in existing law Yes to give reciprocity to other state’s 79-1601, 1602 active and unrestricted medical license in that law 2021. perform telehealth services. licensees so that covered individuals state with the understanding that this is for may provide emergency health telemedicine only for already established services without meeting the disaster Arkansas patients. state’s licensing requirements.

1 03/03/2021 State and Territory COVID Telehealth Waivers

Existing Prior in Person Originating Site Reimbursement Reimbursement Telehealth Emergency Licensure Process for Out of State Contact Requirement Audio-Only Supervision Reimbursement Parity Private Out of State Statute Licensure Waiver In Effect Physicians Required Waived Allowed? Trainees and Post-Doc Allowed Parity Medicaid Insurers Providers Other Considerations

Yes, with some restrictions. DMHC's letter applies to only Cal Bus & Prof Any out-of-state personnel, including, but not the health plans that Code § 2290.5; limited to, medical personnel, entering CA to the DMHC regulates Cal Health & assist in preparing for, responding to, (this excludes health Safety Code mitigating the effects of, and recovering from Board of Psychology: insurers regulated by §1374.13, Yes, active until the end Covid-19 shall be permitted to provide trainees can provide the CA Dept. of No (in existing Yes (in existing Yes, but with some California §1374.14; Cal Yes of the State of services in the same manner as prescribed in psychological services via Yes Insurance, self-insured Yes statute) statute) restrictions. Ins Code § Emergency. Gov. Code § 179.5 with respect to licensing telehealth as long as certain plans, TRICARE, 10123.85, § and certification. Permission for any individual conditions are met. Medi-Cal fee-for- 10123.855; Cal rendering medical services is subject to the service and Medi-Cal Wel & Inst Code approval of the director of the Emergency Managed Care). Other § 14132.725 medical Serices Authority. health plans are encouraged to provide reimbursement parity. In existing law.

CRS § 10-16- A or physician in training may As trainees are not licensed, 123; CRS § 25.5- Yes, but currently set to temporarily practice without a CO license or No (in existing Colorado Yes Yes Yes they are not eligible to Yes Yes (existing law) Yes 5-320; CRS § expire February 24, 2021. physician training license under certain statute) perform telehealth services. 25.5-5-414 conditions outlined C.R.S § 12-240-107(3).

Requirements for who qualifies as a "telehealth provider" in Connecticut are temporarily suspended. Existing CT law provides that CT. Gen. Stat. § "Department of Public Health may establish a As trainees are not licensed, § 19a-906, 38a- Yes, with some Connecticut Yes Yes, until April 20, 2021. process of accepting an applicant's license No Yes Yes they are not eligible to Yes Yes 499a and 38a- restrictions. from another state and may issue that applicant perform telehealth services. 526a a license to practice in the state without examination, if certain conditions are met."

Students currently seeking a degree that will meet the requirements of 24 Del. C. § 1720(b)(2) when the degree is Out-of-state providers with an active license or conferred, are Out-of-state telemedicine certification in good standing are authorized to Del. Code Title As trainees are not licensed, hereby authorized privileges rescinded, with provide services in DE; Further, certain Yes, but with some Delaware 18, Ch. 33 § Yes No Yes they are not eligible to to conduct medical Yes Yes Yes the exception of mental providers who held a DE license within the last restrictions. 3370 perform telehealth services. examinations and health care providers. 5 years which is now inactive, expired, or tests, and perform lapsed may provide services. administrative duties, so long as any such student is supervised by a physician with an active Delaware license.

No, Washington D.C. DC Code Ch. does not seem to be As trainees are not licensed, District of 38C §§ 31-3861 Yes allowing the provision of Yes they are not eligible to Yes (existing law) Yes Yes Columbia et seq. out-of-state telemedicine perform telehealth services. for new providers.

2 03/03/2021 State and Territory COVID Telehealth Waivers

Existing Prior in Person Originating Site Reimbursement Reimbursement Telehealth Emergency Licensure Process for Out of State Contact Requirement Audio-Only Supervision Reimbursement Parity Private Out of State Statute Licensure Waiver In Effect Physicians Required Waived Allowed? Trainees and Post-Doc Allowed Parity Medicaid Insurers Providers Other Considerations FL has an existing registration system for out- Fla. Stat. of-state telehealth providers who are licensed §627.42396; Fla. in good standing (§ 456.47); EO 20-003 grants As trainees are not licensed, Florida Stat. Yes Yes a 30-day licensure waiver for out-of-state No Yes Yes they are not eligible to Yes No Yes §641.31(45); Fla. licensed healthcare providers (in good perform telehealth services. Stat. §456.47 standing) delivering telehealth services to patients in FL

All supervision of practicum students, interns or post- doctorate fellows referenced in Board Rule 510-2-.05 may be satisfied through telephone The Georgia Composite Medical Board is and/or issuing emergency practice permits to videoconference previously unlicensed physicians, physician availability, for the OGCA §33-24- Yes, but set to expire on assistants, advance practice registered nurses, Georgia Yes Yes Yes duration of the Yes No Yes 56.4 March 7, 2021. and respiratory care professionals who wish to COVID-19 state of practice medicine during the COVID-19 emergency, and for emergency response. Upon approval, the a period of not temporary license is valid for 90 days. more than 120 days thereafter. All other requirements for supervision of practicum students, interns or post- doctorate fellows shall remain.

No, existing Guam Code already allows physicians 10 GCA § that are licensed Existing legislation allows physicians licensed Guam Yes No Yes Yes Yes Yes Yes 12022(b) anywhere in the in the U.S. to practice telemedicine in Guam. U.S. to practice telemedicine in Guam. Out-of-state physicians may utilize telehealth HRS §431:10A- when treating patients in HI without securing a As trainees are not licensed, 116.3; HRS license provided that the physician has never No (in existing Yes (in existing Hawaii No Yes Yes they are not eligible to Yes Yes (in existing law) §432:1-601.5; had their license revoked or suspended and are statute) statute) perform telehealth services. HRS §432D-23.5 hired by a state or county agency or facility or by a hospital. Yes, but with some restrictions - allows Out-of-state physicians and physician in-network assistants with a license in good standing in providers to use As trainees are not licensed, Idaho Stat. Tit. Yes, active until further No (in existing Idaho Yes another state will not need an Idaho license to No non-HIPAA they are not eligible to Yes Yes Yes 54 Ch. 57 notice. statute) provide telehealth to patients located in the compliant perform telehealth services. state during the response to COVID-19. communication platforms, as well as audio only

Services provided by interns IDFPR interprets EO 2020-9 to permit an out- Yes (expired 5/29; and postdocs to Medicaid of-state health care provider not licensed in IL Yes, for out-of- IL Comp. Stat. existing statute and commercial BCBS- Yes, but for established to continue to provide health care services to state providers; Illinois Ann. §5/356z.22; Yes Yes allows insurers to enrolled patients are Yes Yes Yes patients only. an IL patient via telehealth where there is a Unknown, for in- 225 ILCS 150/) cover audio only reimbursable and would be previously established provider/patient state providers communications) eligible for telehealth relationship. reimbursement

3 03/03/2021 State and Territory COVID Telehealth Waivers

Existing Prior in Person Originating Site Reimbursement Reimbursement Telehealth Emergency Licensure Process for Out of State Contact Requirement Audio-Only Supervision Reimbursement Parity Private Out of State Statute Licensure Waiver In Effect Physicians Required Waived Allowed? Trainees and Post-Doc Allowed Parity Medicaid Insurers Providers Other Considerations

Indiana waived licensure requirements for out- of-state providers so long as the physician (1) has an equivalent license from another State, and (2) is not suspended or barred from Ind. Code Ann. practice in that State or any State, but requires §§ 27-8-34, 27- Yes, active until further a Telemedicine Provider Certification. The Indiana Yes No Yes Yes Yes No Yes 13-1-34, 27-13-7- notice. Certification must be completed and filed with 22 the Indiana Professional Licensing Agency before the provider may establish a provider- patient relationship or issue a prescription under IC 25-1-9.5-8 for an individual located in Indiana.

A physician may practice medicine/telemedine in Iowa without an Iowa medical license on a Waiving field experience Iowa Admin. temporary basis to aid in the emergency, if a hours for students if higher Code §441- Yes, but currently set to physician holds at least one active medical No (in existing education institution Iowa Yes Yes Yes Yes Yes (existing law) Yes 78.55(249A); expire on March 7, 2021. license in another US jurisdiction, and all statute) determines the student has Iowa HF 2305 medical licenses held by the physician are in completed enough field good standing, without restrictions or experience. conditions.

Out-of-state physicians may utilize telehealth when treating patients in KS without the Temporary Yes, active for 30 days necessity of securing a license to practice suspension of after the end of the State As trainees are not licensed, medicine in the state, provided the out-of-state Yes (in existing limitations on the Kansas Kan. HB 2028 Yes of Emergency, which is Yes Yes they are not eligible to Yes Varies by insurer Yes physician advises the Board of the physician's statute) number of PAs that set to expire on March perform telehealth services practice in this state via telemedicine in can be supervised 31, 2021. writing in a manner to be determined by the at an off-site clinic. Board.

Medical and osteopathic physicians not already licensed to practice in KY may register to practice in KY during the state of Ky Rev Stat § emergency. To register, physicians must Yes, active until the end 304.17A-138; Ky complete and submit the Emergency System Trainees are not eligible to Kentucky Yes of the State of No Yes Yes Yes (existing law) Yes (existing law) Yes Rev Stat § Application for Health Practitioner provided perform telehealth services. Emergency. 304.17A-005 on the Board's website. The Board will then review and respond with a written letter verifying the physician's ability to practice within the Commonwealth of KY.

Yes, so long as the Yes, licenses will expire The Louisiana State Board of Medical Telesupervision is La. Rev. Stat. provider believes 90 days after the Covid Examiners has an emergency temporary permit allowed as long as Ann. § No (in existing he/she can meet the Louisiana Yes emergency, currently application on their website for licensed out-of- Yes certain Yes Yes Yes 22:1821(F); LA statute) same standard of scheduled to expire on state medical professionals seeking a requirements are HB 570 care as if it were March 3, 2021. temporary license during COVID-19. met. provided in person.

The EO issued on March 20, 2020 provides that those who are licensed as physicians, Yes, in existing physician assistants, and nurses in other states statue it is allowed and are in good standing can: (1) receive an Yes, Maine has an to the extent other Yes, Maine has an emergency license to provide health care existing telehealth Yes, active until the end scheduled services As trainees are not licensed, existing telehealth 24-A Me. Rev. services via telehealth to Maine people with no No (in existing Yes (in existing coverage mandate Maine Yes of the State of are unavailable at they are not eligible to coverage mandate for Yes Stat. § 4316 application fee; (2) see patients via telehealth statute) statute) for all commercial Emergency. the time of visit or perform telehealth services. all commercial health without obtaining a license if already serving health plans and are otherwise plans and Medicaid. those patients at out-of-state locations; (3) get Medicaid. medically their licenses automatically renewed during the appropriate. state of emergency if their active license is about to expire.

4 03/03/2021 State and Territory COVID Telehealth Waivers

Existing Prior in Person Originating Site Reimbursement Reimbursement Telehealth Emergency Licensure Process for Out of State Contact Requirement Audio-Only Supervision Reimbursement Parity Private Out of State Statute Licensure Waiver In Effect Physicians Required Waived Allowed? Trainees and Post-Doc Allowed Parity Medicaid Insurers Providers Other Considerations

Yes, Maryland has Md. Code Ann. For the duration of the Maryland State of Prescribing controlled substances - the an existing Yes, Maryland has an Ins. § 15-139; Emergency, health care practitioners who have MDOH interprets EO to allow out-of- Yes, active until the end As trainees are not licensed, telehealth existing telehealth Md. Code Ann. an active license in good standing in another state practitioners to practice in Maryland Yes of the State of No Yes Yes they are not eligible to coverage mandate coverage mandate for Yes Health Gen. §15- state or DC may practice telehealth without a Maryland... to be allowed to prescribe Emergency. perform telehealth services. for all commercial all commercial health 105.2; COMAR Maryland license to provide continuity of care CDS in Maryland without obtaining a health plans and plans and Medicaid. 10.09.49 to existing Maryland patients. Maryland CDS registration. Medicaid.

The Board of Registration in Medicine has Yes, EO dated Yes, active until 30 days established an Emergency Temporary License Medicaid reimburses for Telehealth 03/15/20 mandates all Yes, MassHealth Mass. Gen. Laws. after the State of Application for out-of-state physicians. To supervised trainee services technology can be commercial insurers already did not have Massachusetts Ann. Ch. 175 Yes Emergency is terminated, qualify for the temporary license, a physician No Yes which are eligible to be used to provide Yes (existing law) including BCBS and Yes restrictions on §47BB or December 31, 2020, must hold an active full, unlimited and performed through telehealth clinical HMOs to cover in- originating sites. whichever occurs last. unrestricted medical license in good standing means. supervision. network telehealth in another US state/territory/district. services.

MCL § 333.16171 applies to those that substantially meet No, out-of-state practice Under Michigan law, out-of-state licensed MCL § requirements for licensure in privileges have been physicians do not need to apply for or be Yes (existing law Yes (interns and Michigan 500.3476; MCLS Yes No Yes a time of emergency; Not mentioned Not mentioned Yes rescinded by EO 2020- granted an exemption in order to temporarily allows) post docs) § 550.1401k Medicaid will reimburse 150. provide care to Michigan patients. telehealth performed by trainees.

Out-of-state healthcare professionals who hold an active, relevant license, certificate, or other permit in good standing issued by a US state or DC are authorized to render aid in Minnesota during the public health emergency. Before rendering any aid in MN, out-of-state Minn. Rev. Stat. Yes, active until the end physicians must be engaged with a healthcare § 62A.672; Minnesota Yes of the State of system or provider, such as a hospital, clinic, No Yes Yes Yes Yes Yes Minn. Rev. Stat. Emergency. or other healthcare entity, in MN. The § 256B.0625 healthcare system or provider must then file a report with the Minnesota Dept. of Health, no later than 60 days after termination of the PHE, that includes the number of out-of-state healthcare professional engaged, license type, and length of engagement.

Out-of-state providers may practice necessary As trainees are not licensed, No in person requirements for Miss. Code. Ann. Yes, active until further Yes, for necessary Mississippi Yes services in Mississippi so long as they have an No Yes Yes they are not eligible to No Yes Yes (in existing law) perscriptions including controlled §§83-9-351, 353 notice. services. unrestricted license in another state. perform telehealth services. substances

During the state of emergency in Missouri, R.S.Mo § physicians and surgeons licensed in another 376.1900; Yes, active until the end As trainees are not licensed, state can provide care to MO citizens, in Missouri R.S.Mo. § Yes of the State of No Yes Yes they are not eligible to Yes Yes Yes person or using telehealth options, as long as 208.670; R.S.Mo Emergency. perform telehealth services. they are actively licensed in another state and § 191.1145 their license has not been disciplined.

The Montana Department of Labor and Industry is providing interstate licensure Mont. Code Ann. As trainees are not licensed, Yes, active until further recognition during the COVID-19 state of Montana §33-22-138; Yes No Yes Yes they are not eligible to No Yes Yes Yes notice. emergency to professionals who possesses an 24.156.813 perform telehealth services. active, unrestricted license, and are in good standing, in another state.

5 03/03/2021 State and Territory COVID Telehealth Waivers

Existing Prior in Person Originating Site Reimbursement Reimbursement Telehealth Emergency Licensure Process for Out of State Contact Requirement Audio-Only Supervision Reimbursement Parity Private Out of State Statute Licensure Waiver In Effect Physicians Required Waived Allowed? Trainees and Post-Doc Allowed Parity Medicaid Insurers Providers Other Considerations

Physicians are allowed to have any number of Neb. Rev. Stat. Out-of-state providers who work in Nebraska Yes, terminates 30 days As trainees are not licensed, physician assistants § 71-8501 et seq; are authorized to use telehealth under the same No (in existing Nebraska Yes after the state of Yes Yes they are not eligible to insofar as doctors Yes Yes Yes §44-312; § 44- statutory provisions that permit Nebraska statute) emergency has ended. perform telehealth services. determine 7,107 health care providers to use telehealth. necessary within their professional discretion.

Temporarily suspends state licensure Yes, Governor is temporarily Nev. AB 292; requirements for out-of-state providers, but waiving licensure Some trainees may Nev. Rev. Stat. Yes, active until the end providers must report to the proper board. It is requirements allowing need supervision Nevada Ann. §§ Yes of the State of No Yes Yes Yes Yes Yes up to the discretion of the Chief Medical trainees to practice depending on their 689A.0463; Emergency. Officer to waive licensing requirements for out- depending on level of training. 695A.265 of-country physicians. expertise.

Yes, active until the end Allows out of state providers to provide As trainees are not licensed, RSA 415-J:1 et of the State of Emergency medically necessary services through telehealth New Hampshire Yes No Yes Yes they are not eligible to No Yes Yes Yes seq. which is scheduled to to patients in NH; allows continuity of care for perform telehealth services. expire on March 5, 2021. students whether in person or via telehealth. No (unless it is an Yes, but all out-of-state Accelerated temporary licensure through out-of-state Interns in mental NJ 45: 1-61; licenses regardless of reciprocity and waives certain requirements. provider, in As trainees are not licensed, health settings Yes, with certain New Jersey 52:14-17.29w; Yes expiration date will However, out-of-state providers may only which case there Yes Yes they are not eligible to Yes Yes under supervision restrictions 30:4D-6k expire on February 28, provide care related to COVID-19 or to must be a pre- perform telehealth services. can be reimbursed. 2021. existing patients. established relationship)

NM Stat § 12-10-11: During an emergency, a person who holds a license, certificate or other N.M. Stat. §13-7- permit that is issued by a state or territory of 14; 59A-22-49.3; the United States and that evidences the May provide services via Yes, active until 59A-23-7.12; meeting of qualifications for professional, telehealth if they meet gubernatorial rescission Yes (existing law New Mexico 59A-46-50.3; Yes mechanical or other skills may be credentialed, No Yes certain requirements and the Yes Yes Yes Yes which is currently set to allows) NMAC §§ if appropriate and approved by the department board feels they are expire on March 5, 2021. 8.310.2.12(M), of health... to render aid involving those skills competent. 8.308.9.18 to meet an emergency, subject to limitations and conditions as the governor may prescribe by executive order or otherwise.

Unlicensed N.Y. Pub. Health 2020 individuals may Law 29-G § Graduates who have not collect throat swabs Yes, active until the end Temporarily suspends and modifies licensing 2999CC; 4406g taken their boards yet may for testing under of the State of Emergency requirements to recognize interstate licensure New York NY CLS Ins Law Yes No Yes Yes practice in person under the supervision; or Yes Yes Yes set to expire on February and allows doctors from Canada to practice in § 3217-h; 4306- supervision of a practicing perform other tasks 26, 2021. NY. g; NY CLS Soc physician through July 6, under the Serv § 367-u(2) 2020. supversion of a nurse.

Students at an appropriate level of Yes, active until 30 days study may Providers in other states may provide in-person Volunteers with proper North Carolina None currently Yes after the State of No Yes Yes providecare under Yes Yes Yes care and telehealth services. training may provide care. Emergency is terminated. supervision as determined by the board.

Yes, active until the end Suspends licensure requirements to allow out As trainees are not licensed, N.D. Cent. Code North Dakota Yes of the State of of state providers to provide health care and No Yes Yes they are not eligible to No Yes Yes Yes § 26.1-36-09.15 Emergency. behavior health services to ND residents. perform telehealth services.

6 03/03/2021 State and Territory COVID Telehealth Waivers

Existing Prior in Person Originating Site Reimbursement Reimbursement Telehealth Emergency Licensure Process for Out of State Contact Requirement Audio-Only Supervision Reimbursement Parity Private Out of State Statute Licensure Waiver In Effect Physicians Required Waived Allowed? Trainees and Post-Doc Allowed Parity Medicaid Insurers Providers Other Considerations

Health Care Existing laws allows physicians registered in As trainees are not licensed, Northern Professions Yes, in effect until further other countries, except Canada, to practice in Yes (existing law Yes No Yes they are not eligible to No Yes Yes Yes Mariana Islands Licensing Act of notice. the country so long as they go through the allows) perform telehealth services. 2007 proper channels with the board.

Out-of-state physicians may treat patients via Yes, interns may Ohio Rev. Stat. telemedicine that are visiting Ohio and are No, for in-state provide services As trainees are not licensed, Ann. § 3902.30; Ohio has no waivers for unable to leave; Physicians in contiguous physicians; Yes, Yes, for in-state hwen overseen by a Yes, with certain Ohio No Yes they are not eligible to Yes Yes ORC 4731.36 license reciprocity. states with pre-existing relationships with Ohio for out-of-state physicians. practicing provider restrictions perform telehealth services. (for out of state) residents are also allowed to provide out-of- physicians. in a facility-based state telemedicine services. setting.

OK's order offers broad credentialing Interns and postdoc privileges to any medical professional who supervised services holds a license, certificate, or other permit Interns and postdoc are reimbursed by issued by any state that is a party to the supervised services are Yes, but currently set to Medicaid and 36 Okla. St. Ann. Emergency Management Compact evidencing reimbursed by Medicaid and Oklahoma Yes expire on March 14, No Yes Yes commercial Yes (existing law) Yes (existing law) Yes §§ 6802, 6803 the meeting of qualifications for the practice of commercial insurance and 2021. insurance and certain medical services shall be deemed eligible to be performed via eligible to be licensed to practice in Oklahoma as long as the telehealth. performed via order is in effect. The physicians must recieve telehealth. approval from the appropriate board.

Physicians and PA's with an active status license to practice medicine in Oregon may Yes, active until the end Or. Rev. Stat. §§ provide care via telemedicine to their Oregon of the State of Emergency Oregon 743A.058, Yes patients. Out of state physicians with a No Yes Yes Not mentioned Yes Yes Yes currently scheduled to 743A.185 telemedicine license may provide remote care expire on March 3, 2021. to their Oregan patients. Physicians must apply with application on the state resources page.

Governor granted a suspension to allow Yes, active until the end licensed practitioners in other states to provide of the State of Emergency services to Pennsylvanians without obtaining a As trainees are not licensed, Pennsylvania No Yes currently scheudled to Pennsylvania license, so long as the physician Not mentioned Yes Yes they are not eligible to Yes Yes No (?) Yes expire on February 22, is licensed and in good standing in their home perform telehealth services. 2021. state and provides the Pennsylvania state board with certain information.

Existing law allows for broad discretion during Ruling Letter No. emergencies, allowing for providers licensed in Puerto Rico No No Yes Yes Not mentioned Not mentioned Yes Yes Yes CN-2020-274-D other states / territories to provide care. However, the license only lasts 90 days.

Yes, active until end of If you are providing telehealth services to a Rhode Island State of patient who lives in RI and you wish to No, not explicitly As trainees are not licensed, R.I. Gen. Laws Emergency currently continue providing treatment you must apply stated but implied Yes (existing law Rhode Island Yes Yes they are not eligible to Yes Yes Yes §§27-81-1 et seq. scheduled to expire for a full RI license or the patient must obtain by language in the allows) perform telehealth services. March 17, 2021 (for treatment from a provider who holds an active order. established patients only). RI license.

The SC Board of Medical Examiners is Yes but only for S.B. 1035 temporarily waiving SC licensing requirements Yes, active until the end established patients Schedule I and II drug prescriptions (provides some for physicians, PAs, and respiratory care South Carolina Yes of the State of No Yes who need check-in Yes Yes Yes Yes are prohibited through telephonic telehealth practitioners licensed and in good standing in Emergency. subject to means guidance) another state and whose services are limitations determined to be necessary by DHEC.

7 03/03/2021 State and Territory COVID Telehealth Waivers

Existing Prior in Person Originating Site Reimbursement Reimbursement Telehealth Emergency Licensure Process for Out of State Contact Requirement Audio-Only Supervision Reimbursement Parity Private Out of State Statute Licensure Waiver In Effect Physicians Required Waived Allowed? Trainees and Post-Doc Allowed Parity Medicaid Insurers Providers Other Considerations Yes, active until the end Grants full recognition to the licenses held by a S.D. Codified of the State of As trainees are not licensed, professional by any compact member state, South Dakota Laws §§ 58-17- Yes Emergency, currently No Yes Yes they are not eligible to Yes Yes Yes there is no need to apply for another license in 167 - 58-17170 scheduled to expire June perform telehealth services. SD. 30, 2021.

Allows out-of-state providers who are licensed in another state to engage in the practice of As trainees are not licensed, Tenn. Code Ann. Yes, but currently set to such individuals profession in Tennessee if Tennessee Yes No Yes Yes they are not eligible to Yes (existing law) Yes (existing law) Yes §56-7-1002 expire February 27, 2021. they are assisting in the medical response to perform telehealth services. COVID (must fill out a form on the DHHPB website).

Texas Medical Board will allow out-of-state physicians to obtain a Texas limited emergency license or hospital-to-hospital credentialing for no more than thirty (30) days from the date the physician is licensed or until Yes, reimbursement the disaster declaration has been withdrawn or for out-of-state Yes, active until the end ended, whichever is longer. A practitioner who Trainees may also provide Tex. Ins. Code licensed providers of the State of Emergency holds a full, unlimited and unrestricted license Yes (existing law supervised services via Texas §§1455.001 to Yes Yes Yes Yes Yes not enrolled in the which is currently set to to practice in another U.S. state, territory or allows) telehealth, if appropriate, for 1455.006 Medicaid program expire on March 6, 2021. district may qualify for a limited emergency a particular patient or subject to certain license upon the following conditions being situation. conditions. met: Must complete a license application and the board will verify that the practitioner holds a full, unlimited, and unrestricted license to practice in another U.S. state, territory or district.

An out-of-state physician may practice without a Utah license if: (a) the individual is licensed Utah Admin. in good standing as a physician in another Code R414-42; state with no licensing action pending and no Utah Code Ann. less than 10 years of professional experience; § 31A-22-649 (b) the services are rendered as a public service Yes, active until the end Utah Code Ann. and for a noncommercial purpose; (c) no fee or Yes (existing law Utah Yes of the State of Yes Yes Yes Yes Not mentioned § 31A-22-649.5 other consideration of value is charged, allows) Emergency. Utah Code Ann. received, expected, or contemplated for the § 36-60-102 services rendered beyond an amount necessary Utah Code Ann. to cover the proportionate cost of malpractice § 36-60-103 insurance; and (d) the individual does not otherwise engage in unlawful or unprofessional conduct.

Graduates of an approved professional Special provisions for the COVID-19 public program who are unable to take the health emergency have been passed to Yes, reimbursement required exam due to COVID-19. The facilitate practice in Vermont by healthcare for out-of-state temporary license is valid for 90 days, professionals who are not licensed in Vermont. Trainees can perform licensed providers or until termination of the declared Yes, active until March This sets forth information for physicians Yes (existing law Vermont 8 V.S.A. §4100k Yes N/A Yes telehealth services under Yes Yes not enrolled in the state of emergency, whichever occurs 31, 2021. (MD), physician assistants, and podiatrists. allows) Medicaid. Medicaid program first, as long as provided the licensee There are two different paths available to be subject to certain remains in good standing. The board able to practice during the emergency, conditions. may reissue the temporary license if “deemed” and “emergency”, both are the declared state of emergency expedited and free. continues longer than 90 days

Existing legislation allows for physicians US Virgin Virgin Islands licensed in other states / territories to provide No Yes Yes Yes Islands Telehealth Act care providing they meet certain requirements.

8 03/03/2021 State and Territory COVID Telehealth Waivers

Existing Prior in Person Originating Site Reimbursement Reimbursement Telehealth Emergency Licensure Process for Out of State Contact Requirement Audio-Only Supervision Reimbursement Parity Private Out of State Statute Licensure Waiver In Effect Physicians Required Waived Allowed? Trainees and Post-Doc Allowed Parity Medicaid Insurers Providers Other Considerations

Out-of-state licensed providers may provide No, not if they Yes, reimbursement telehealth services if they have a license and meet the for out-of-state Yes (restrictions on are in good standing in another state. Must requirements for As trainees are not licensed, licensed providers Va. Code. Ann compensation for Yes, active until further Yes (existing law Yes, with some Virginia submit to the applicable licensing board each out-of-state they are not eligible to Yes Yes (existing law) not enrolled in the §38.2-3418.16 out-of-state notice. allows) exceptions out-of-state health care practitioner's name, practice in perform telehealth services. Medicaid program providers) license type, state of license, and license ID Virginia during subject to certain number. COVID conditions.

Yes, reimbursement for out-of-state Yes (restrictions on Washington enabled its emergency volunteer Yes, active until the end As trainees are not licensed, licensed providers Wash. Rev. compensation for health care practitioner program allowing out- Yes (existing law Yes (existing law Washington of the State of N/A they are not eligible to Yes (existing law) Yes (existing law) not enrolled in the Code§48.43.735 out-of-state of-state providers to practice in Washington, allows) allows) Emergency. perform telehealth services. Medicaid program providers) with restrictions around compensation. subject to certain confitions.

To register, out of state physicians and physician assistants: (1) must hold a valid, Yes, reimbursement permanent, current, and unrestricted license to for out-of-state practice in another state; (2) must not be the West Virginia does not allow 2020 HB 4003 Yes, active until the end licensed providers subject of a pending or active complaint, interns to bill under West Virginia (effective Yes of the State of No Yes Yes Yes Yes Yes not enrolled in the investigation, Consent Order, Board Order or Medicaid, though postdocs 7/1/2020) Emergency. Medicaid program pending disciplinary proceeding in any are allowed. subject to certain jurisdiction; and (3) must not have not confitions. surrendered a license while under investigation or had a license revoked in any jurisdiction.

No mandated parity but Health plan issuers are reminded to review Any health care provider with a valid and provisions in current Yes, active for the current license issued by another state may policies regarding the No (some duration of the federal practice under that license and within the delivery of health care regulation via the Trainees are eligible to Some of the changes to the telehealth Public Health scope of that license in Wisconsin without first services via telehealth Wisconsin Medical Yes No Yes Yes perform telehealth services Not mentioned Yes Not mentioned policy for Medicaid in wisconsin are Emergency, currently obtaining a temporary or permanent license and ensure their Examining Board under Medicaid. permanent changes scheduled to expire on from the Department of Safety and telehealth programs Ch. 24) March 20, 2021. Professional Services (DSPS), so long as with participating conditions are met. providers are robust and will be able to meet any increased demand.

Emergency temporary permit application on No mandated parity their website for licensed out-of-state medical but encourages health professionals seeking a temporary, voluntary insurers to liberalize Yes, reimbursement license. Physicians and PAs not licensed in No (some telehealth benefits for out-of-state Wyoming may qualify to provide care both in regulations by the Yes, active until the end Trainees are eligible to during the public licensed providers person and via telehealth to patients located in Wyoming Wyoming Yes of the State of Yes Yes Unclear provide telehealth services Yes health emergency and not enrolled in the Wyoming through the consultation exemption. Healtchare Emergency. under Medicaid. to allow consumers to Medicaid program To provide care without a license a physician Licensing Board) access telehealth subject to certain must have current, full unrestricted license in benefits through their conditions. at least one U.S. jurisdiction and it must be current health care approved by the Board of Medicine and the providers. State Health Officer.

9 03/03/2021