State Telehealth Laws and Reimbursement Policies Report

CCHP’s comprehensive assessment and compendium of state Medicaid telehealth policies and laws covers all fifty states and the District of Columbia.

CCHP’s annual State Telehealth Laws and Reimbursement Policies report offers the nation’s most current summary guide of Medicaid provider manuals, applicable state laws, and telehealth-related regulations for all fifty states and the District of Columbia. This report serves as a vital resource for policymakers, health care professionals, and health advocates on how each state defines, governs, and regulates technology-enabled health care, noting policy trends across eleven key categories.

Fifty States, Fifty Approaches

Remarkably, no two states are alike in how telehealth is treated despite some similarities in the language used. For example, some states have incorporated telehealth-related policies into law, while other states address issues in their Medicaid program guidelines. In some cases, CCHP discovered policy inconsistencies within a single state. This variability creates a confusing environment for those who use (or intend to use) telehealth, especially health systems that provide health care services in several states. 

Recent Findings

CCHP’s most recent fifty-state survey of state telehealth laws and Medicaid program policies was completed in October 2017. The full PDF report is available, as is an interactive map of existing and pending telehealth-related policies by state. Below are some key findings:
  • 48 states and Washington, DC provide reimbursement for some form of live video in Medicaid fee-for-service.  This has remained constant since CCHP’s April 2017 edition of this report.
  • 15 states provide reimbursement for store-and-forward.  2 states, Maryland and Oklahoma, have been added since April 2017.
  • 21 state Medicaid programs provide reimbursement for remote patient monitoring (RPM).  While one state (OK) added reimbursement for RPM since April 2017, CCHP removed two states from the list due to no evidence of Medicaid programs implementing previously passed laws that included RPM reimbursement, resulting in a net loss of one state.
  • Although the practice of restricting reimbursable telehealth services to rural or underserved areas, as is done in the Medicare program, is decreasing, some states continue to maintain this policy.  6 states currently have some form of a geographic restriction. 
  • The practice of limiting the type of facility that can serve as an originating site has remained constant, at 23 states, since April 2017.  
  • 32 state Medicaid programs offer a transmission or facility fee when telehealth is used.  This number is up one since CCHP’s April 2017 update.
  • The number of states with private payer laws has increased by two, since April 2017, with 36 states and DC having laws addressing private payer reimbursement for telehealth.

CCHP has created an easy to read fact sheet and infographic summarizing these most recent findings. They are both available for download in the fact sheet section of CCHP's website.

Constantly Updating Policies

Due to the dynamic nature of state telehealth policy, CCHP offers an interactive policy map with the most recent telehealth-related policy information. This information is updated quarterly, and the PDF report is updated at least annually.