Manatt Telehealth Policy Tracker: Tracking Ongoing Federal and State Telehealth Policy Changes

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2024: New Federal Developments

There were no relevant federal developments during Q2 of 2024.

2024: New State-Level Developments

State Activity

Alabama

  • Alabama passed S.B. 207, entering the state into the Dietician Licensure Compact, which enables licensed dieticians residing in Alabama to obtain compact privileges to practice in other compact states where they are not licensed.
    • Note: As of the time of publication, the Compact is not yet active—additional states must enact the model legislation into law.
  • Alabama passed S.B. 208, entering the state into the Social Work Licensure Compact (SWLC), which will enable clinical, master’s, or bachelor’s social workers licensed in Alabama to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12-14 months before multistate licenses are issued.

Arizona

  • Arizona passed S.B. 1036, entering the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Arizona to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.
  • Arizona passed H.B. 2174, which establishes policies and procedures for the provision of diabetes management services via telehealth within a school setting.
  • Arizona passed S.B. 1173, entering the state into the Licensed Professional Counselors Compact, which enables professional counselors licensed and residing in Arizona to practice in other compact member states without obtaining multiple licenses.
    • Note: As of the time of publication, the compact privileges to practice are not yet available. The Compact Commission anticipates the application process will be available in 2025.

Colorado

  • Colorado passed S.B. 168, which seeks to expand access to telehealth remote patient monitoring services for Medicaid members.
    • “Telehealth remote monitoring” is defined as the monitoring of clinical data through technological equipment to assess changes in a member’s clinical status.
    • By September 1, 2024, the state’s Department of Health Care Policy and Financing must convene a stakeholder group composed of health care providers serving rural and underserved populations to determine the appropriate billing structure for telehealth remote monitoring.
    • Beginning July 1, 2025, the Department of Health Care Policy and Financing must provide reimbursement for the use of telehealth remote monitoring for outpatient clinical services if:
      • The member’s provider determines that telehealth remote monitoring is medically necessary or would likely prevent readmission to a hospital, emergency department, nursing facility, or other clinical setting;
      • The member is capable of operating telehealth remote monitoring devices/equipment or has a caregiver who is capable of such; and
      • The member resides in a setting suitable for telehealth remote monitoring and does not have health care staff on-site.
    • The state board must develop and communicate additional eligibility requirements that prioritize members with chronic conditions and members carrying a high-risk pregnancy.
    • The bill also requires the state to develop a telehealth remote monitoring grant program to award $100,000 to up to five outpatient facilities serving rural counties or designated health care professional shortage areas for telehealth remote monitoring services. The state should prioritize applicants serving populations experiencing disparities in health care access and outcomes, such as historically marginalized and underserved communities.
      • Grant recipients may use grant funds to acquire telehealth remote monitoring equipment or train staff to use the equipment.
  • Colorado passed S.B. 141, which allows health care providers licensed in other states to provide health care services in Colorado if registered with a regulatory authority (i.e., applicable licensing board within the department of regulatory agencies) beginning January 1, 2026.
    • Registered providers providing telehealth services are subject to the standards and laws applicable to the provision of comparable in-person health care services in Colorado.
      • Registered providers must provide their patients with appropriate follow-up care as required by the laws, rules, and standard of care for Colorado and must maintain a written emergency protocol that includes coordination with emergency services near the originating site.
    • Registered providers cannot open an office in Colorado, nor can they provide in-person health care services unless they obtain the license, certification, or registration that the regulator requires for the provision of relevant health care services.
      • When providing telehealth services to patients in Colorado, registered providers must disclose their location and that they do not have a physical location in Colorado.
  • Colorado passed S.B. 034, which increases access to school-based health care services through the creation of a grant program. Grant recipients may use funding to expand existing school-based services, including those delivered via telehealth by providers located in Colorado.
  • Colorado passed H.B. 1002, entering the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Colorado to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.

Connecticut

  • Connecticut passed H.B. 5198, which extends the following provisions for telehealth providers and entities that may engage in telehealth services adopted during the COVID-19 pandemic through June 30, 2027. The bill defines “telehealth provider” as “any licensed health care provider who is providing healthcare or other health services using telehealth within such provider’s scope of practice and in accordance with the standard of care applicable to the profession.”
    • Telehealth providers are required to register with the Department of Public Health and complete the application process for licensure or certification within 60 days after registering. In addition, the Commissioner of Public Health shall issue a decision on each application within 45 days after completion.
    • No telehealth providers shall provide health services through telehealth unless the provider has determined whether the patient has health coverage for such services and whether they elect to use such coverage to pay for those services.
    • Subject to compliance with applicable state and federal requirements and standards, telehealth providers may provide telehealth services from any location to a patient in any location.
    • Any Connecticut entity, institution, or health care provider that engages or contracts with a licensed telehealth provider registered in another U.S. state or territory shall verify that the provider has registered with the Department of Public Health.
    • No telehealth provider or hospital shall charge a facility fee for telehealth services.
  • Connecticut passed H.B. 5197 entering the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Connecticut to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.

Florida

  • Florida passed H.B. 855, which requires advertisements of dental services provided through telehealth to include the below disclaimer for certain dental services:
    • “An in-person examination with a dentist licensed under chapter 466, Florida Statutes, is recommended before beginning telehealth treatment in order to prevent injury or harm.”
    • The disclaimer is required for the advertisement of:
      • The taking of an impression or digital scanning of one’s tooth, teeth, or jaws;
      • Furnishing, supplying, constructing, reproducing, or repairing any prosthetic denture, bridge, or appliance or any other structure designed to be worn in the human mouth;
      • Placing an appliance or a structure in the human mouth or adjusting or attempting to adjust the appliance or structure; or
      • Correcting or attempting to correct malformations of teeth or jaws.

Hawaii

  • Hawaii passed S.R. 80/H.R. 106, which requires the establishment of a telehealth workgroup to examine the impact of telehealth adoption during the COVID-19 pandemic and identify state and federal public policy initiatives to optimize telehealth utilization. Additionally, the bill:
    • Proposes a list of recommended workgroup members, including, though not limited to:
      • Representatives from the House of Representatives and Senate standing committees with primary jurisdiction over health;
      • The Director of Health;
      • The Insurance Commissioner;
      • Representatives of health care insurers, systems, and plans;
      • Representatives from various named health organizations; and
    • Requires the workgroup to submit a report of its findings and recommendations to the Legislature no later than twenty days prior to the convening of the Regular Session of 2025.

Illinois

  • Illinois passed S.B. 3268, which requires the Illinois Department of Healthcare and Family Services to:
    • Administer a program to provide financial support to critical access hospitals for the delivery of perinatal and OB/GYN services, behavioral health services, other specialty services, and telehealth services.
    • Negotiate payment, agreed upon administrative fees associated with implementing telehealth services for persons with intellectual and developmental disabilities receiving waiver-funded residential services under the state’s Home and Community-Based Services Waiver Program beginning January 1, 2025.
      • The bill specifies that the implementation of telehealth services shall not prevent individuals from receiving in-person care, and the use of telehealth services shall not replace primary care physician services.

Iowa

  • Iowa passed H.B. 2512, entering the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Iowa to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.

Kansas

  • Kansas passed H.B. 2484, entering the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Kansas to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.

Kentucky

  • Kentucky passed S.B. 111, which requires any Kentucky health insurance policy, certificate, plan, or contract providing habilitative and/or rehabilitative services to include coverage for speech therapy via telehealth.
    • Defines “habilitative speech therapy” as speech therapy that helps a person keep, learn, or improve skills and functioning for daily living.
    • Defines “rehabilitative speech therapy” as speech therapy that helps a person restore or improve skills and functioning for daily living that have been lost or impaired.
  • Kentucky passed S.B. 255, which establishes requirements and standards for the provision of social work services via telehealth. Under this bill, licensed social workers shall:
    • Ensure the informed consent of the client or appropriate proxy is obtained before providing telehealth services;
    • Ensure the confidentiality of the client’s medical information is maintained through appropriate processes, practices, and technology, as required by applicable state and federal law;
    • Disclose to the client the potential risks to privacy and confidentiality of information due to the use of technology;
    • Determine the appropriateness of telehealth in meeting the client’s needs, and provide the client with the knowledge and skill to benefit from telehealth;
    • Not engage in fee-splitting with other telehealth providers or entities;
    • Not engage in false, misleading, or deceptive advertising of telehealth services;
    • Complete a board-approved two-hour training course on the use of telehealth to provide services (beginning on July 1, 2025);
    • Make a reasonable attempt to verify and document the client’s physical location at the time services are provided;
    • Establish a method of communication with the client; and
    • Document when telehealth services are provided in the client’s record and note any technological difficulties experienced during the provision of services.
  • Kentucky passed S.B. 74, which establishes the Kentucky maternal psychiatry access program (Kentucky Lifeline for Moms), which aims to help health care practitioners meet the needs of mothers with mental illness or an intellectual disability. Under this program:
    • Health benefit plans are required to provide coverage for telehealth or digital health services that are related to maternity care associated with pregnancy, childbirth, and postpartum care.
    • Medicaid managed care organizations must provide coverage for telehealth and digital health services to support maternity care associated with pregnancy, childbirth, and postpartum care (e.g., lactation consultation).

Louisiana

  • Louisiana passed H.B. 896, which requires remote monitoring services provided via telehealth for patients suffering from one or more chronic diseases to be a covered service under Medicaid. Under this bill:
    • “Remote patient monitoring services” refers to providers’ delivery of in-home health care services using telecommunications technology to monitor clinical patient data. These services may consist of an assessment/evaluation of the patient’s condition or implementation of a care management plan.
    • Any equipment used for remote patient monitoring must comply with applicable FDA standards and must be in good condition.
    • Telehealth providers serving Medicaid-covered patients are eligible for two telehealth installation and training reimbursements per calendar year.
    • No geographic restrictions are placed on the delivery of remote monitoring services other than requiring the patient resides in Louisiana.
    • Health insurers, managed care organizations, or other such payors may establish their own policy and payment structure in lieu of service agreements with providers under a health benefit plan.
  • Louisiana passed H.B. 888, entering the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Louisiana to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.

Maine

  • Maine passed S.B. 2271, which is intended to improve facility fee transparency and notification. By January 1, 2024, and annually thereafter, health care entities are required to publish educational materials about facility fees and whether and under what circumstances a service facility fee may be charged.

Michigan

  • Michigan passed H.B. 4131, which prohibits insurers from requiring a health care professional to provide telehealth services for a patient unless the services are contractually required or determined to be clinically appropriate.
    • Such contracts may be between the insurer and a provider within their network or between an insurer and a third-party vendor for telemedicine-first or telemedicine-only products.
  • Michigan passed H.B. 4579, which restates an existing coverage parity requirement for health insurers in Michigan.
    • “If a service is provided through telemedicine under this section, the insurer shall provide at least the same coverage for that service as if the service involved face-to-face contact between the health care professional and the patient.”
  • Michigan passed H.B. 4213, which amends 1939 PA 280 to expand the coverage of telemedicine services under the Medicaid and Healthy Michigan program, including, but not limited to medical, dental, behavioral, and substance use disorder services. In addition, the bill enacts payment parity for telehealth services provided through either program.
    • Telehealth services are covered under both programs if the originating site is an in-home or in-school setting, in addition to other originating sites specified in the Medicaid manual or considered appropriate by the health care provider.
    • Both programs must:
      • Include an extensive list of the telehealth services and benefits provided.
      • Authorize as many provider types as appropriate to deliver telehealth services.
      • Provide coverage for audio-only telehealth services in addition to telehealth services provided via video conferencing.
      • Provide coverage for telehealth services delivered by Federally Qualified Health Centers, rural health clinics, or tribal health centers.
      • Incorporate telehealth services authorized under this section into rate development for any of their managed care programs.
    • Both programs shall not:
      • Impose quantity or dollar amount maximums or limitations for services delivered using telemedicine that are more restrictive than those imposed on comparable in-person services.
      • Reimburse distant providers for telemedicine services at a lower rate than comparable services rendered in person, except when reimbursing a provider who exclusively provides telemedicine services.
      • Impose specific requirements on the equipment or technologies used to deliver telehealth services, unless necessary to ensure patient safety.
      • Require a patient to use telehealth services in lieu of an in-person consultation.
      • Impose additional certification, location, or training requirements on distant providers (health care professional providing telehealth services) as a condition for reimbursement.
    • Reimbursement for telehealth services is contingent upon the availability of federal financial participation for those services
    • The bill requires Michigan’s Department of Health and Human Services to seek any necessary waiver or state plan amendment from the U.S. Department of Health and Human Services to implement these provisions.
  • Michigan passed H.B. 4580, which prevents Medicaid or the Healthy Michigan program from requiring patients to use telehealth services instead of in-person services.

Mississippi

  • Mississippi passed S.B. 2157, entering the state into the Psychology Interjurisdictional Compact (PSYPACT), which enables psychologists licensed in Mississippi to apply to the PSYPACT Commission for an Authority to Practice Interjurisdictional Telepsychology in other compact member states.

Nebraska

  • Nebraska passed L.B. 932, which:
    • Enters the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Nebraska to apply for a multistate license to practice in other compact member states; and
      • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.
    • Permits social workers with multistate authorization to practice in Nebraska under the Social Work Licensure Compact to perform state-required pre-abortion procedure evaluations to ensure the patient has not been coerced or pressured into seeking or consenting to an abortion, identify the presence of any risk factors, and provide the patient and provider with written results from the evaluation.
  • Nebraska passed L.B. 1215, which:
    • Enters the state into the Physician Assistant (PA) Licensure Compact, which will enable physician assistants licensed in Nebraska to apply for compact privilege to practice in other member states;
      • Note: As of the time of publication, the Compact is not yet operational—the Compact has reached activation status, but implementation will take 18–24 months before PAs can apply for privilege to practice in other states.
    • Enters the state into the Dietitian Licensure Compact, which will enable registered dietitians licensed in Nebraska to apply for compact privilege to practice in other member states; and
      • Note: As of the time of publication, the Compact is not yet active—additional states must enact the model legislation into law.
    • Removes requirements that written/signed patient statements indicating understanding and consent for an initial telehealth consultation be 1) added to the patient’s medical record and 2) collected if a patient gives verbal consent.

New York

  • New York passed S.B. 8307, which extends the repealer on the following telehealth provisions from Chapter 57 of the Laws of 2022 from April 1, 2024 to April 1, 2026:
    • Licensed mental health practitioners are permitted to practice via telehealth.
    • Medicaid must reimburse the delivery of audio-visual telehealth services and select services via audio-only services (developmental disability, mental health, and substance use and problem gambling services) on the same basis and at the same rate as in-person services.
    • State-regulated commercial health plans must reimburse the delivery of audio-visual telehealth services on the same basis and at the same rate as in-person services.

Ohio

  • Ohio passed S.B. 90, entering the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Ohio to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.

Rhode Island

  • Rhode Island passed H.B. 8219/S.B. 2173, entering the state into the Audiology and Speech-Language Pathology Interstate Compact, which allows audiologists and speech-language pathologists licensed in Rhode Island to obtain a privilege to practice in other Compact member state without obtaining licenses in those states.
    • Note: As of the time of publication, compact privilege applications are not yet available. The Compact Commission anticipates applications will open in late 2024–early 2025.
  • Rhode Island passed H.B. 7141/S.B. 2183, entering the state into the Licensed Professional Counselors Compact, which enables professional counselors licensed and residing in Rhode Island to practice in other compact member states without obtaining multiple licenses.
    • Note: As of the time of publication, the compact privileges to practice are not yet available. The Compact Commission anticipates the application process will be available in 2025.
  • Rhode Island passed H.B. 7350/S.B. 2184, entering the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Rhode Island to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.
  • Rhode Island passed H.B. 7945/S.B. 2623, entering the state into the Occupational Therapy Licensure Compact, which will enable occupational therapists and occupational therapy assistants licensed in Rhode Island to apply for compact privilege to practice in other member states.
    • Note: As of the time of publication, compact privileges to practice are not yet available—the Compact has reached activation status, but the Occupational Therapy Compact Commission anticipates compact privilege will become available in 2025.

South Carolina

  • South Carolina passed S.B. 0610, entering the state into the Licensed Professional Counselors Compact, which enables professional counselors licensed and residing in South Carolina to practice in other compact member states without obtaining multiple licenses.
    • Note: As of the time of publication, the compact privileges to practice are not yet available. The Compact Commission anticipates the application process will be available in 2025.

Tennessee

  • Tennessee passed S.B. 1881, which removes the requirement that providers establish a provider-patient relationship documented by an in-person encounter within 16 months prior to a telemedicine encounter from the definition of “provider-based telemedicine.”
  • Tennessee passed S.B. 1862, entering the state into the Dietitian Licensure Compact, which will enable registered dietitians licensed in Tennessee to apply for compact privilege to practice in other member states.
    • Note: As of the time of publication, the Compact is not yet active—additional states must enact the model legislation into law.
  • Tennessee passed S.B. 2134, entering the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Tennessee to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.

Vermont

  • Vermont passed H.B. 0861, which requires health insurance plans to reimburse services provided via audio-only telemedicine at the same rate as in-person services and permanently extend reimbursement parity for all telemedicine services.
  • Vermont passed H.B. 543, entering the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Vermont to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.
  • Vermont passed H.B. 0247, entering the state into the Occupational Therapy Licensure Compact, which will enable occupational therapists and occupational therapy assistances licensed in Vermont to apply for compact privilege to practice in other member states.
    • Note: As of the time of publication, compact privileges to practice are not yet available—the Compact has reached activation status, but the Occupational Therapy Compact Commission anticipates compact privilege will become available in 2025.

Virginia

  • Virginia passed H.B. 326/S.B. 239, entering the state into the SWLC, which will enable clinical, master’s, or bachelor’s social workers licensed in Virginia to apply for a multistate license to practice in other compact member states.
    • Note: As of the time of publication, multistate licenses are not yet available—the Compact has reached activation status, but implementation will take 12–14 months before multistate licenses are issued.
  • Virginia passed H.B. 919, which permits the Virginia Department of Education to: 1) include nationally recognized school-based telehealth providers in the model memorandums of understanding (MOUs) between school boards and mental health service providers that it distributes to Virginia school boards and 2) include the provision of mental health teletherapy in the model MOU parameters.
  • Virginia passed S.B. 87, which permits contracts between insurers and primary care providers to include, as part of a value-based payment arrangement, provisions that promote mental health screenings and referrals to mental health services, which may be provided via telehealth.

Washington, D.C.

  • Washington D.C. passed B25-0545 which enacts law related to the provision of telehealth in D.C. and to D.C. residents, including:
    • Health professionals licensed, registered, or certified in D.C. may provide telehealth services to D.C. residents and individuals located in D.C. only if:
      • Services are consistent with the applicable standard of care and the health professional’s scope of practice; and
      • Providing services is not otherwise prohibited by law;
    • Practitioner-patient/practitioner-client relationships may be established via telehealth “in accordance with the appropriate standard of care and the practitioner’s competence and scope of practice”;
    • Telehealth services must be provided “in a manner consistent with the standard of care applicable to a health professional who provides a comparable health care service” to individuals located in D.C.;
    • Excluding providers covered under interstate reciprocity agreements or licensure compacts, providers who are not licensed to practice in D.C. may not provide telehealth services to clients/patients located in D.C., unless the health practitioner has an established practitioner-client/practitioner-patient relationship, and:
      • The client/patient is temporarily located in D.C.; or
      • The client/patient is a D.C. resident and the telehealth services are not provided for more than 120 days;
    • Other provisions.

West Virginia

  • West Virginia passed H.B. 4110, which authorizes a legislative rule filed by the West Virginia Board of Licensed Dieticians to set requirements for the practice of telehealth by licensed dietitians.
  • West Virginia passed S.B. 300, which permits practitioners providing medication-assisted treatment to provide “certain aspects of telehealth if permitted under his or her scope of practice.”

Telehealth Payment Parity: State-by-State Tracker

“Payment parity” requires payors to reimburse for telehealth at the same rate as the equivalent in-person service. Prior to the COVID-19 pandemic, roughly ten states had implemented payment parity for telehealth (i.e., video visits). Many states implemented temporary payment parity following the onset of the pandemic; since then, several states passed laws implementing payment parity either permanently or with caveats (e.g., on a temporary basis, limited to specific specialties).

Payment parity policies are typically codified in state laws, statutes, or regulations that outline coverage and reimbursement requirements for payors. The Manatt Telehealth Policy Tracking team has analyzed the relevant payment parity policies in each state to develop the map and table below; these are updated on a quarterly basis. The map below indicates states that have implemented payment parity permanently or with caveats; the table includes supporting language from each state’s relevant law, statute or regulation.

Map of States With Laws Requiring Payment Parity (as of June 30, 2024)

As of June 2024, 22 states have implemented payment parity, 8 states have payment parity in place with caveats, and 21 states have no payment parity requirement.

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State-by-State Payment Parity Requirements Table

The table below includes state law, statute, or regulatory telehealth reimbursement requirements relevant to insurers (Commercial, Medicaid, Others), and indicates whether each state requires payors to reimburse providers for the delivery of telehealth services at parity with in-person care.

State Payment Parity: Does state law, statute, or regulatory requirements require that insurers (Commercial, Medicaid, Others) reimburse for services delivered via video visit at the same rate as those delivered in-person?

Alabama

No.

No relevant policy or statue reference found.

Alaska

No, mental health coverage parity only.

“A health care insurer that offers, issues for delivery, or renews in the state a health care insurance plan in the group or individual market [THAT PROVIDES MENTAL HEALTH BENEFITS] shall provide coverage for [MENTAL HEALTH] benefits provided through telehealth by a health care provider licensed in this state and may not require that prior in-person contact occur between a health care provider and a payment before payment is made for covered services.” – AK Statute, Sec. 21.42.422 (HB 29 – 2020 Session). Accessed May 2021)

Arizona

Yes.

“2. Except as otherwise provided in this paragraph, a corporation shall reimburse health care providers at the same level of payment for equivalent services as identified by the healthcare common procedure coding system, whether provided through telehealth using an audio-visual format or in-person care. A corporation shall reimburse health care providers at the same level of payment for equivalent in-person behavioral health and substance use disorder services as identified by the healthcare common procedure coding system if provided through telehealth using an audio-only format. This paragraph does not apply to a telehealth encounter provided through a telehealth platform that is sponsored or provided by the corporation.” – Arizona House Bill No. 2454 (Accessed May 2021)

Arkansas

Yes.

“(2) (A) "Health benefit plan" means:
(i) An individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by an insurer, health maintenance organization, hospital medical service corporation, or self-insured governmental or church plan in this state; and
(ii) Any health benefit program receiving state or federal appropriations from the State of Arkansas, including the Arkansas Medicaid Program, the Health Care Independence Program, commonly referred to as the "Private Option", and the Arkansas Works Program, or any successor program.

(1) A health benefit plan shall provide coverage and reimbursement for healthcare services provided through telemedicine on the same basis as the health benefit plan provides coverage and reimbursement for health services provided in person, unless this subchapter specifically provides otherwise. (2) A health benefit plan is not required to reimburse for a healthcare service provided through telemedicine that is not comparable to the same service provided in person.” – AR Code 23-79-1601 & 1602 (Accessed May 2021)

California

Yes, except for Medi-Cal managed care plans.

“(a) (1) A contract issued, amended, or renewed on or after January 1, 2021, between a health care service plan and a health care provider for the provision of health care services to an enrollee or subscriber shall specify that the health care service plan shall reimburse the treating or consulting health care provider for the diagnosis, consultation, or treatment of an enrollee or subscriber appropriately delivered through telehealth services on the same basis and to the same extent that the health care service plan is responsible for reimbursement for the same service through in-person diagnosis, consultation, or treatment.

(f) This section shall not apply to Medi-Cal managed care plans that contract with the State Department of Health Care Services pursuant to Chapter 7 (commencing with Section 14000) of, Chapter 8 (commencing with Section 14200) of, or Chapter 8.75 (commencing with Section 14591) of, Part 3 of Division 9 of the Welfare and Institutions Code.” – CA Health & Safety Code Sec. 1374.14 (Accessed May 2021)

Colorado

Yes.

“(b) (I) Subject to all terms and conditions of the health benefit plan, a carrier shall reimburse the treating participating provider or the consulting participating provider for the diagnosis, consultation, or treatment of the covered person delivered through telehealth on the same basis that the carrier is responsible for reimbursing that provider for the provision of the same service through in-person consultation or contact by that provider.” – CO Rev Stat § 10-16-123 (2017) (Accessed May 2021)

Connecticut

Yes, for Medicaid services only.

“(b) Notwithstanding the provisions of section 17b-245c, 17b-245e or 204 19a-906 of the general statutes, as amended by this act, or any other section of the general statutes, regulation, rule, policy or procedure governing the Connecticut medical assistance program, the Commissioner of Social Services shall, to the extent permissible under federal law, provide coverage under the Connecticut medical assistance program for audio-only telehealth services when
(1) clinically appropriate, as determined by the commissioner,
(2) it is not possible to provide comparable covered audiovisual telehealth services, and
(3) provided to individuals who are unable to use or access comparable, covered audiovisual telehealth services.

(c) To the extent permissible under federal law, the commissioner shall provide Medicaid reimbursement for services provided by means of telehealth to the same extent as if the service was provided in person.” – CT House Bill No. 6470 (passed 6/8/21) (Accessed June 2021)

Delaware

Yes.

“(e) An insurer, health service corporation, or health maintenance organization shall reimburse the treating provider or the consulting provider for the diagnosis, consultation, or treatment of the insured delivered through telemedicine services on the same basis and at least at the rate that the insurer, health service corporation, or health maintenance organization is responsible for coverage for the provision of the same service through in-person consultation or contact. Payment for telemedicine interactions shall include reasonable compensation to the originating or distant site for the transmission cost incurred during the delivery of health-care services.” – DE Title 18, Sec. 3370 (Accessed May 2021)

District of Columbia

No.

“(b) A health insurer shall reimburse the provider for the diagnosis, consultation, or treatment of the insured when the service is delivered through telehealth.” – DC Code Sec. 31-3862 (Accessed May 2021)

Florida

No.

“(45) A contract between a health maintenance organization issuing major medical individual or group coverage and a telehealth provider, as defined in s. 456.47, must be voluntary between the health maintenance organization and the provider and must establish mutually acceptable payment rates or payment methodologies for services provided through telehealth. Any contract provision that distinguishes between payment rates or payment methodologies for services provided through telehealth and the same services provided without the use of telehealth must be initialed by the telehealth provider.” – FL Statute 641.31(45) (Accessed May 2021)

Georgia

Yes.

“(3) ‘Insurer’ means an accident and sickness insurer, fraternal benefit society, hospital service corporation, medical service corporation, health care corporation, health maintenance organization, provider sponsored health care corporation, managed care entity, or any similar entity authorized to issue contracts under this title or to provide health benefit policies. (f) An insurer shall reimburse the treating provider or the consulting provider for the diagnosis, consultation, or treatment of the insured delivered through telemedicine services on the same basis and at least at the rate that the insurer is responsible for coverage for the provision of the same service through in-person consultation or contact; provided, however, that nothing in this subsection shall require a health care provider or telemedicine company to accept more reimbursement than they are willing to charge. Payment for telemedicine interactions shall include reasonable compensation to the originating or distant site for the transmission cost incurred during the delivery of health care services.” – Official Code of GA Annotated Sec. 33-24-56.4 (Accessed May 2021)

Hawaii

Yes.

“(c) Reimbursement for services provided through telehealth via an interactive telecommunications system shall be equivalent to reimbursement for the same services provided via in-person contact between a health care provider and a patient; provided that reimbursement for two-way, real-time audio-only communication technology for purposes of diagnosis, evaluation, or treatment of a mental health disorder to a patient in the patient's home shall be equivalent to eighty percent of the reimbursement for the same services provided via in-person contact between a health care provider and a patient. To be reimbursed for telehealth via an interactive telecommunications system using two-way, real-time audio-only communication technology in accordance with this subsection, the health care provider shall first conduct an in-person visit or a telehealth visit that is not audio only, within six months prior to the initial audio-only visit, or within twelve months prior to any subsequent audio-only visit. The telehealth visit required prior to the initial or subsequent audio-only visit in this subsection shall not be provided using audio-only communication. Nothing in this section shall require a health care provider to be physically present with the patient at an originating site unless a health care provider at the distant site deems it necessary.”
“This Act shall take effect upon its approval; provided that on December 31, 2025, this Act shall be repealed and sections 346–59.1, 431:10A–116.3, 432:1–601.5, 432D–23.5, and 453–1.3, Hawaii Revised Statutes, shall be reenacted in the form in which they read on the day prior to the effective date of this Act.” – HI Act 107 “(c) Reimbursement for services provided through telehealth shall be equivalent to reimbursement for the same services provided via face-to-face contact between a health care provider and a patient. Nothing in this section shall require a health care provider to be physically present with the patient at an originating site unless a health care provider at the distant site deems it necessary.” – HI Revised Statutes § 431:10A-116.3(c) (Accessed May 2021) (Note: HI Revised Statutes, accessed October 2023, does not appear to yet incorporate the changes made by HI Act 107 (see above))

Idaho

No.

No relevant policy or statue reference found.

Illinois

Yes.

“(d) For purposes of reimbursement, an individual or group policy of accident or health insurance that is amended, delivered, issued, or renewed on or after the effective date of this amendatory Act of the 102nd General Assembly shall reimburse an in-network health care professional or facility, including a health care professional or facility in a tiered network, for telehealth services provided through an interactive telecommunications system on the same basis, in the same manner, and at the same reimbursement rate that would apply to the services if the services had been delivered via an in-person encounter by an in-network or tiered network health care professional or facility. This subsection applies only to those services provided by telehealth that may otherwise be billed as an in-person service. This subsection is inoperative on and after January 1, 2028, except that this subsection is operative after that date with respect to mental health and substance use disorder telehealth services.” – IL House Bill No. 3308 (Accessed August 2021)

Indiana

No, coverage parity only.

"Sec. 6. (a) A policy must provide coverage for telemedicine services in accordance with the same clinical criteria as the policy provides coverage for the same health care services delivered in person.” – IN Code, 27-8-34-6 (Accessed May 2021)

Iowa

No, not explicitly.

"2. Notwithstanding the uniformity of treatment requirements of section 514C.6, a policy, contract, or plan providing for third-party payment or prepayment of health or medical expenses shall not discriminate between coverage benefits for health care services that are provided in person and the same health care services that are delivered through telehealth.” – IA Code 514C.34(3) (Accessed May 2021)

Kansas

No, not explicitly.

“(d) Payment or reimbursement of covered healthcare services delivered through telemedicine may be established by an insurance company, nonprofit health service corporation, nonprofit medical and hospital service corporation or health maintenance organization in the same manner as payment or reimbursement for covered services that are delivered via in-person contact are [is] established.” – KS Statute Ann. § 40-2,213 (Accessed May 2021)

Kentucky

Yes.

“(1) (a) A health benefit plan shall reimburse for covered services provided to an insured person through telehealth as defined in KRS 304.17A-005. Telehealth coverage and reimbursement shall be equivalent to the coverage for the same service provided in person unless the telehealth provider and the health benefit plan contractually agree to a lower reimbursement rate for telehealth services. – KY Revised Statutes § 304.17A-138 (Accessed May 2021)

Louisiana

No.

“Notwithstanding any provision of any policy or contract of insurance or health benefits issued, whenever such policy provides for payment, benefit, or reimbursement for any health care service, including but not limited to diagnostic testing, treatment, referral, or consultation, and such health care service is performed via transmitted electronic imaging or telemedicine, such a payment, benefit, or reimbursement under such policy or contract shall not be denied to a licensed physician conducting or participating in the transmission at the originating health care facility or terminus who is physically present with the individual who is the subject of such electronic imaging transmission and is contemporaneously communicating and interacting with a licensed physician at the receiving terminus of the transmission. The payment, benefit, or reimbursement to such a licensed physician at the originating facility or terminus shall not be less than seventy-five percent of the reasonable and customary amount of payment, benefit, or reimbursement which that licensed physician receives for an intermediate office visit.” – LA Revised Statutes 22:1821(F) (2012) (Accessed May 2021)

Maine

No.

“A carrier offering a health plan in this State may not deny coverage on the basis that the health care service is provided through telehealth if the health care service would be covered if it were provided through in-person consultation between an enrollee and a provider. Coverage for health care services provided through telehealth must be determined in a manner consistent with coverage for health care services provided through in-person consultation… A carrier may offer a health plan containing a provision for a deductible, copayment or coinsurance requirement for a health care service provided through telehealth as long as the deductible, copayment or coinsurance does not exceed the deductible, copayment or coinsurance applicable to a comparable service provided through in-person consultation.” – Maine Revised Statutes Annotated, Title 24-A, Sec. 4316 (Accessed May 2021)

Maryland

Yes, through June 30, 2025.

“From July 1, 2021, to June 30, 2025, both inclusive, when appropriately provided via telehealth, the Program shall provide reimbursement in accordance with paragraph (1)(i) of this subsection on the same basis and the same rate as if the health care service were delivered by the health care provider in person.” – MD Insurance Code Annotated Sec. 15-139(d)(2)(i) (Accessed October 2023)

Massachusetts

Yes, but only for mental health services.

“Insurance companies organized under this chapter shall ensure that the rate of payment for in-network providers of behavioral health services delivered via interactive audio video technology and audio-only telephone shall be no less than the rate of payment for the same behavioral health service delivered via in-person methods; provided, that this subsection shall apply to providers of behavioral health services covered as required under subclause (i) of clause (4) of the second sentence of subsection (a) of section 6 of chapter 176O.”

“Medical service corporations shall ensure that the rate of payment for in-network providers of behavioral health services delivered via interactive audio-video technology and audio-only telephone shall be no less than the rate of payment for the same behavioral health service delivered via in-person methods.” – Massachusetts Senate No. 2984. Section 47 (Accessed May 2021)

The same language is repeated for hospital service corporations and health maintenance organizations for behavioral health services delivered via telehealth.

Michigan

No, not explicitly. However, Michigan does require payment parity for behavioral health services covered under Medicaid fee-for-service and managed care.

“Telemedicine services are subject to all terms and conditions of the health insurance policy agreed upon between the policy holder and the insurer, including, but not limited to, required copayments, coinsurances, deductibles, and approved amounts.” – MI Compiled Law Services Sec. 500.3476 (Accessed May 2021).

“Sec. 239. For behavioral and physical health services provided through managed care or the fee-for-service program, the department shall require, for the non-facility component of the reimbursement rate, at least the same reimbursement for that service, if that service is provided through telemedicine, as if the service involved face-to-face contact between the health care professional and the patient.” – MI Public Acts of 2023, Act No. 119 (Accessed April 2024)

Minnesota

Yes.

“"Health carrier" means an insurance company licensed under chapter 60A to offer, sell, or issue a policy of accident and sickness insurance as defined in section 62A.01; a nonprofit health service plan corporation operating under chapter 62C; a health maintenance organization operating under chapter 62D; a fraternal benefit society operating under chapter 64B; or a joint self-insurance employee health plan operating under chapter 62H. – MN Statute Sec. 62A.011 Subd 3 (Accessed May 2021)

(a) A health carrier shall reimburse the distant site licensed health care provider for covered services delivered via telemedicine on the same basis and at the same rate as the health carrier would apply to those services if the services had been delivered in person by the distant site licensed health care provider.” – MN Statute Sec. 62A.672 Subd 3 (Accessed May 2021)

Mississippi

No, coverage parity only.

“All health insurance and employee benefit plans in this state must provide coverage for telemedicine services to the same extent that the services would be covered if they were provided through in-person consultation.” – MS Code Sec. 83-9-351. (Accessed May 2021)

Missouri

Yes.

“(22) "Health carrier", an entity subject to the insurance laws and regulations of this state that contracts or offers to contract to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services, including a sickness and accident insurance company, a health maintenance organization, a nonprofit hospital and health service corporation, or any other entity providing a plan of health insurance, health benefits or health services; except that such plan shall not include any coverage pursuant to a liability insurance policy, workers' compensation insurance policy, or medical payments insurance issued as a supplement to a liability policy” – MO Statute § 376.1350 (Accessed May 2021)

“Each health carrier or health benefit plan that offers or issues health benefit plans which are delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2014, shall not deny coverage for a health care service on the basis that the health care service is provided through telehealth if the same service would be covered if provided through face-to-face diagnosis, consultation, or treatment.

“A health carrier shall not be required to reimburse a telehealth provider or a consulting provider for site origination fees or costs for the provision of telehealth services; however, subject to correct coding, a health carrier shall reimburse a health care provider for the diagnosis, consultation, or treatment of an insured or enrollee when the health care service is delivered through telehealth on the same basis that the health carrier covers the service when it is delivered in person.” – MO Revised Statutes § 376.1900 (Accessed May 2021)

Montana

No, coverage parity only.

“Each group or individual policy, certificate of disability insurance, subscriber contract, membership contract, or health care services agreement that provides coverage for health care services must provide coverage for health care services provided by a health care provider or health care facility by means of telehealth if the services are otherwise covered by the policy, certificate, contract, or agreement.” – HB 43 (2021 Session) (Accessed May 2021)

Nebraska

Yes, but only for certain mental health and substance use disorder services or if the provider holds medical privileges at a facility in Nebraska or provides in-person health care services in Nebraska.

“Any health insurance plan delivered, issued, or renewed in this state if coverage is provided for treatment of mental health conditions other than alcohol or substance abuse, shall provide a reimbursement rate for accessing treatment for a mental health condition using telehealth services that is the same as the rate for a comparable treatment provided or supervised in person.” – NE Revised Statute Section 44-793 (Accessed March 2022)

“3)(a) Any insurer offering any policy, certificate, contract, or plan described in subsection (2) of this section for which coverage of benefits begins on or after January 1, 2021, shall not exclude from coverage telehealth services provided by a dermatologist solely because the service is delivered asynchronously.
(b) An insurer shall reimburse a health care provider for asynchronous review by a dermatologist delivered through telehealth at a rate negotiated between the provider and the insurer.” – NE Revised Statute. Sec. 44-7, 107 (Accessed May 2021)

“Except as otherwise provided in section 44-793, the reimbursement rate for any telehealth service shall, at a minimum, be the same as a comparable in-person health care service if the licensed provider providing the telehealth service also provides in-person health care services at a physical location in Nebraska or is employed by or holds medical staff privileges at a licensed facility in Nebraska and such facility provides in-person health care services in Nebraska.” – NE Revised Statute 44-312 (Accessed September 2023)

Nevada

Yes.

“A policy of health insurance subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after October 1, 2021, has the legal effect of including the coverage required by this section, and any provision of the policy or the renewal which is in conflict with this section is void.

A policy of health insurance must include coverage for services provided to an insured through telehealth to the same extent and, except for services provided through audio-only interaction, in the same amount as though provided in person or by other means.” – NV Senate Bill No. 5 (Accessed August 2021)

New Hampshire

Yes.

“An insurer offering a health plan in this state shall provide coverage and reimbursement for health care services provided through telemedicine on the same basis as the insurer provides coverage and reimbursement for health care services provided in person.” – NH Revised Statutes Annotated, 415-J:3 (Accessed May 2021)

New Jersey

Yes, through December 31, 2024.

“For the period beginning on the effective date of P.L.2021, c.310 and ending on December 31, 2024, a health benefits plan in this State shall provide coverage and payment for health care services delivered to a covered person through telemedicine or telehealth at a provider reimbursement rate that equals the provider reimbursement rate that is applicable, when the services are delivered through in-person contact and consultation in New Jersey, provided the services are otherwise covered by the health benefits plan when delivered through in-person contact and consultation in New Jersey.” – P.L. 2023, CHAPTER 199 (Accessed April 2024)

New Mexico

Yes.

“An insurer shall reimburse for health care services delivered via telemedicine on the same basis and at least the same rate that the insurer reimburses for comparable services delivered via in-person consultation or contact.” – NM Statutes Annotated. Sec. 59A-22-49.3(I) (Accessed May 2021)

New York

Yes, through April 1, 2024.

“(2) An insurer that provides comprehensive coverage for hospital, medical or surgical care shall reimburse covered services delivered by means of telehealth on the same basis, at the same rate, and to the same extent that such services are reimbursed when delivered in person; provided that reimbursement of covered services delivered via telehealth shall not require reimbursement of costs not actually incurred in the provision of the telehealth services, including charges related to the use of a clinic or other facility when neither the originating site nor distant site occur within the clinic or other facility.” – NY Insurance Law Article 32 Section 3217-h (Accessed January 2023)

“7. This act shall take effect immediately and shall be deemed to have been in full force and effect on and after April 1, 2022; provided, however, this act shall expire and be deemed repealed on and after April 1, 2024.” – NY Assembly Bill No. 9007C (Accessed January 2023)

North Carolina

No.

No relevant policy or statue reference found.

North Dakota

No, not explicitly.

“Payment or reimbursement of expenses for covered health services delivered by means of telehealth under this section may be established through negotiations conducted by the insurer with the health services providers in the same manner as the insurer with the health services providers in the same manner as the insurer establishes payment or reimbursement of expenses for covered health services that are delivered by in-person means.” – ND Century Code Sec. 26.1-36-09.15(3) (Accessed May 2021)

Ohio

No, coverage parity only.

“A health benefit plan shall provide coverage for telemedicine services on the same basis and to the same extent that the plan provides coverage for in-person health care services. Plans cannot exclude coverage for a service solely because it is provided as a telemedicine service.” – OH Revised Code Annotated, 3902.30 (Accessed May 2021)

“(D) This section shall not be construed as doing any of the following: […]
(3) Requiring a health plan issuer to reimburse a telemedicine provider for telemedicine services at the same rate as in-person services.
(E) This section applies to all health benefit plans issued, offered, or renewed on or after January 1, 2021.” – OH Revised Code Annotated, 3902.30 (Accessed May 2021)

Oklahoma

Yes.

“"Insurer" means any entity providing an accident and health insurance policy in this state including, but not limited to, a licensed insurance company, a not-for-profit hospital service and medical indemnity corporation, a fraternal benefit society, a multiple employer welfare arrangement or any other entity subject to regulation by the Insurance Commissioner; […]

An insurer shall reimburse the treating health care professional or the consulting health care professional for the diagnosis, consultation or treatment of the patient delivered through telemedicine services on the same basis and at least at the rate of reimbursement that the insurer is responsible for coverage for the provision of the same, or substantially similar, services through in-person consultation or contact.

This act shall become effective January 1, 2022.” – Oklahoma Senate Bill 674 (Accessed May 2021)

Oregon

Yes.

“(2) To encourage the efficient use of resources and to promote cost-effective procedures in accordance with ORS 413.011 (1)(L), the Oregon Health Authority shall reimburse the cost of health services delivered using telemedicine, including but not limited to:

(a) Health services transmitted via landlines, wireless communications, the Internet and telephone networks;

(b) Synchronous or asynchronous transmissions using audio only, video only, audio and video and transmission of data from remote monitoring devices; and

(c) Communications between providers or between one or more providers and one or more patients, family members, caregivers or guardians.

(3)(a) The authority shall pay the same reimbursement for a health service regardless of whether the service is provided in person or using any permissible telemedicine application or technology. […]

(8)(a) A health benefit plan and dental-only plan must pay the same reimbursement for a health service regardless of whether the service is provided in person or using any permissible telemedicine application or technology.“ – Oregon House Bill 2508 (Accessed June 2021)

Pennsylvania

No.

No relevant policy or statue reference found.

Rhode Island

Yes, bill passed July 2021.

“(2) All such medically necessary and clinically appropriate telemedicine services delivered by in-network primary care providers, registered dietitian nutritionists, and behavioral health providers shall be reimbursed at rates not lower than services delivered by the same provider through in-person methods.” – Rhode Island House Bill No. 6032 (Accessed July 2021)

South Carolina

No.

No relevant policy or statue reference found.

South Dakota

No, coverage parity only.

“No health insurer may exclude a service for coverage solely because the service is provided through telehealth and not provided through in-person consultation or contact between a health care professional and a patient. Health care services delivered by telehealth must be appropriate and delivered in accordance with applicable law and generally accepted health care practices and standards prevailing at the time the health care services are provided, including rules adopted by the appropriate professional licensing board having oversight of the health care professional providing the health care services. Health insurers are not required to provide coverage for health care services that are not medically necessary.” – SD Codified Laws Ann. § 58-17-168 & 169 (Accessed May 2021)

Tennessee

No, coverage parity only.

“(e) A health insurance entity shall provide coverage for healthcare services provided during a provider-based telemedicine encounter in a manner that is consistent with what the health insurance policy or contract provides for in-person encounters for the same service, and shall reimburse for healthcare services provided during a provider-based telemedicine encounter without distinction or consideration of the geographic location, or any federal, state, or local designation or classification of the geographic area where the patient is located.

(f) This section does not require a health insurance entity to pay total reimbursement for a provider-based telemedicine encounter in an amount that exceeds the amount that would be paid for the same service provided by a healthcare services provider for an in-person encounter.

(g,4) This section does not require a health insurance entity to reimburse a healthcare services provider for healthcare services delivered by means of provider-based telemedicine if the applicable health insurance policy would not reimburse that healthcare services provider if the same healthcare services had been delivered by in-person means.” – Tenn. Code Ann. § 56-7-1003 (Accessed May 2021)

Texas

No, coverage parity only.

“(a) A health benefit plan:
(1) must provide coverage for a covered health care service or procedure delivered by a preferred or contracted health professional to a covered patient as a telemedicine medical service or telehealth service on the same basis and to the same extent that the plan provides coverage for the service or procedure in an in-person setting; and

(2) may not: (A) exclude from coverage a covered health care service or procedure delivered by a preferred or contracted health professional to a covered patient as a telemedicine medical service or a telehealth service solely because the covered health care service or procedure is not provided through an in-person consultation” – TX Insurance Code 1455.004(a) (Accessed May 2021)

Utah

Yes.

“(2) Notwithstanding the provisions of Section 31A-22-618.5, a health benefit plan offered in the individual market, the small group market, or the large group market shall:
(a) provide coverage for:
(i) telemedicine services that are covered by Medicare; and
(ii) treatment of a mental health condition through telemedicine services if:
(A) the health benefit plan provides coverage for the treatment of the mental health condition through in-person services; and
(B) the health benefit plan determines treatment of the mental health condition through telemedicine services meets the appropriate standard of care; and
(b) reimburse a network provider that provides the telemedicine services described in Subsection (2)(a) at a negotiated commercially reasonable rate.” – UT Code Title 31A, Ch. 22, Part 6, Section 649.5 (Accessed May 2021)

Vermont

Yes, through January 1, 2026.

“(a)(1) All health insurance plans in this State shall provide coverage for health care services and dental services delivered through telemedicine by a health care provider at a distant site to a patient at an originating site to the same extent that the plan would cover the services if they were provided through in-person consultation.
[Subdivision (a)(2) repealed effective January 1, 2026.]

(2)(A) A health insurance plan shall provide the same reimbursement rate for services billed using equivalent procedure codes and modifiers, subject to the terms of the health insurance plan and provider contract, regardless of whether the service was provided through an in-person visit with the health care provider or through telemedicine.” – VT Statutes Annotated, Title 8 Sec. 4100k (Accessed Feb. 2021)

Virginia

Yes.

“An insurer, corporation, or health maintenance organization shall not be required to reimburse the treating provider or the consulting provider for technical fees or costs for the provision of telemedicine services; however, such insurer, corporation, or health maintenance organization shall reimburse the treating provider or the consulting provider for the diagnosis, consultation, or treatment of the insured delivered through telemedicine services on the same basis that the insurer, corporation, or health maintenance organization is responsible for coverage for the provision of the same service through face-to-face consultation or contact.” VA Code 38.2-3418.16 (Accessed April 2022)

Washington

Yes.

“(b)(i) Except as provided in (b)(ii) of this subsection, for health plans issued or renewed on or after January 1, 2021, a health carrier shall reimburse a provider for a health care service provided to a covered person through telemedicine at the same rate as if the health care service was provided in person by the provider.

(ii) Hospitals, hospital systems, telemedicine companies, and provider groups consisting of eleven or more providers may elect to negotiate a reimbursement rate for telemedicine services that differs from the reimbursement rate for in-person services. – WA RCW 48.43.735 & Sec. 41.05.700 as amended by House Bill 1196 (2021 Session) (Accessed May 2021)

West Virginia

Yes, for established patients and patients in acute care facilities.

The insurer shall provide reimbursement for a telehealth service at a rate negotiated between the provider and the insurance company for virtual telehealth encounters. The plan shall provide reimbursement for a telehealth service for an established patient, or care rendered on a consulting basis to a patient located in an acute care facility whether inpatient or outpatient on the same basis and at the same rate as if the service were provided through an in-person encounter. - WV Statute Sec. 5-16-7b (Accessed March 2022)

Wisconsin

No.

No relevant policy or statue reference found.

Wyoming

No.

No relevant policy or statue reference found.

Other Information of Interest

For the full list of other activities and updates from 2020-2022, please see here.

In February 2023, the American Medical Association CPT Editorial Panel added 17 new CPT codes that can be used to report telemedicine E/M office visits. The Panel also removed three codes for billing telephonic E/M office visits. These changes will be effective January 2025.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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