The COVID-19 public health emergency (PHE) spurred a seismic shift in the delivery of health care, including services provided to children and adolescents. Pediatric providers rapidly scaled up their telehealth capabilities in response to the PHE in order to reduce disease transmission and ensure continuity of care for children and adolescents. Temporary Medicaid policies enacted at the state level facilitated the widespread use of telehealth during the PHE. State Medicaid agencies recognize that telehealth is now a more accepted, and in some cases preferred, method of care delivery and are focused on developing their post-PHE Medicaid telehealth policies.