Out of State Providers

Provider must be licensed in CA, enrolled as a Medi-Cal rendering provider or non-physician medical practitioner (NMP) and affiliated with an enrolled Medi-Cal provider group. The enrolled Medi-Cal provider group for which the health care provider renders services via telehealth must meet all Medi-Cal program enrollment requirements and must be located in California or a border community.

SOURCE: CA Department of Health Care Services. Medi-Cal Part 2 General Medicine Manual. Telehealth. (Nov. 2025), Pg. 5.; Welfare and Institutions Code 14132.725. (Accessed Apr. 2026).

Health care providers rendering Medi-Cal covered benefits or services using telehealth modalities must meet the requirements of Business and Professions Code (B&P Code), Section 2290.5(a)(3), or must be otherwise designated by the Department of Health Care Services (DHCS) pursuant to WIC Section 14132.725 (b)(2)(A). Health care providers must satisfy all Medi-Cal provider enrollment requirements.

Subject to very limited exceptions for some provider types established by DHCS, all health care providers must meet Established Place of Business (EPOB) requirements (California Code of Regulations, Title 22, section 51000.60). As a result, the EPOB requirement does not apply to fully remote, non-California based health care providers who offer services exclusively through telehealth modalities or at an administrative location that does not meet all EPOB and/or other Medi-Cal provider enrollment requirements.

SOURCE: CA Department of Health Care Services. Medi-Cal Part 2 General Medicine Manual. Telehealth. (Nov. 2025), Pg. 5. (Accessed Apr. 2026).

A person who is licensed as a health care practitioner in another state and is employed by a tribal health program does not need to be licensed in California to perform services for the tribal health program in California or a border community (Business and Professions Code section 719).

SOURCE: CA Department of Health Care Services. Telehealth FAQ. (Accessed Apr. 2026).

Dental providers billing for services delivered via teledentistry must be enrolled as Medi- Cal dental providers. The dental provider rendering MediCal covered benefits or services via a teledentistry modality must be licensed in California, enrolled as a Medi-Cal Dental rendering provider, operate within their allowable scope of practice, and meet applicable standards of care.

SOURCE: CA Department of Health Care Services (DHCS). Medi-Cal Dental Provider Handbook. 2026. Pg. 4-29. (Accessed Apr. 2026).

Medi-Cal Enrollment Procedure and Exemptions for Remote Mental Health Services

Effective March 29, 2023, the Department of Health Care Services (DHCS) is establishing Medi-Cal provider enrollment requirements and procedures that will be exempt from certain established place of business requirements for the following modes of service:

• Remote service providers who offer mental health services exclusively through telehealth modalities, and
• Transportation providers located in California.

In accordance with Welfare & Institutions (W&I) Code Section 14043.75(b), enrollment requirements and procedures are established for providers offering Medi-Cal covered mental health services exclusively through telehealth modalities, including non-specialty mental health services (NSMHS) covered under Medi-Cal Fee-For-Service and Medi-Cal Managed Care Plans and Specialty Mental Health Services (SMHS) covered by county mental health plans, and for Non-Emergency Medical Transportation (NEMT) and Non-Medical Transportation (NMT) providers.

The following provider types are able to apply for enrollment as remote service-only providers:

• Licensed Clinical Social Workers;
• Licensed Marriage and Family Therapists;
• Licensed Professional Clinical Counselors;
• Nurse Practitioners specializing in Psychiatry;
• Physicians specializing in Psychiatry; and
• Psychologists

Remote service providers requesting consideration for enrollment in the Medi-Cal program must complete and submit an application for their appropriate provider type through the Provider Application and Validation for Enrollment (PAVE) portal with the required supporting documents and a completed and signed Remote Services-Only Provider Attestation. For more detailed information, providers may refer to the Requirements and Procedures for the Medi-Cal Enrollment of Providers Offering Services Remotely or Indirectly from their Business Address located on the Provider Enrollment page of the Medi-Cal Provider website.

SOURCE: CA Dept. of Health Care Services. Medi-Cal Update – Psychological Services. Feb. 2023. (Accessed Apr. 2026).