District of Columbia

CURRENT STATE LAWS & POLICY

AT A GLANCE

Medicaid Program

District of Columbia Medicaid

Administrator

District of Columbia Dept. of Health Care Financing

Regional Telehealth Resource Center

Mid-Atlantic Telehealth Resource Center

Medicaid Reimbursement

Live Video: Yes
Store-and-Forward: No
Remote Patient Monitoring: No

Private Payer Law

Law Exists: Yes
Payment Parity: No

Professional Requirements

Licensure Compacts: IMLC, PSY, PTC
Consent Requirements: Yes

Last updated 10/28/2021

Audio-Only Delivery

Medicaid: Emergency and Proposed Amendment to Section 910, Ch. 9, Title 29 of DC Regulations

STATUS: Active until Dec. 16, 2021, unless superseded by publication of a Notice of Final Rulemaking in the D.C. Register

Medicaid:  Audio-Only Visits and HIPAA

STATUS: Active until 60 days after DC PHE expires.

Medicaid: Billing for Teledentistry Encounters

STATUS: Active until the end of the PHE

Medicaid: Coding for Telemedicine and COVID-19

STATUS: Active until the end of the PHE

DC Act 23-404: Amended the law on August 19, 2020, permanently allow audio-only telehealth via Medicaid.

STATUS: Permanent

Medicaid: Telemedicine Guide

STATUS: Varies, some sections only active during DC PHE.

Medicaid 1915(c) Waiver: Appendix K – Elderly and Persons with Physical Disabilities (EPD Waiver); Individuals with Intellectual and Developmental Disabilities (IDD Waiver)

STATUS: Active, extended through Addendum

Medicaid 1915(c) Waiver: Appendix K Addendum – Elderly and Persons with Physical Disabilities (EPD Waiver); Individuals with Intellectual and Developmental Disabilities (IDD Waiver)

STATUS: Active, expires Six (6) months after the conclusion of the national public health emergency.

Last updated 10/28/2021

Cross-State Licensing

Medicaid: Coding for Telemedicine and COVID-19

STATUS: Active

Health Regulation and Licensing Administration: Guidance on use of Telehealth in DC

STATUS: Active

DC Health Regulation and Licensing Administration: Waiver of Licensure Requirements for Healthcare Providers

STATUS: Active until 60 days after the end of the PHE declared by the Mayor.

Last updated 10/28/2021

Easing Prescribing Requirements

Health Regulation and Licensing Administration: Guidance on use of Telehealth in DC

STATUS: Active

Department of Health:Coronavirus(COVID-19) Online Consultation/Telemedicine(Medical Marijuana)

STATUS: Active

Last updated 10/28/2021

Miscellaneous

Medicaid: Temporary Allowance of Telephonic Signature on Long Term Care Applications

STATUS: Active, expires on the 60th day after the end of the National PHE

Last updated 10/27/2021

Originating Site

Medicaid: Telemedicine Guide

STATUS: Varies, some sections only active during DC Public Health Emergency.

Medicaid: Reimbursable Telemedicine Services

STATUS: Permanent

Medicaid: Billing for Telemedicine Encounters

STATUS: Permanent

Medicaid 1915(c) Waiver: Appendix K – Elderly and Persons with Physical Disabilities (EPD Waiver); Individuals with Intellectual and Developmental Disabilities (IDD Waiver)

STATUS: Active, expires six (6) months after the conclusion of the public health emergency (see below for extension).

Medicaid 1915(c) Waiver: Appendix K Addendum – Elderly and Persons with Physical Disabilities (EPD Waiver); Individuals with Intellectual and Developmental Disabilities (IDD Waiver)

STATUS: Active, expires six (6) months after the conclusion of the public health emergency.

Medicaid: Coding for Telemedicine and COVID-19

STATUS: Active, expires at end of DC PHE.

Last updated 10/28/2021

Private Payer

Health Regulation and Licensing Administration: Guidance on use of Telehealth in DC

STATUS: Active

Department of Insurance: Order regarding carriers provide telehealth coverage

STATUS: Active

Last updated 08/19/2021

Provider Type

No Reference Found.

Last updated 10/28/2021

Service Expansion

Medicaid: Telemedicine Guide

STATUS: Varies, some sections only active during DC PHE.

Medicaid: Temporary Enhanced Reimbursement Rates for Adult Substance Abuse Rehabilitation Services

STATUS: Active

Medicaid: Reimbursable Telemedicine Services

STATUS: Permanent

Medicaid: Billing for Teledentistry Encounters

STATUS: Active, expires at end of DC PHE.

1135 Medicaid Waiver: Elderly and Persons with Physical Disabilities (EPD Waiver); Individuals with Intellectual and Developmental Disabilities (IDD Waiver)

STATUS: Expired March 10, 2021

Medicaid: Coding for Telemedicine and COVID-19

STATUS: Active, expires at end of DC PHE.

Medicaid: Delivering Psychosocial Rehabilitation Clubhouse Services via Telemedicine

STATUS: Active

Last updated 10/29/2021

Definitions

“Telehealth” means the delivery of healthcare services through the use of interactive audio, video, or other electronic media used for the purpose of diagnosis, consultation, or treatment; provided, that services delivered through email messages or facsimile transmissions are not included.

SOURCE; DC Code Sec. 31-3861 & Department of Health Care Finance – Telemedicine Provider Guidance, July 30, 2021, pg. 1 & Physicians Billing Manual.  DC Medicaid.  (Mar. 1, 2021) Sec. 15.9, P. 65 (Accessed Oct. 2021).

For the purposes of coverage by the Department of Health Care Finance (DHCF), telehealth and telemedicine shall be deemed synonymous.

SOURCE: Department of Health Care Finance – Telemedicine Provider Guidance, July 30, 2021, pg. 1 & Physicians Billing Manual.  DC Medicaid.  (Mar. 1, 2021) Sec. 15.9, P. 65 (Accessed Oct. 2021).

Telemedicine is a service delivery model that delivers healthcare services through a two-way, real time interactive video-audio communication for the purpose of evaluation, diagnosis, consultation, or treatment.

See emergency rule for temporary emergency rule that incorporates audio-only communication.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.2; Temporary Emergency Rule Title 29, Ch. 9, 910; Physicians Billing Manual.  DC Medicaid.  (Mar. 18, 2021) Sec. 15.9.1. P. 65, & Department of Health Care Finance – Telemedicine Provider Guidance, July 30, 2021, pg. 2, (Accessed Oct. 2021).

Last updated 10/27/2021

Email, Phone & Fax

DC Medicaid does not reimburse for service delivery using e-mail messages or facsimile transmissions.

See telemedicine guidance for exceptions during the COVID-19 emergency.

SOURCE: DC Code Sec. 31-3861 & Physicians Billing Manual.  DC Medicaid. Mar. 18, 2021, Sec. 15.9.1. pg. 66, & DC Department of Health Care Finance, Telemedicine Provider Guidance July 30, 2021, pg. 2, (Accessed Oct. 2021).

See emergency rule for temporary expansion of telemedicine definition to include audio-only.

SOURCE: DC Municipal Regulation. Temporary Emergency Rule Title 29, Ch. 9, 910 (Accessed Oct. 2021).

Last updated 10/29/2021

Live Video

POLICY

DC Medicaid must reimburse for health care services through telehealth if the same service would be covered when delivered in person.

SOURCE: DC Code Sec. 31-3863 (Accessed Oct. 2021).

The DC Medical Assistance Program will reimburse telemedicine services, if the Medicaid beneficiary meets the following conditions:

  • Be enrolled in the DC Medicaid Program;
  • Be physically present at the originating site at the time the telemedicine service is rendered; and
  • Provide written consent to receive telemedicine services in lieu of in-person healthcare services, consistent with all applicable DC laws.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.5 & Physicians Billing Manual.  DC Medicaid. Mar. 18, 2021, Sec. 15.9.2. P. 6 & Department of Health Care Finance – Telemedicine Provider Guidance, July 30, 2021, pg. 2 (Accessed Oct. 2021).


ELIGIBLE SERVICES/SPECIALTIES

Medicaid shall cover and reimburse for healthcare services appropriately delivered through telehealth if the same services would be covered when delivered in person.

SOURCE: DC Code Sec. 31-3863 (Accessed Oct. 2021)

Covered Services:

  • Evaluation and management
  • Consultation of an evaluation and management of a specific healthcare problem requested by an originating site provider
  • Behavioral healthcare services including, but not limited to, psychiatric evaluation and treatment, psychotherapies, and counseling
  • Rehabilitation services including speech therapy

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.11 & Physicians Billing Manual.  DC Medicaid.  (Jan. 13, 2021) Sec. 15.9.6. P. 67 & Department of Health Care Finance – Telemedicine Provider Guidance , July 30, 2021, pg. 5, (Accessed Oct. 2021)

The provider shall determine if the service can reasonably be delivered at the standard of care via telemedicine.

SOURCE:  Department of Health Care Finance – Telemedicine Provider Guidance , July 30, 2021, pg. 5, (Accessed Oct. 2021).

Distant site providers may only bill for the appropriate codes outlined (see physician manual and guidance).

SOURCE:  DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.12 & Physicians Billing Manual.  DC Medicaid.  (Mar. 18, 2021) Sec. 15.9.8. P. 67-68 (Accessed Oct. 2021).

Education-Related Services

Office of the State Superintendent of Education shall only bill for distant site services that are allowable healthcare services to be delivered by the individual fee-for-service providers delivering DC EIP services under them and can be delivered at the standard of care via telemedicine.

The following reimbursement parameters apply for services delivered under the Office of the State Superintendent of Education through the Strong Start DC Early Intervention Program.

  • The LEA shall only bill for distant site services that are allowable healthcare services to be delivered at DCPS/DCPCS and can be delivered at the standard of care via telemedicine;
  • The LEA shall provide an appropriate primary support professional to attend the medical encounter with the member at the originating site. In instances where it is clinically indicated, an appropriate healthcare professional shall attend the encounter with the member at the originating site.

Excluded Services

The Program will not reimburse telemedicine providers for the following:

  • Incomplete delivery of services via telemedicine, including technical interruptions that result in partial service delivery.
  • When a provider is only assisting the beneficiary with technology and not delivering a clinical service.
  • For a telemedicine transaction fee and/or facility fee.
  • For store and forward and remote patient monitoring

SOURCE: Department of Health Care Finance – Telemedicine Provider Guidance, July 30, 2021, pg. 5 & Physicians Billing Manual.  DC Medicaid.  (Mar. 18, 2021) Sec. 15.9.8. P. 67 (Accessed Oct. 2021).

Certain dental procedures require prior authorization.

Providers should consult the fee schedule to determine if the procedure code requires prior
authorization.

Medical necessity or a medically necessary service is defined as medical, surgical or other services required for the prevention, diagnosis, cure, or treatment of a health related illness, condition or disability including services necessary to prevent a detrimental change in either medical, behavioral, mental or dental health status. Only supplies, equipment, appliances, and services that are determined as medically necessary by the Department of Health Care Finance or its contracted representative are covered.  See manual for complete list to determine medical necessity.

SOURCE: Physicians Billing Manual.  DC Medicaid.  (Mar. 18, 2021) Sec. 15.9.9. P. 68-69 (Accessed Oct. 2021).


ELIGIBLE PROVIDERS

Telemedicine providers must comply with the following:

  • Be an enrolled Medicaid provider and comply with requirements including having a completed, signed Medicaid Provider Agreement
  • Comply with technical, programmatic and reporting requirements
  • Be licensed; and
  • Comply with any applicable consent requirements, including but not limited to providing telemedicine services at DC public schools or public charter schools.

SOURCE: DC Municipal Regulation. Emergency Regulation. Title 29, Ch. 9, Sec. 910.6. (Accessed Oct. 2021).

D.C. Medicaid enrolled providers are eligible to deliver telemedicine services, using fee-for-service reimbursement, at the same rate as in-person consultations. All reimbursement rates for services delivered via telemedicine are consistent with the District’s Medical State Plan and implementing regulations.

SOURCE: Physicians Billing Manual. DC Medicaid. Mar. 18, 2021 Sec. 15.9.4. P. 66 & DC Dept. of Healthcare Finance. Telemedicine Provider Guidance. July 30, 2021, p. 4. (Accessed Oct. 2021).

The following providers are considered an eligible distant site provider:

  • Hospital
  • Nursing facility
  • Federally Qualified Health Center
  • Clinic
  • Physician Group/Office
  • Nurse Practitioner Group/Office
  • DCPS
  • DCPCS; and
  • MHRS provider, ASARS provider and ASTEP provider certified by DBH and eligible to provide behavioral health services set forth under the State Plan

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.8 & Physicians Billing Manual.  DC Medicaid. Mar. 18, 2021, Sec. 15.9.3. P. 66 & DC Dept. of Healthcare Finance. Telemedicine Provider Guidance. July 30, 2021, p. 3. (Accessed Oct. 2021).

At the discretion of the rendering provider, personnel delivering telemedicine services may work remotely, as long as all other requirements in the rule are met.  See sections on technology, documentation in medical records and confidentiality in manual for further specifications.

SOURCE: DC Dept. of Healthcare Finance. Telemedicine Provider Guidance. July 30, 2021, p. 3-4. (Accessed Oct. 2021).

When a beneficiary’s home is the originating site, the distant site provider shall ensure the technology in use meets the minimum requirements.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.30. (Accessed Oct. 2021).

Federally Qualified Health Center (FQHC) Reimbursement

In accordance with the District’s Prospective Payment System (PPS) or alternative payment methodology (APM) for FQHCs, the following reimbursement parameters apply:

  • Originating Site: An FQHC provider must deliver an FQHC-eligible service in order to be reimbursed the appropriate PPS, APM, or fee-for-service (FFS) rate at the originating site;
  • Distant Site: An FQHC provider must deliver an FQHC-eligible service that is listed in Appendix A in order to be reimbursed the appropriate PPS, APM, or FFS rate; and
  • Originating and Distant Site: If both the originating and the distant site are FQHCs, for both to receive reimbursement, each site must deliver a different PPS or APM service (e.g. medical or behavioral). If both sites submit a claim for the same PPS or APM service (e.g. medical), then only the distance site will be eligible to receive reimbursement.

SOURCE: DC Dept. of Healthcare Finance. Telemedicine Provider Guidance. July 30, 2021, p. 3-4 & Physicians Billing Manual.  DC Medicaid.  Mar. 18, 2021 Sec. 15.9.3. P. 67. (Accessed Oct. 2021).


ELIGIBLE SITES

The beneficiary’s home may serve as the originating site. When the originating site is the beneficiary’s home the distant site provider is responsible for ensuring that the technology in use meets the minimum requirements set forth in Subsection 910.3.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.7 & 910.30. (Accessed Oct. 2021).

Must be an approved telemedicine provider.  The following providers are considered an eligible originating site, as well as eligible distant site provider:

  • Hospital
  • Nursing facility
  • Federally Qualified Health Center
  • Clinic
  • Physician Group/Office
  • Nurse Practitioner Group/Office
  • District of Columbia Public Schools (DCPS)
  • District of Columbia Public Charter Schools (DCPCS)
  • Mental Health Rehabilitation Service (MHRS) provider, Adult Substance Abuse Rehabilitation Service (ASARS) provider, and Adolescent Substance Abuse Treatment Expansion Program (ASTEP) provider certified by the Department of Behavioral Health (DBH) and eligible to provide behavioral health services set forth under the District of Columbia Medicaid State Plan (State Plan).
  • The beneficiary’s home or other settings identified in guidance published on the DHCF website.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.7 & Physicians Billing Manual.  DC Medicaid.  Mar. 18, 2021 Sec. 15.9.3. P. 66 & DC Dept. of Healthcare Finance. Telehealth Provider Guidance. July 30, 2021, p. 3 (Accessed Oct. 2021).

When a beneficiary’s home is the originating site, the distant site provider shall ensure the technology in use meets the minimum requirements set forth in Subsection 910.13.

In the event the beneficiary’s home is the originating site, the distant site provider must bill using the GT modifier and specify the place of service ‘02’.

SOURCE: DC Dept. of Healthcare Finance. Telemedicine Provider Guidance. July 30, 2021, p. 3. (Accessed Oct. 2021).

When DCPS or DCPCS is the originating site provider, a primary support professional (an individual designated by the school) shall be in attendance during the patient’s medical encounter.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.17. (Accessed Oct. 2021).

Federally Qualified Health Center (FQHC) Reimbursement

In accordance with the District’s Prospective Payment System (PPS) or alternative payment methodology (APM) for FQHCs, the following reimbursement parameters apply:

  • Originating Site: An FQHC provider must deliver an FQHC-eligible service in order to be reimbursed the appropriate PPS, APM, or fee-for-service (FFS) rate at the originating site;
  • Distant Site: An FQHC provider must deliver an FQHC-eligible service that is listed in Appendix A in order to be reimbursed the appropriate PPS, APM, or FFS rate; and
  • Originating and Distant Site: If both the originating and the distant site are FQHCs, for both to receive reimbursement, each site must deliver a different PPS or APM service (e.g. medical or behavioral). If both sites submit a claim for the same PPS or APM service (e.g. medical), then only the distance site will be eligible to receive reimbursement.

SOURCE: DC Dept. of Healthcare Finance. Telemedicine Provider Guidance. July 30, 2021, p. 3-4 & Physicians Billing Manual.  DC Medicaid.  Mar. 18, 2021 Sec. 15.9.3. P. 67. (Accessed Oct. 2021).


GEOGRAPHIC LIMITS

No Reference Found


FACILITY/TRANSMISSION FEE

No transaction or facility fee.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.28, & Physicians Billing Manual.  DC Medicaid. Mar. 18, 2021 Sec. 15.9.7. P. 67 & DC Dept. of Healthcare Finance. Telemedicine Provider Guidance. July 30, 2021, p. 6.  (Accessed Oct. 2021).

Last updated 10/29/2021

Miscellaneous

Where an FQHC provides an allowable healthcare service at the originating or distant site, the FQHC shall be reimbursed the applicable rate (PPS, APM or FFS).  If an FQHC is both the originating and distant site, and both sites render the same healthcare service, only the distant site will be reimbursed.

When DCPS or DCPCS provides any of the allowable healthcare services at the originating or distant site, the provider shall only be reimbursed for distant site healthcare services that are Medicaid eligible and are to be delivered in a licensed education agency.

When an originating site and a distant site are CSAs, and the same provider identification number is used for a serviced delivered via telemedicine, only the distant site provider shall be eligible for reimbursement of the allowable healthcare services described within this section.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.24, 25, 26 & 27. (Accessed Oct. 2021).

See Transmittal for documentation standards for services delivered via telemedicine in DC Medicaid.

SOURCE: DC Medicaid Department of Health Care Finance. Transmittal #20-42: Documentation Standards for Services Delivered Via Telemedicine. Nov. 30, 2020 (Accessed Oct. 2021).

Telemedicine section also appears in Provider Manuals on:

See regulation and telemedicine guidance for specific technology and medical record requirements.

A provider is required to develop a confidentiality compliance plan.

DHCF is required to send a Telemedicine Program Evaluation survey to providers.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.13, 14 & 15 & DC Dept. of Healthcare Finance. Telehealth Provider Guidance. July 30, 2021, p. 6-7. (Accessed Oct. 2021).

Required documents include prior authorization form, the letter of medical necessity, evaluation/assessment and plan of treatment.

SOURCE: Physicians Billing Manual.  DC Medicaid.  (Mar. 18, 2021) Sec. 15.9.9. P. 69 (Accessed Oct. 2021).

 

Last updated 10/29/2021

Out of State Providers

For healthcare services rendered outside of the District, the provider of the services shall meet any licensure requirements of the jurisdiction in which the patient is physically located.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.9Physicians Billing Manual.  DC Medicaid.  (Mar. 18, 2021) Sec. 15.9.7. P. 67 & DC Department of Health Care Finance, July 30, 2021 pg. 1, (Accessed Oct. 2021).

Last updated 10/29/2021

Overview

Medicaid shall cover and reimburse for healthcare services appropriately delivered through telehealth if the same services would be covered when delivered in person.  Although this law was amended to expand reimbursement to store-and-forward and remote patient monitoring, it was not funded under an approved budget and financial plan and therefore did not go into effect.

Source: DC Code 31-3863. (Accessed Oct. 2021).

Last updated 10/29/2021

Remote Patient Monitoring

POLICY

There is no reimbursement for remote patient monitoring.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.29, & Physicians Billing Manual.  DC Medicaid. Mar. 18, 2021, Sec. 15.9.7. P. 67   & DC Dept. of Healthcare Finance. Telehealth Provider Guidance. July 30, 2021, p. 6.  (Accessed Oct.. 2021).


CONDITIONS

No Reference Found.


PROVIDER LIMITATIONS

No Reference Found.


OTHER RESTRICTIONS

No Reference Found.

Last updated 10/29/2021

Store and Forward

POLICY

No reimbursement for store-and-forward.

SOURCE: DC Municipal Regulation. Title 29, Ch. 9, Sec. 910.29, & Physicians Billing Manual.  DC Medicaid. Mar. 18, 2021, Sec. 15.9.7. P. 67,  & DC Dept. of Healthcare Finance. Telehealth Provider Guidance. July 30, 2021, p. 6.  (Accessed Oct. 2021).


ELIGIBLE SERVICES/SPECIALTIES

No Reference Found.


GEOGRAPHIC LIMITS

No Reference Found.


TRANSMISSION FEE

No Reference Found.

Last updated 10/29/2021

Definitions

“Telehealth” means the delivery of healthcare services through the use of interactive audio, video, or other electronic media used for the purpose of diagnosis, consultation, or treatment; provided, that services delivered through electronic mail messages, or facsimile transmissions are not included.

SOURCE: DC Code Sec. 31-3861.  (Accessed Oct. 2021).

Last updated 10/29/2021

Parity

SERVICE PARITY

A health insurer must reimburse a provider for the diagnosis, consultation or treatment of the patient when the service is delivered by telehealth.

SOURCE: DC Code Sec. 31-3862. (Accessed Oct. 2021).


PAYMENT PARITY

No explicit payment parity.

Last updated 10/29/2021

Requirements

Health insurers are required to pay for telehealth services if the same service would be covered when delivered in-person.

A health insurer shall reimburse the provider for the diagnosis, consultation, or treatment of the insured when the service is delivered through telehealth.

A health insurer may require a deductible, copayment, or coinsurance that may not exceed the amount applicable to the same service delivered in-person.  A health insurer shall not impose any annual or lifetime dollar maximum on coverage for telehealth services other than an annual or lifetime dollar maximum that applies in the aggregate to all items and services under the health benefits plan.

SOURCE: DC Code Sec. 31-3862. (Accessed Oct. 2021).

Last updated 10/29/2021

Cross-State Licensing

Must have license to practice medicine in the District of Columbia.

A District of Columbia-licensed physician may rely on a patient evaluation performed by another District of Columbia-licensed physician if the former is providing coverage for the latter.

SOURCE: DC Regs. Sec. 17-4618.1 & .6. (Accessed Oct. 2021).

See COVID cross-state licensing section for temporary licensing exception.

Last updated 10/29/2021

Definitions

Telemedicine – The practice of medicine by a licensed practitioner to provide patient care, treatment or services, between a licensee in one location and a patient in another location with or without an intervening healthcare provider, through the use of health information and technology communications, subject to the existing standards of care and conduct.

SOURCE: DC Regs. Sec. 17-4699., DC Department of Health Board of Medicine Policy No. 15-01 (Accessed Oct. 2021).

Last updated 10/29/2021

Licensure Compacts

Member of the Interstate Medical Licensure Compact. (Implementation delayed)

SOURCE: Interstate Medical Licensure Compact. (Accessed Oct. 2021).

Member of Physical Therapy Compact (not yet issuing licenses)

SOURCE: PT Compact, Compact Map (Accessed Oct. 2021).

Member of the Psychology Interjurisdictional Compact.

SOURCE: PSYPACT, Map, (Accessed Oct. 2021).

Last updated 10/29/2021

Miscellaneous

No Reference Found.

Last updated 10/29/2021

Online Prescribing

A physician shall perform a patient evaluation to establish diagnoses and identify underlying conditions or contraindications to recommended treatment options before providing treatment or prescribing medication for a patient utilizing the appropriate standards of care, except when performing interpretive services.

If a physician-patient relationship does not include a prior in-person interaction with a patient, the physician may use real-time telemedicine to allow a free exchange of protected health information between the patient and the physician to establish the physician-patient relationship and perform the patient evaluation.

SOURCE: DC Code Sec. 17-4618.3 & 4 (Accessed Oct. 2021).

Last updated 10/29/2021

Professional Board Standards

Department of Health (applies to the Board of Medicine)

SOURCE: DCMR Title 17, Ch. 46 Sec. 4618 (Accessed Oct. 2021).