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State and Territory COVID Telehealth Waivers

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State and Territory COVID Telehealth Waivers 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 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 physician 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 medicine 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.
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