State Telehealth Laws and Reimbursement Policies

Comprehensive Scan of 50 States and the District of Columbia from the Center for Connected Health Policy

The Center for Connected Health Policy's (CCHP) State Telehealth Laws and Reimbursement Policies Report from April 2018 provides the most current summary guide of telehealth-related policies, laws and regulations for all 50 states and the District of Columbia. This guide focuses on Medicaid, outlining trends as well as the details of each state's definitions, reimbursement policies, and licensure requirements. 

Key findings from this report include:

• Live video Medicaid reimbursement continues to far exceed reimbursement for store-and-forward and remote patient monitoring, but there has been some increase in reimbursement for store-and-forward and remote patient monitoring. Specific examples can be found on pages 5-7 of the report.
  • 49 States and Washington DC provide reimbursement for some form of live video in Medicaid fee-for-service.
  • 15 state Medicaid programs reimburse for store-and-forward, and 3 more states require Medicaid to reimburse for store-and-forward but do not have specific policy in place as of April 2018. 
• Twenty states have some form of remote patient monitoring, though many of these states have limitations such as only providing reimbursement to home health agencies or for specific conditions. State specific examples and limitations are provided in the report.
• Details for each specific state, including those specific to FQHCs, are included in the report, beginning on Page 13. A summary document of FQHC-specific guidance can be downloaded below.