COVID-19: Telehealth

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The chart below includes NASPA’s compilation of state and federal actions affecting telehealth. This is a work in progress.

Updated May 29, 2020.

Return to COVID-19: Information from the States

State Level

State Emergency Order, Legislation, Agency Summary
Alabama Board of Pharmacy Board will not enforce state controlled-substance-related regulatory requirements related to good-faith use of telemedicine and phoned-in CII prescriptions. Expires April 6 but may be extended.
Alaska HCR 20 Suspends specific rules of the Uniform Rules of the State Legislature, extending the governor’s declaration of a public health disaster emergency in response to the novel coronavirus disease pandemic; relates to the coronavirus outbreak; relates to a financing plan; relates to standing orders of the chief medical officer; relates to occupational and professional licensing; relates to telemedicine and telehealth.
  HB 311 Extends the specified date, governor’s declaration of a public health disaster emergency in response to the COVID-19 pandemic; relates to the powers of the director of insurance; relates to standing orders issued by the chief medical officer; relates to professional licensing; relates to telemedicine and telehealth; relates to board of nursing fingerprint requirements; relates to the 2020 primary and general elections; relates to permanent fund dividend applications.
  SB 241 Extends the specified date, governor’s declaration of a public health disaster emergency in response to the novel coronavirus disease pandemic; relates to a financing plan; relates to standing orders issued by the chief medical officer; relates to occupational and professional licensing; relates to telemedicine and telehealth; relates to fingerprinting requirements; relates to elections in year 2020; provides for electronic and videoconference notification, verification, and acknowledgment of documents.
  Board of Pharmacy Amends rules relating to the practice of pharmacy, including pharmacist duties, pharmacy interns, pharmacy technicians, pharmacy technician with national certifications, license renewal, shared pharmacy services during emergency, refills, labeling, prescriptions by electronic transmission, transfer of a prescription drug order, substitution, emergency preparedness, independent administration of vaccines and related emergency medications in relation to the coronavirus global pandemic.
  Board of Pharmacy Telehealth and licensing guidance during COVID-19.
  Division of Health Care Services Temporary expansion of Medicaid telehealth coverage; guidance for coverage during COVID-19 emergency, includes information for medication management and telehealth registry.
  Division of Health Care Services Eligible services under expanded telehealth coverage, includes pharmacological management.
Arizona EO 7 Requires all insurers regulated by the state to cover telemedicine at a lower cost-sharing point for consumers than same in-office service to encourage the use of telemedicine for the duration of the emergency.
  EO 15 Relates to the expansion of telemedicine during the novel coronavirus outbreak.
  EO 19 Provides telemedicine for pets and animals during the coronavirus emergency.
  EO 20 Extends access to pharmacies during the coronavirus public health emergency.
Arkansas    
California Board of Pharmacy Pharmacy and pharmacist remote processing waiver conditions. Expands the activities permissible as “remote processing.”  Pharmacists performing remote processing may also receive, interpret, evaluate, clarify, and approve medication orders and prescriptions, including medication orders and prescriptions for controlled substances classified as Schedule II, III, IV or V.  The pharmacist remote processing waiver does not extend to final product verification and dispensing.  The waiver also allows pharmacists to supervise processing done by interns and technicians remotely using technology.  Pharmacists who are supervising remotely must be readily available to answer questions and must verify the work performed by the intern or technician.
  EO-N-43-20 Temporary expansion of telehealth.
Colorado EO 12 Orders the temporary suspension of regulatory statutes due to the presence of COVID-19.
  EO 20 Orders the temporary suspension of certain statutes to expand the use of telehealth services due to the presence of coronavirus.
  Division of Workers’ Compensation

 

Section 4: Telehealth Reimbursement. Place of service 02 – Telehealth is removed from place of service codes used with the RBRVS
facility RVUs. Maximum allowance is the non-facility RBRVS unit value for the CPT® code times the appropriate conversion factor. A 95 modifier must be appended to the appropriate CPT®code(s). An additional $5.00 transmission fee is not payable.  Section 5: Telehealth Utilization. Parties are encouraged to utilize telehealth wherever medically appropriate. Telehealth appointments are specifically allowed for return to work evaluations of essential employees of critical employers as defined in Amended Public Health Order 20-24, when those employees are physically able to do so. Notwithstanding any other provision of rule, an in-person examination will not be required where either the injured worker or medical provider objects to such an examination.

 

  EO 20 Temporarily suspends certain statutes to expand the use of telehealth services during COVID-19.
Connecticut EO 5 Expansion of Medicaid Telehealth Coverage to Audio-Only Telephone.
  EO 10 (7G) Flexibility for Medicaid Enrolled Providers and In-Network Providers for Commercial Fully Insured Health Insurance to Perform Telehealth Through Additional Methods.  e. Any related regulatory requirement that such telehealth services be provided from a provider’s licensed facility is hereby waived.
  EO 7FF (new)

 

Adds additional flexibility for Medicaid enrolled providers to provide telehealth through audio-only methods for new patients.

 

Delaware EO 41 9. Effective March 18, 2020 at 8:00 p.m. E.D.T., all Title 24 statutory requirements that patients present in-person before telemedicine services may be provided are suspended. Further, requirements that the patient must be present in Delaware at the time the telemedicine services are provided are suspended, so long as the patient is a Delaware resident. Any out of state healthcare provider who would be permitted to provide telemedicine services in Delaware if they were licensed under Tide 24 may provide telemedicine services to a Delaware resident if they hold an active license in another jurisdiction. The Delaware Board of Medical Licensure and Discipline’s Regulation 19 regarding restrictions on the use of telemedicine is suspended.
  EO 45 a. All applicable State of Delaware Medicaid regulations and programmatic requirements relating to the provision of telehealth services, including billing and reimbursement restrictions; and
b. Such additional waivers or programmatic requirement suspensions as the Public Health Authority may deem appropriate to respond to the Public Health Emergency.
  EO 48 a. To the extent not suspended by the Second Modification of the Declaration of a State of Emergency, all regulations requiring any in-person contact before or during telemedicine services provided by any medical professional are hereby suspended.
  EO 50 6. INSURANCE: Pursuant to the authority provided in 20 Del. C. § 3116(a)(2), requirements for the provision of telemedicine and telehealth under Title 24 of the Delaware Code that require both audio and visual technology are suspended, which will allow the use of non-smart phone or landline connections.
  Dept. of Professional Regulation Department letter clarifies pharmacists telehealth requirements under the emergency.
District of Columbia Dept. of Healthcare Finance Amends rules ensure the accessibility of services to Medicaid beneficiaries if the risk of coronavirus disease (COVID-19) in the District requires quarantine of beneficiaries or providers become inaccessible.
Florida EO 85 Concerns emergency management and coronavirus with regards to telehealth and immunizations for state group insurance.
Georgia Board of Pharmacy Adds emergency rule to allow for remote order verification for retail pharmacy permits during the coronavirus public health emergency.
Hawaii EO 20-02 Suspends certain laws and allows telehealth without an in-person consultation, includes pharmacy (n. Section 453-1.3, practice of telehealth).
Idaho Department of Insurance Temporary waiver of certain policy and enforcement requirements regarding provider restrictions.  Provide coverage of telehealth visits for all in-network providers, if the visit would be reimbursable telehealth under the Secretary of the Department of Health and Human Services 1135 waiver.
Illinois EO 9 Expands telehealth services; protects health care providers in response to COVID-19, includes pharmacists. Requires all health insurers regulated by the Department of Insurance to cover telehealth services and reimburse providers at the same rate as in-person visits and are prohibited from imposing any cost-sharing for in-network providers (includes pharmacists).
  Health Care and Family Services This notice informs providers of changes to telehealth policy due to the current public health emergency related to COVID-19. These changes apply to claims billed for participants covered under fee-for-service as well as a HealthChoice Illinois managed care plan.
Indiana EO 20-12 Telemedicine opioid prescribing authorized under specifically outlined conditions.
Iowa Department of Human Services; informational letter The IME seeks authority to allow telehealth services to be provided, regardless of the recipient’s location, for all Medicaid-covered benefits including mental and behavioral health benefits, if provision of the service via telehealth is clinically feasible and appropriate. As part of this announcement, members will now be able to access their
service providers using a wider range of communication tools including telephones that have audio and video capabilities, making it easier for members and providers to connect.   To facilitate clinically appropriate care within the Medicaid program during this public health emergency, services that by definition are direct contact services and are
typically rendered in person may now be rendered via telehealth when clinically appropriate. Providers must practice within the scope of their practice and are reminded that services must be documented in accordance with the standards located in 441 IAC 79.3(3)
Kansas EO 8 Provides immunity from civil liability in certain circumstances for health care professionals providing health care services in response to the COVID-19 outbreak.
Kentucky Cabinet for Health and Family Services Statement. The Cabinet for Health and Family Services emergency administrative regulation is being promulgated to establish actions that the Department for Medicaid Services may take in response to a declared national or state emergency. These actions include expanding or enhancing certain services and benefits, including telehealth services, expanding eligibility, and allowing for simplified application processes, provider enrollment, and rate enhancements. This emergency administrative regulation also allows for the expansion of telehealth or telecommunications services within the Women, Infants, and Children program.
  Dept. of Medicaid The Cabinet for Health and Family Services has proposed rules to establish actions that the Department for Medicaid Services may take in response to a declared national or state emergency. These actions include expanding or enhancing certain services and benefits, including telehealth services, expanding eligibility, and allowing for simplified application processes, provider enrollment, and rate enhancements. This emergency administrative regulation also allows for the expansion of telehealth or telecommunications services within the Women, Infants, and Children program.
  EO 35 Temporarily expands telemedicine during COVID-19.  Applies only to physicians.
Louisiana Dept. of Health/Bureau of Health Services Financing; Emergency Rule Adopts provisions governing coverage of telemedicine during a declared emergency.  Allows Medicaid to temporarily cover services provided through the use of an interactive audio telecommunication system with the requirement of video.
  EO 37; Dept. of Insurance Adopts rules pertaining to telemedicine and network adequacy in health insurance in the state during the outbreak of coronavirus disease.
  Link Emergency rule. Section 3307-: Allowed telemedicine devices.  Health insurance issuers shall waive any limittion on the use of audio-only telephonic consultations in the provision of telemedicine services, including the used of personal devicies.  Section 3309: Telemedicine Provider Access. Health insurance issuers shall waive any coverage limitations restricting telemedicine access to providers included within a plan’s telemedicine network.
  Office of Workers’ Compensation Temporarily adds additional codes for the purpose of delivering care and allowing providers to use telemedicine and telehealth methods during the coronavirus public health emergency.
  EO 532 (Proclamation) Relates to coronavirus response; suspends provisions relating to Louisiana Education Assessment Program examinations; suspends provisions relating to teachers working a minimum number of days per year; suspends provisions relating to school attendance requirements; suspends provisions related to charter school requirements to adhere certain student application and enrollment procedures; provides for additional telehealth opportunities
  HB 530 Medical claims for services provided through telehealth and telemedicine.  Requires any health care coverage plan delivered or issued in the state to provide coverage for covered health care service provided by a health care professional to a covered patient. Included medication adherence management services.
  HB 553 Concerns remote patient monitoring. Includes telehealth and medication adherence programs.
  HB 589 Provides for Medicaid policies and procedures concerning telehealth.
Maine Executive Order Suspends restrictions on telehealth and telemedicine; includes use by pharmacists.
  Dept. of HHS/Office of MaineCare Services This emergency rulemaking will remove the MaineCare Benefits Manual (MBM), Ch. I Section 4, “Telehealth Services”, blanket prohibition against providers utilizing telehealth to deliver services under the MBM, Ch. II Section 80, Pharmacy Services.
  MaineCare Guidance for using telehealth during COVID-19, includes telehealth and pharmacy.
  Board of Pharmacy Guidance paper regarding COVID-19, includes telehealth/telepharmacy.  Released by the board on April 18.
  SP 676 Directs the Department of Health and Human Services to amend certain rules to provide for reimbursement of case management services delivered through telehealth to targeted populations; makes other changes necessary for the delivery of telehealth services to be expanded to include case management services. Enacted.
Maryland EO 28 Amends and restates Order No. 20-03-20-01 to further authorize additional telehealth services during the coronavirus outbreak
Massachusetts Executive Order Expands access to telehealth services during COVID-19.
  Link Health care providers who are licensed in another State who present to the corresponding Massachusetts licensing authority verification that such license is in good standing in that other State where it was issued shall forthwith be issued a corresponding Massachusetts license that shall remain valid during the state of emergency. All health care providers licensed under this provision may provide services within the scope of practice authorized by the license in such profession, both in-person in Massachusetts and across State lines into Massachusetts using telemedicine where appropriate.
  Board of Pharmacy COVID-19 Pharmacy remote processing guidance. Allows a pharmacy technician to process patient-specific prescriptions via prescription processing that includes telepharmacy.
  Dept. of Public Health TELEHEALTH: The Department of Public Health has issued guidance that requires all commercial insurers, self-insured plans, and the Group Insurance Commission to cover medically necessary telehealth services, whether related to COVID-19 or not.  For COVID-19 treatment, insurers must do this without requiring cost-sharing of any kind, such as co-pays and coinsurance.
Michigan SB 908

 

If a service is provided through telemedicine, the insurer shall provide the same coverage for that service as if the service involved face-to-face contact between the health care professional and the patient.
  SB 899 Provides immunity from civil and criminal liability for health care professionals providing health care services in response to the COVID-19 outbreak.
  SB 918 An eligible individual may receive services provided by telemedicine from a health practitioner who is licensed, registered, or otherwise authorized under article 15 of the public health code, 1978 PA 368, MCL 333.16101 to 333.18838, to engage in his or her health care profession in the state where the patient is located.
  Department of Health and Human Services Guidance allows flexibility related to telemedicine audio/visual requirements during COVID-19.
  EO 86 Authorizes and encourages all health care providers to use telehealth services during COVID-19.
Minnesota SF 4334 Relates to public health; transfers money for deposit in the public health response contingency account; establishes a health care response fund and a provider grant loan program; provides coverage of telemedicine services in response to the catastrophic health emergency due to coronavirus
  SF 4494 Establishes a grant program for telemedicine equipment purchased to deal with COVID-19. Status: pending.
  SF 4565 Amends definition of telemedicine and provides for reimbursement for telemedicine services.
Mississippi Division of Medicaid Allows for enhanced usage of telehealth services during the coronavirus emergency; includes language clarifying definitions and reimbursement methods; provides updated guidance regarding eligible distant sites.
Missouri    
Montana Department of Health and Human Services Montana Medicaid will permit qualified providers to deliver clinically appropriate, medically necessary Montana Medicaid covered services to Montana Medicaid members via reimbursable telemedicine/telehealth services (including telephone and live video).
  Board of Pharmacy The Montana Board of Pharmacy deems it necessary to adopt this emergency rule to temporarily suspend the requirement of in-person inspections of remote telepharmacy sites. The board determined it is reasonably necessary to suspend the monthly inspections to limit travel required for pharmacy personnel and to comply with social distancing requirements of the COVID-19 crisis.
  EO 2 and 3 Expands the modes of delivery of telemedicine, telehealth, or telepractice services.
Nebraska EO 12 Provides relief for hospitals and health care facilities and expanded use of telehealth services during the COVID-19 pandemic.
Nevada Department of Health and Human Services Memorandum for telehealth resource guide.  During the response for the COVID-19 crisis, Nevada Medicaid may waive certain policy limitations that are currently identified in MSM Chapter 3400. Please see the specific COVID-19 telehealth memo for the most current information. Additionally, please monitor Nevada Medicaid’s COVID-19 webpage as information may change frequently.
New Hampshire EO 507 Orders temporary expansion of access to telehealth services to protect the public and health care providers in response to the catastrophic health emergency due to coronavirus.
  EO 8 Temporary expansion of access to Telehealth Services to protect the public and health care providers
  EO 15 Temporary authorization for out of state medical providers to provide medically necessary services and provide services through telehealth.
  Medicaid Telehealth FAQ Sheet during covid-19 emergency
  Office of Professional Licensure and Certification Telehealth OPLC Expansion Guidance
New Jersey AB 3843 Requires health insurance and Medicaid coverage for testing of coronavirus disease 2019 and for Telemedicine and Telehealth during coronavirus disease 2019 state of emergency. Enacted.
  AB 3860 Establishes certain requirements to use Telemedicine and Telehealth to respond to coronavirus disease 2019 (COVID-19). Enacted.
  AB 3908 COVID-19 Financial and Security for Consumers Act; pertains to Medicaid and NJ FamilyCare plans. During a public health emergency declared in executive order by the governor, coverage and payment for expenses incurred the delivery of health care services through telemedicine or telehealth shall be provided.
  AB 3961 Authorizes use of telemedicine and telehealth in connection with medicinal cannabis program for duration of coronavirus disease 2019 (COVID-19) emergency. Pending.
  AJR 158 Urges Federal Communications Commission to take temporary measures to secure broadband access for those affected by COVID-19.
  SB 2283 Requires health insurance and Medicaid coverage for testing of coronavirus disease 2019 and for telemedicine and telehealth during coronavirus disease 2019 state of emergency.
  SB 2289 Establishes certain requirements to use telemedicine and telehealth to respond to coronavirus disease 2019 (COVID-19).
  SB 2330 Requires health insurance and Medicaid coverage for testing of coronavirus disease 2019 and for telemedicine and telehealth during coronavirus disease 2019 state of emergency.
  SB 2448 Authorizes the use of telehealth and telemedicine in the state’s medicinal cannabis program during COVID-19.
  SB 2467 Extends the duration of certain laws pertaining to use of telemedicine and telehealth.
  SJR 77 Urges FCC to take temporary measures to secure broadband access for those affected by COVID-19.
  Dept. of Health DOH is proposing a new rule pertaining to registration and reporting requirements for telemedicine and telehealth organizations operating in New Jersey.  Comments: June 19.
New Mexico Department of Health (Medicaid) State Medicaid Program and Superintendent of Insurance issue new requirements to promote telemedicine during COVID-19 emergency.
New York Dept. of Financial Services Waives cost-sharing for in-network telehealth services during the state of emergency for COVID-19.
  Workers Compensation Board Allows telemedicine in some circumstances for social distancing purposes due to outbreak of COVID-19.
  Medicaid Guidance for using telehealth during COVID-19.
  AB 10404 Companion to SB 8416. Amends the public health law, in relation to including audio-only and video-only telehealth and telemedicine   services  in  those telehealth and telemedicine services eligible for reimbursement
  SB 8416 Companion to AB 10404. Amends the public health law, in relation to including audio-only and video-only telehealth and telemedicine   services  in  those telehealth and telemedicine services eligible for reimbursement.
North Carolina Board of Pharmacy Reducing Risks of Person-to-Person Transmission.  Pharmacists and pharmacies are reminded that the Board’s March 17, 2020 expanded Emergency Services Waiver specifically authorizes the use of remote work technology by pharmacists and pharmacy personnel to mitigate this risk.
  EO 116 Directs NCDHHS and NC Dept of Insurance to work with health plans to identify burdens related to COVID-19 testing, prescription drug, and telehealth service access.
  HB 1038

 

$25 million is appropriated from the Coronavirus Relief Fund to the Department of Health and Human Services, for the 2019‑2020 fiscal year, to provide funds to support rural and underserved communities especially hard hit by the COVID–19 pandemic, which may include directed grants to health care providers other than rural hospitals; targeted Medicaid assistance for rural providers; enhanced telehealth services; transportation for critical services; health care security for the uninsured; and other related purposes. These funds may be used to fund items not addressed by federal relief funds or as needed to address critical health care needs until federal funds are received for such purposes.
  HB 1043 Pandemic Response Act.  Subpart III-F. Increased Access to Health Care through Telehealth to Respond to COVID-19, includes health benefit plan coverage of telehealth and increased access to telehealth under the Medicare program.
  SB 704

 

Part V, Section 27 allocates $61,000,000 to the Department of Health and Human Services to provide funds for rural and underserved communities especially hard hit by the COVID–19 pandemic. The emergency flexible funds allocated in this subdivision shall support health provider grants, targeted Medicaid assistance for rural hardship grants to hospitals and other providers, enhanced Telehealth services, transportation for critical services, health care security for the uninsured, the Office of Minority Health, and related items.
North Dakota EO 8 Expands licensing requirements order to include telehealth in response to the catastrophic health emergency due to coronavirus.
Ohio HB 580 Requires health plan issuers to cover telemedicine services during a state of emergency, including during the coronavirus disease outbreak. Pending.
  Dept. of Medicaid Pertains to telehealth during a state of emergency such as the coronavirus pandemic.
  Dept. of Medicaid Medicaid telehealth billing guidelines under covid-19 emergency.
  Dept. of Medicaid

 

Telehealth emergency rule.

 

  Board of Pharmacy Authorized remote order entry for all licensed/registered pharmacist, pharmacy interns, and pharmacy technicians.  Remote processing includes data entry functions, but does not include dispensing.  For pharmacists, remote processing includes activities such as receiving and interpreting medication orders and performing prospective drug utilization review.  For technicians and interns, remote processing includes activities such as order entry and insurance processing.  This guidance is in effect until rescinded by the Board.
  Article Emergency orders increase access to medical care  and reimbursement for telehealth services during covid-19 public health emergency.
  SB 305

 

Amends section 3902.30 of the Revised Code to require health plan issuers to cover telemedicine services during a state of emergency and to declare an emergency.

 

Oklahoma Health Care Authority Telehealth services that have been expanded during the COVID-19 national and state emergency  are being extended through May 31.  OHCA will assess the status of the COVID-19 pandemic toward the end of May to determine if the expansion should be extended.
Oregon Medical Assistance Program Amends rules to ensure telehealth services are reimbursable to IHS, FQHC, and RHC providers for services during the coronavirus public health
  Medical Assistance Program This temporary rule directs Oregon’s contracted Coordinated Care Organizations to reimburse their contracted physical and behavioral health providers the same rate for telemedicine and telehealth services as they would for persons in-person.
  Medical Assistance Program Emergency rule adopted, revising rules pertaining to telemedicine during the COVID-19 public health emergency. Expires: 9/11/20.
Pennsylvania Board of Pharmacy  Allowing telemedicine services for pharmacies and temporary licenses during COVID-19.
  HB 2454

 

Regulates telemedicine, including reimbursement of telemedicine by insurers during COVID-19.  Pharmacists included in definition of health care provider. Reimbursement is to equal what a health care provider would receive during an in-person encounter. Referred to: Insurance.
  Department of Human Services Telemedicine Guidelines Related to COVID-19
Puerto Rico    
Rhode Island Board of Pharmacy Emergency changes to certain pharmacy practices.  After receipt of a new prescription and following a review of the patient’s record, a
pharmacist or pharmacy intern shall initiate discussion of matters which will enhance or optimize drug therapy with each patient or care giver of such patient. Such discussion shall be in person whenever practicable, by telephone or electronic means, and shall include appropriate elements of patient counseling, as is appropriate for the patient in the professional judgment of the pharmacist. The offer to counsel may be delegated by the pharmacist. Nothing in this section will prohibit a pharmacist from counseling a patient on a refill prescription when deemed necessary in the professional judgment of the pharmacist.
  Health Insurance Commissioner Emergency telemedicine measures; expansion of telemedicine.
South Carolina    
South Dakota EO 7 Relates to coronavirus; orders temporary suspension of regulatory provisions for limit or restrict the provisions of telehealth or telemedicine services; suspends the regulatory provisions of limitation in the ability to dispense certain necessary medication in a timely manner; suspends, temporarily, limitation or restriction for Medical Assistance programs to receive and respond to fair hearings
  EO 16 Section 27 temporarily suspends current telepharmacy staffing and visits regulatory requirements. Sections 19-26 and 28 pertain to other aspects of pharmacy operations.
  Department of Social Services Temporary expansion of telemedicine services. Medicaid adds flexibility to help patients during COVID-19 emergency. Wider use of telemedicine services and the ability to refill prescriptions sooner are key elements of South Dakota Medicaid’s response to COVID-19.
Tennessee Board of Pharmacy WAIVER OF RULE 1140-03-.01 (1): FACE TO FACE COUNSELING REQUIREMENT.  Allows for pharmacists to provide telehealth or telemedicine services. In order to reduce exposure and transmission of the COVID-19 virus, effective immediately the Tennessee Board of Pharmacy has waived the requirement for patients to be counseled face to face as stated in Rule 1140-03-.01 (1).  Counseling may be provided by a pharmacist by telephone or by other forms of technology or by alternative means. This waiver does NOT remove the requirement to counsel the patient and all efforts should be made to counsel a patient as before and should cover all aspects of counseling required in rule. This waiver will remain in effect through May 31st, 2020 unless the Board extends it beyond this date.
  EO 15 Urges health insurance carriers to provide delivery of clinically appropriate, medically necessary covered services via telemedicine to all providers irrespective of network status or originating site.
Texas Dept. of Insurance The emergency adoption is necessary to ensure adequate access to telemedicine medical and telehealth service in response to the coronavirus pandemic.
  Board of Pharmacy Allows pharmacists to conduct telephonic consultations, and remove regulatory barriers so that pharmacies can operate at full strength.
Utah EO 7 Suspends enforcement of statutes relating to telehealth services in relation to the coronavirus public health emergency.
Vermont HB 742 Expands patients’ access and providers’ reimbursement for health care services delivered through telehealth.
  Dept. of Financial Regulation Requires health insurers and workers’ compensation insurance carriers to provide coverage for clinically appropriate health care services delivered remotely through telehealth or audio-only telephone through telehealth or audio-only telephone on the same basis as in-person consultations (March 30).  Urges health insurers to expand coverage and reimbursement telemedicine services (March 19).
  Dept. of Vermont Health Access Provides information on COVID-19 telehealth policies. Out-of-state licensees providing only telehealth to people in Vermont do not need a license and do not have to provide contact information to the Office of Professional Regulation. If providing services to Vermonters in a licensed facility, out-of-state pharmacists do need to provide contact information to the Office of Professional Regulation.
  Link Covid telehealth information; also has a section for pharmacy COVID-19 updates.
  Office of Professional Regulation Memorandum regarding telehealth services, includes pharmacists.
Virginia    
Washington EO 29 Concerns telemedicine in relation to coronavirus, including prohibitions on payment parity between telemedicine and in-person medical services.
West Virginia Bureau of Medical Services (Medicaid) Expands the use of live video conferencing with Medicaid enrollees.
   Bureau of Medical Services (Medicaid) Medicaid telehealth modality.  BMS is allowing all existing telehealth services listed in the BMS policy manual and telehealth services temporarily approved during COVID-19.
Wisconsin    
Wyoming    

Federal Level

Congress:  SB 3517 Increases the ability of nursing facilities to access to Telehealth services and obtain technologies to allow virtual visits during the public health emergency relating to an outbreak of coronavirus disease 2019 (COVID-19).
Centers for Medicare & Medicaid Services COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers, includes telehealth and telemedicine.
CMS
FAQ
COVID-19 Frequently Asked Questions (FAQs) for State Medicaid and Children’s Health Insurance Program (CHIP) Agencies, includes telehealth.
CMS
FAQ
Medicare telehealth frequently asked questions, includes Q&A for COVID-19.
CMS
Memo
Guidance for MAOs and Part D sponsors to ensure access to health care items and services through covered by MA, Part D, and Medicare-Medicaid Plans during COVID-19.  The guidance allows MAOs to waive or reduce cost sharing for COVID-19 treatment, telehealth benefits, or other services to address the outbreak. (Currently drafting revisions to the March 10 guidance.)
CMS
Toolkit
General provider telehealth and telemedicine tool kit. Contains electronic links to sources and information regarding telehealth and telemedicine.  Most of the information is directed towards providers who may want to establish a permanent telemedicine program. There are specific documents identified that will be useful in
choosing telemedicine vendors, initiating a telemedicine program, monitoring patients remotely, and developing documentation tools. However, there is also information that will be useful for providers
who wish to care for patients through the virtual services that may be temporarily used during the
COVID-19 situation.
CMS
Toolkit
COVID-19 Telehealth Toolkit to Accelerate State Use of Telehealth in Medicaid and CHIP released April 23.  The “toolkit” is provided to help states identify and address barriers to telehealth coverage during emergency.  Document doesn’t specifically mention pharmacists, but says “state leaders should review the range of providers and practitioners.” Additionally,  “States have the option to determine whether (or not) to utilize telehealth; what types of services to cover; where in the state it can be utilized; how it is implemented; what types of practitioners or providers may deliver services via telehealth, as long as such practitioners or providers are “recognized” and qualified according to Medicaid federal and state statute and regulation; and reimbursement rates.”
CMS
Press Release
CMS announced on April 30  further expansion of telehealth in Medicare for the duration of the COVID-19 emergency.

 

Drug Enforcement Administration Telemedicine.  During COVID-19, allows prescriptions for controlled substances by means of the Internet, including telemedicine.
Federal Communications Commission Establishes the Coronavirus Telehealth Program designed to distribute an appropriation from Congress under the Coronavirus Aid, Relief, and Economic Security, or CARES, Act to help health care providers provide connected care services to patients at their homes or mobile locations in response to the novel coronavirus pandemic, and the Connected Care Pilot Program designed to make available over three years to examine the Universal Service Fund.
Health and Human Services

 

News release. HHS awards $20 million to combat COVID-19 pandemic through telehealth.

 

Office of Civil Rights

Slides

Webinar

 

OCR Update on HIPAA and COVID-19.  Video and slides are now available from the April 24 Update on HIPAA and COVID-19 webinar, featuring HHS’ Office for Civil Rights (OCR). It explored HIPAA privacy and security issues related to COVID-19 and recent OCR actions related to the pandemic.  There is a telehealth component.

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