Kentucky

At A Glance

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MEDICAID REIMBURSEMENT

Live Video: Yes
Store-and-Forward: Yes
Remote Patient Monitoring: Yes
Audio Only: Yes

PRIVATE PAYER LAW

Law Exists: Yes
Payment Parity: Yes

PROFESSIONAL REQUIREMENTS

Licensure Compacts: ASLP-IC, ATC, CC, DLC, IMLC, NLC, OT, PSY, PTC, RCIC, SW (View full list of acronym names)
Limited Licensure Exceptions: Yes (See section for applicable profession and requirements)
Telehealth Specific License/Registration Process: Yes (See section for applicable profession and requirements)
Consent Requirements: Yes

FQHCs

Originating sites explicitly allowed for Live Video: Yes
Distant sites explicitly allowed for Live Video: Yes
Store and forward explicitly reimbursed: No
Remote Patient Monitoring explicitly reimbursed: Yes
Audio-only explicitly reimbursed: No
Allowed to collect PPS rate for telehealth: No

STATE RESOURCES

Medicaid Program: Kentucky Medicaid
Administrator: Kentucky Cabinet for Health and Family Services, Dept. for Medicaid Services
Regional Telehealth Resource Center: Mid-Atlantic Telehealth Resource Center

Private Payer

Last updated 09/07/2026

Definition

“Telehealth” or “digital health” means a mode of delivering healthcare services through the use of telecommunication technologies, including but not limited to synchronous and asynchronous technology, remote patient monitoring technology, and audio-only encounters, by a health care provider to a patient or to another health care provider at a different location. Shall not include:

The delivery of health care services through electronic mail, text, chat, or facsimile unless a state agency authorized or required to promulgate administrative regulations relating to telehealth determines that health care services can be delivered via these modalities in ways that enhance recipient health and well-being and meet all clinical and technology guidelines for recipient safety and appropriate delivery of services; or
Basic communication between a health care provider and a patient, including but not limited to appointment scheduling, appointment reminders, voicemails, or any other similar communication intended to facilitate the actual provision of healthcare services either in-person or via telehealth; and

Unless waived by the applicable federal authority, shall be delivered over a secure communications connection that complies with the federal Health Insurance Portability and Accountability Act of 1996.

SOURCE: KY Revised Statute, Sec. 304.17A.138 which cites 211.332, (Accessed Sept. 2026).

Last updated 09/07/2026

Parity

SERVICE PARITY

Telehealth coverage and reimbursement shall, except as provided in paragraph (b) of this subsection, be equivalent to the coverage for the same service provided in person unless the telehealth provider and the health benefit plan contractually agree to a lower reimbursement rate for telehealth services.

SOURCE: KY Revised Statute Sec. 304.17A-138. (Accessed Sept. 2026).

PAYMENT PARITY

Rural health clinics, federally qualified health centers, and federally qualified health center look-alikes shall be reimbursed as an originating site in an amount equal to that which is permitted under 42 U.S.C. sec. 1395m for Medicare-participating providers, if the insured was physically located at the rural health clinic, federally qualified health center, or federally qualified health center look-alike at the time of service or consultation delivery and the provider of the telehealth service or telehealth consultation is not employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike.

SOURCE: KY Revised Statute Sec. 304.17A-138. (Accessed Sept. 2026).

Last updated 09/07/2026

Requirements

A health benefit plan, issued or renewed on or after the effective date of this section, shall reimburse for covered services provided to an insured person through telehealth, including telehealth services provided by a home health agency licensed under KRS Chapter 216. Telehealth coverage and reimbursement shall, except as provided in paragraph (b) of this subsection, be equivalent to the coverage for the same service provided in person unless the telehealth provider and the health benefit plan contractually agree to a lower reimbursement rate for telehealth services.

A health plan shall not:

Require a provider to be physically present with a patient or client, unless the provider determines that it is necessary to perform those services in person;
Require prior authorization, medical review, or administrative clearance for telehealth that would not be required if a service were provided in person;
Require demonstration that it is necessary to provide services to a patient or client through telehealth;
Require a provider to be employed by another provider or agency in order to provide telehealth services that would not be required if that service were provided in person;
Restrict or deny coverage of telehealth based solely on the communication technology or application used to deliver the telehealth services; or
Require a provider to be part of a telehealth network.

A health plan shall:

Require that telehealth services reimbursed under this section meet all clinical, technology, and medical coding guidelines for recipient safety and appropriate delivery of services established by the Department of Insurance or the provider’s professional licensure board;
Require a telehealth provider to be licensed in Kentucky, or as allowed under the standards and provisions of a recognized interstate compact, in order to receive reimbursement for telehealth services; and
Reimburse a rural health clinic, federally qualified health clinic, or federally qualified health center look-alike for covered telehealth services provided by a provider employed by the rural health clinic, federally qualified health clinic, or federally qualified health center look-alike, regardless of whether the provider was physically located on the premises of the rural health clinic, federally qualified health clinic, or federally qualified health clinic look-alike when the telehealth service was provided; and

May utilize audits for medical coding accuracy in the review of telehealth services specific to audio-only encounters.

Benefits for a service provided through telehealth required by this section may be made subject to a deductible, copayment, or coinsurance requirement. A deductible, copayment, or coinsurance applicable to a particular service provided through telehealth shall not exceed the deductible, copayment, or coinsurance required by the health benefit plan for the same service provided in person.

Nothing in this section shall be construed to require a health benefit plan to:

Provide coverage for telehealth services that are not medically necessary; or
Reimburse any fees charged by a telehealth facility for transmission of a telehealth encounter.

Providers and home health agencies are strongly encouraged to use audio-only encounters as a mode of delivering telehealth services when no other approved mode of delivering telehealth services is available.

SOURCE: KY Revised Statute Sec. 304.17A-138. (Accessed Sept. 2026).

“In-home program” means a program offered by a health care facility or health care professional for the treatment of substance use disorder which the insured accesses through telehealth or digital health services

Except as provided for in subsection (5) of this section, a health benefit plan shall provide coverage:

To pregnant and postpartum women for an in-home program; and
For telehealth or digital health services that are related to maternity care associated with pregnancy, childbirth, and postpartum care

SOURCE: KY Revised Statute 304.17A-145, (Accessed Sept. 2026).

Workers’ Compensation

The General Assembly finds that good public policy mandates the realization of the potential advantages, both economic and effectual, of the use of telehealth. The commissioner may, to the extent that he or she finds it feasible and appropriate, require the use of telehealth, as defined in KRS 211.332, in the independent medical evaluation process required by this chapter.

SOURCE: KY Revised Statute Sec. 342.315. (Accessed Sept. 2026).

Medicaid

Last updated 09/05/2026

Definitions

Telehealth or digital health is defined in KRS 211.332 (5).

The delivery of health care services through electronic mail, text, chat, or facsimile unless a state agency authorized or required to promulgate administrative regulations relating to telehealth determines that health care services can be delivered via these modalities in ways that enhance recipient health and well-being and meet all clinical and technology guidelines for recipient safety and appropriate delivery of services; or
Basic communication between a health care provider and a patient, including but not limited to appointment scheduling, appointment reminders, voicemails, or any other similar communication intended to facilitate the actual provision of healthcare services either in-person or via telehealth; and

SOURCE: KY 900 KAR 12:005 & KY Revised Statute 211.332. (Accessed Sept. 2026).

“Telehealth consultation” means a medical or health consultation, for purposes of patient diagnosis or treatment, that meets the definition of telehealth in this section.

SOURCE: KY Revised Statutes. 205.510. (Accessed Sept. 2026).

Primary Care Centers, FQHCs/RHCs, FQHC Look-alikes

“Telehealth” means two (2)-way, real time interactive communication between a patient and a physician or practitioner located at a distant site for the purpose of improving a patient’s health through the use of interactive telecommunication equipment that includes, at a minimum, audio and video equipment.

SOURCE: KY 907 KAR 1:055 (36). (Accessed Sept. 2026).

Psychiatric Residential Treatment Facility Services

“Telemedicine” means two-way, real time interactive communication between a patient and a physician or practitioner located at a distant site for the purpose of improving a patient’s health through the use of interactive telecommunications equipment that includes, at a minimum, audio and video equipment.

SOURCE: KY 907 KAR 9:005. (Accessed Sept. 2026).

Last updated 09/07/2026

Email, Phone & Fax

Telehealth services and telehealth consultations shall not be reimbursable under this section if they are provided through the use of a facsimile machine, text, chat, or electronic mail unless the Department for Medicaid Services determines that telehealth can be provided via these modalities in ways that enhance recipient health and well-being and meet all clinical and technology guidelines for recipient safety and appropriate delivery of services.

Medicaid-participating practitioners and home health agencies are strongly encouraged to use audio-only encounters as a mode of delivering telehealth services only when no other approved mode of delivering telehealth services is available.

SOURCE: KY Revised Statute Sec. 205.559. (Accessed Sept. 2026).

Any recipient, upon being offered the option of an asynchronous or audio-only telehealth visit, shall have the opportunity or option to request to be accommodated by that provider in an in-person encounter or synchronous telehealth encounter.

If a telehealth service is delivered as an audio-only encounter and a telephonic code exists for the same or similar service, the department shall reimburse at the lower reimbursement rate between the two (2) types of services.

Telephonic Services. Telephonic code reimbursement shall be:

An alternative option for telehealth care providers to deliver audio-only telecommunications services, and shall not supersede reimbursement for an audio-only telehealth service as established pursuant to KRS 205.559 or 205.5591;
For a service that has an evidence base establishing the service’s safety and efficacy;
Subject to any relevant licensure board restrictions of the telehealth care provider;
Subject to any synchronous telehealth limits of this administrative regulation or other state or federal law; and
For a service that is listed on the most recent version of the Medicaid Physician Fee Schedule, as established by 907 KAR 3:010, Section 1(17).

SOURCE: KY 907 KAR 3:170. (Accessed Sept. 2026).

Health care providers performing a telehealth or digital health service shall, as appropriate for the service, provider, and recipient, utilize the following modalities of communication delivered over a secure communications connection that complies with the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA):

Live or real-time audio and video synchronous telehealth technology;
Asynchronous store-and-forward telehealth technology;
Remote patient monitoring using wireless devices, wearable sensors, or implanted health monitors;
Audio-only telecommunications systems; or
Clinical text chat technology when:
- Utilized within a secure, HIPAA compliant application or electronic health record system; and

- Meeting:
  - The scope of the provider’s professional licensure; and
  - The scope of practice of the provider; and
  - Comply with the following federal laws to prevent waste, fraud, and abuse relating to telehealth:
    - False Claims Act, 31 U.S.C. § 3729-3733;
    - Anti-Kickback Statute, 42 U.S.C. § 1320a-7b(b); and
    - Physician Self-Referral, Section 1877 of the Social Security Act

SOURCE: KY 900 KAR 12:005 (Accessed Sept. 2026).

Rural Health Clinic

The following services or activities shall not be covered under this administrative regulation: …

A telephone call, an email, a text message, or other electronic contact that does not meet the requirements stated in the definition for telehealth established pursuant to KRS 205.510(16) and implemented pursuant to 907 KAR 3:170

SOURCE: KY Admin Regs. Title 907 KAR 1:082, (Accessed Sept. 2026).

School Based Services

Telephone medical discussion and telephone or internet assessment codes are included in school-based manual.

SOURCE: KY Cabinet for Health and Family Services, Provider Billing Instructions for School Based Health Services Provider Type 21, V. 7.3, 2/26/26, (Accessed Sept. 2026).

Last updated 09/07/2026

Live Video

POLICY

The department must reimburse an eligible telehealth care provider for a telehealth service in an amount that is at least 100 percent of the amount for a comparable in-person service. A managed care plan may establish a different rate for telehealth reimbursement via contract.

A telehealth care provider that has received a request for an in-person encounter or synchronous telehealth encounter shall provide an alternative in-person or synchronous telehealth encounter for the recipient within:

A reasonable time;
The existing availability constraints of the provider’s schedule; and
No more than three (3) weeks of the recipient’s request, unless the recipient’s condition or described symptoms suggest a need for an earlier synchronous or in-person encounter.

A provider’s failure to accommodate a recipient with a synchronous telehealth or in-person encounter shall be reported to the Office of the Ombudsman and Administrative Review of the Cabinet for Health and Family Services, or its successor organization by a:

Recipient;
Recipient’s guardian or representative;
Another provider; or
Managed care organization.

The Office of the Ombudsman and Administrative Review shall investigate as appropriate and forward reports of a failure to accommodate to the department.

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

A request for reimbursement shall not be denied solely because:

An in-person consultation between a Medicaid-participating practitioner and a patient did not occur; or
A Medicaid-participating provider employed by a rural health clinic, federally qualified health center, or federally qualified health center look-alike was not physically located on the premises of the clinic or health center when the telehealth service or telehealth consultation was provided.

SOURCE: KY Revised Statute Sec. 205.559. (Accessed Sept. 2026).

In accordance with KRS 211.336, the Department for Medicaid Services and any managed care organization with whom the department contracts for the delivery of Medicaid services shall not:

Require a Medicaid provider to be physically present with a Medicaid recipient, unless the provider determines that it is medically necessary to perform those services in person;
Require prior authorization, medical review, or administrative clearance for telehealth that would not be required if a service were provided in person;
Require a Medicaid provider to be employed by another provider or agency in order to provide telehealth services that would not be required if that service were provided in person;
Require demonstration that it is necessary to provide services to a Medicaid recipient through telehealth;
Restrict or deny coverage of telehealth based solely on the communication technology or application used to deliver the telehealth services; or
Require a Medicaid provider to be part of a telehealth network.

Nothing in this section shall be construed to require the Medicaid program or a Medicaid managed care organization to:

Provide coverage for telehealth services that are not medically necessary; or
Reimburse any fees charged by a telehealth facility for transmission of a telehealth encounter.

The cabinet, in implementing Sections 2 and 3 of this Act, shall maintain telehealth policies and guidelines to providing care that ensure that Medicaid-eligible citizens will have safe, adequate, and efficient medical care, and that prevent waste, fraud, and abuse of the Medicaid program.

SOURCE: KY Revised Statute Sec. 205.5591, (Accessed Sept. 2026).

As appropriate for the service, provider, and recipient, utilize the following modalities of communication delivered over a secure communications connection that complies with the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Live or real-time audio and video synchronous telehealth technology;
Asynchronous store-and-forward telehealth technology;
Remote patient monitoring using wireless devices, wearable sensors, or implanted health monitors;
Audio-only telecommunications systems; or
Clinical text chat technology if:
- Utilized within a secure, HIPAA compliant application or electronic health record system; and

- Meeting:
  - The scope of the provider’s professional licensure; and
  - The scope of practice of the provider; and
Comply with the following federal laws to prevent waste, fraud, and abuse relating to telehealth:
- False Claims Act, 31 U.S.C. § 3729-3733;
- Anti-Kickback Statute, 42 U.S.C. § 1320a-7b(b); and
- Physician Self-Referral, Section 1877 of the Social Security Act

SOURCE: KY 900 KAR 12:005 (Accessed Sept. 2026).

ELIGIBLE SERVICES/SPECIALTIES

The Cabinet for Health and Family Services and any managed care organization with whom the Department for Medicaid Services contracts for the delivery of Medicaid services shall provide Medicaid reimbursement for covered telehealth services and telehealth consultations, if the telehealth service or telehealth consultation:

Is provided by a Medicaid-participating practitioner, including those employed by a home health agency licensed pursuant to KRS Chapter 216, to a Medicaid recipient or another Medicaid-participating practitioner at a different physical location; and
Meets all clinical, technology, and medical coding guidelines for recipient safety and appropriate delivery of services established by the Department for Medicaid Services or the provider’s professional licensure board.

SOURCE: KY Revised Statute Sec. 205.559. (Accessed Sept. 2026).

Telehealth service means any service that is provided by telehealth that is one of the following:

Event
Encounter
Consultation, including a telehealth consultation
Visit
Store-and-forward transfer, as limited by Section 6
Remote patient monitoring
Referral
Treatment

A telehealth service shall not be reimbursed by the department if:

It is not medically necessary;
The equivalent service is not covered by the department if provided in an in-person setting; or
The telehealth care provider of the telehealth service is:
- Not currently enrolled in the Medicaid Program pursuant to 907 KAR 1:672;
- Not currently participating in the Medicaid Program pursuant to 907 KAR 1:671;
- Not in good standing with the Medicaid Program;
- Currently listed on the Kentucky DMS Provider Terminated and Excluded Provider List, which is available at https://chfs.ky.gov/agencies/dms/dpi/pe/Pages/terminated.aspx;
- Currently listed on the United States Department of Health and Human Services, Office of Inspector General List of Excluded Individuals and Entities, which is available at https://oig.hhs.gov/exclusions/;
- Otherwise prohibited from participating in the Medicaid program in accordance with 42 C.F.R. Part 455; or
- Not physically located within the United States or a United States territory at the time of service.

A telehealth service shall be subject to utilization review for:

Medical necessity;
Compliance with this administrative regulation; and
Compliance with applicable state and federal law.

The department shall not reimburse for a telehealth service if the department determines that a telehealth service is not:

Medically necessary:
Compliant with this administrative regulation;
Applicable to this administrative regulation; or
Compliant with applicable state or federal law.

The department shall recover the paid amount of a reimbursement for a previously reimbursed telehealth service if the department determines that a telehealth service was not:

Medically necessary;
Compliant with this administrative regulation;
Applicable to this administrative regulation; or
Compliant with applicable state or federal law.

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

If, after reviewing the allegations contained in the petition and examining the petitioner under oath, it appears to the court that there is probable cause to believe the respondent should be ordered to undergo treatment, then the court shall: …

Cause the respondent to be examined no later than twenty-four (24) hours before the hearing date by two (2) qualified health professionals, at least one (1) of whom is a physician. The qualified health professionals: …
- May conduct the examination required by this paragraph via telehealth as defined in KRS 211.332.

SOURCE: KY Statute Sec. 222.433, (Accessed Sept. 2026).

Dental Services

“Direct practitioner interaction” means the billing dentist or oral surgeon is physically present with and evaluates, examines, treats, or diagnoses the recipient, unless the service can be appropriately performed via telehealth pursuant to 907 KAR 3:170.

SOURCE: KY Admin Regs. Title 907 KAR 1:126, (Accessed Sept. 2026).

Specialized Children’s Services Clinics

Certain services, such as crisis intervention, intensive outpatient program services, behavioral health therapeutic intervention, group outpatient therapy, family outpatient therapy, and peer support services consist of a one-on-one encounter between the provider and recipient conducted in-person or via telehealth as appropriate pursuant to 907 KAR 3:170.

SOURCE: KY Admin Regs. Title 907 KAR 3:160, (Accessed Sept. 2026).

Rural Health Clinic

Psychological testing, crisis intervention, service planning, individual outpatient therapy, family outpatient therapy, group outpatient therapy, collateral outpatient therapy, screening, brief intervention and refers to treatment for a substance use disorder, partial hospitalization, withdrawal management services, shall:…

Be in-person or via telehealth as appropriate pursuant to 907 KAR 3:170

Medication assisted treatment supporting behavioral health services shall Be co-located within the same practicing site as the practitioner who maintains a current waiver, as necessary, under 21 U.S.C. 823(g)(2) to prescribe buprenorphine products or via telehealth as appropriate pursuant to 907 KAR 3:170.

SOURCE: KY Admin Regs. Title 907 KAR 1:082, (Accessed Sept. 2026).

Treatment of Stuttering

The coverage required under subsection (2) of this section shall … Include coverage for speech therapy provided in person and via telehealth.

The telehealth coverage required under this paragraph shall:

Not be less than the coverage required for health benefit plans under KRS 304.17A-138; and
Include the use of any communication technology, application, or platform to deliver telehealth services, except coverage may be restricted to technology, applications, or platforms that are compliant with any applicable privacy provisions of the federal Health Insurance Portability and Accountability Act of 1996, 42 U.S.C. sec. 1320d et seq., as amended.

SOURCE: KRS Title XXV, Sec. 304.17A-129, (Accessed Sept. 2026).

Maternity Care

The Department for Medicaid Services and any managed care organization with which the department contracts for the delivery of Medicaid services shall provide coverage: …

For telehealth or digital health services that are related to maternity care associated with pregnancy, childbirth, and postpartum care.

The coverage required by this section shall: … For lactation consultation, include: …

The delivery of consultation via telehealth, as defined in KRS 205.510, if the beneficiary requests telehealth consultation in lieu of in-person, one-on-one consultation

SOURCE: KY Revised Statute 205.556, (Accessed Sept. 2026).

Health Access Nurturing Development Services (HANDS)

Participants in the HANDS program shall participate in the home visitation program through in-person face-to-face methods or through tele-service delivery methods. For the purposes of this subsection, “tele-service” means a home visitation service provided through video communication with the HANDS provider, parent, and child present in real time.

SOURCE: KY Revised Statute 211.690, (Accessed Sept. 2026).

ELIGIBLE PROVIDERS

For rural health clinics, federally qualified health centers, and federally qualified health center look-alikes, reimbursement for covered telehealth services and telehealth consultations shall:

To the extent permitted under federal law, include an originating site fee in an amount equal to that which is permitted under 42 U.S.C. sec. 1395m for Medicare-participating providers if the Medicaid beneficiary who received the telehealth service or telehealth consultation was physically located at the rural health clinic, federally qualified health center, or federally qualified health center look-alike at the time of service or consultation delivery and the provider of the telehealth service or telehealth consultation is not employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike; or
If the telehealth service or telehealth consultation provider is employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike, include a supplemental reimbursement paid by the Department for Medicaid Services in an amount equal to the difference between the actual reimbursement amount paid by a Medicaid managed care organization and the amount that would have been paid if reimbursement had been made directly by the department.

SOURCE: KY Revised Statute Sec. 205.559. (Accessed Sept. 2026).

A “telehealth care provider” is a Medicaid provider who is:

Currently enrolled as a Medicaid provider;
Currently participating as a Medicaid provider;
Operating within the scope of the provider’s professional licensure; and
Operating within the provider’s scope of practice; or

A community mental health center (CMHC) that is participating in the Medicaid program in compliance with 907 KAR 1:045, or 907 KAR 1:047.

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

ELIGIBLE SITES

“Place of service” means anywhere the patient is located at the time a telehealth service is provided, and includes telehealth services provided to a patient located at the patient’s home or office, or a clinic, school, or workplace.

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

See Provider Billing Instructions by Provider Type for Place of Service Codes information, including use of 02 for telehealth services and 10 for telehealth provided in a patient’s home. The Physician Services Provider Billing Instructions also include modifiers to be used by physicians with a specialty of teleradiology, including U2 for teleradiology in-state and U3 teleradiology out-of-state.

SOURCE: KY Medicaid Management Information System. Provider Billing Instructions. (Accessed Sept. 2026).

For rural health clinics, federally qualified health centers, and federally qualified health center look-alikes, reimbursement for covered telehealth services and telehealth consultations shall:

To the extent permitted under federal law, include an originating site fee in an amount equal to that which is permitted under 42 U.S.C. sec. 1395m for Medicare-participating providers if the Medicaid beneficiary who received the telehealth service or telehealth consultation was physically located at the rural health clinic, federally qualified health center, or federally qualified health center look-alike at the time of service or consultation delivery and the provider of the telehealth service or telehealth consultation is not employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike; or
If the telehealth service or telehealth consultation provider is employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike, include a supplemental reimbursement paid by the Department for Medicaid Services in an amount equal to the difference between the actual reimbursement amount paid by a Medicaid managed care organization and the amount that would have been paid if reimbursement had been made directly by the department.

Notwithstanding any provision of law to the contrary, neither the Department for Medicaid Services nor a Medicaid managed care organization with whom the department has contracted for the delivery of Medicaid services shall require that a health professional, as defined in KRS 205.510, or medical group maintain a physical location or address in this state to be eligible for enrollment as a Medicaid provider if the provider or group exclusively offers services via telehealth as defined in KRS 211.332.

SOURCE: KY Revised Statute Sec. 205.559. (Accessed Sept. 2026).

GEOGRAPHIC LIMITS

No Reference Found.

FACILITY/TRANSMISSION FEE

For rural health clinics, federally qualified health centers, and federally qualified health center look-alikes, reimbursement for covered telehealth services and telehealth consultations shall:

To the extent permitted under federal law, include an originating site fee in an amount equal to that which is permitted under 42 U.S.C. sec.
1395m for Medicare-participating providers if the Medicaid beneficiary who received the telehealth service or telehealth consultation was physically located at the rural health clinic, federally qualified health center, or federally qualified health center look-alike at the time of service or consultation delivery and the provider of the telehealth service or telehealth consultation is not employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike; or
If the telehealth service or telehealth consultation provider is employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike, include a supplemental reimbursement paid by the Department for Medicaid Services in an amount equal to the difference between the actual reimbursement amount paid by a Medicaid managed care organization and the amount that would have been paid if reimbursement had been made directly by the department.

SOURCE: KY Revised Statute Sec. 205.559. (Accessed Sept. 2026).

Last updated 09/07/2026

Miscellaneous

The cabinet, in consultation with the Division of Telehealth Services within the Office of Inspector General as established in KRS 194A.105, shall:

Provide guidance and direction to providers delivering health care services using telehealth or digital health
Promote access to health care services provided via telehealth or digital health
Maintain an online telehealth provider directory for consumer use; and
No later than thirty (30) days after the effective date of this Act, promulgate administrative regulations in accordance with KRS Chapter 13A to:
- Establish a glossary of telehealth terminology to provide standard definitions for all healthcare providers who deliver health care services via telehealth, all state agencies authorized or required to promulgate administrative regulations relating to telehealth, and all payors;
- Establish minimum requirements for the proper use and security of telehealth, including requirements for confidentiality and data integrity, privacy and security, informed consent, privileging and credentialing, reimbursement, and technology
- Establish minimum requirements to prevent waste, fraud, and abuse related to telehealth; and
- Maintain the discretion of state agencies authorized or required to promulgate administrative regulations relating to telehealth to establish requirements to authorize, prohibit, or otherwise govern the use of telehealth in accordance with the state agencies’ respective jurisdictions.

The cabinet is also required to study the impact of telehealth on health care delivery and submit annual reports to the Legislative Research Commission. See statute for details.

SOURCE: KY Statute Sec. 211.334. (Accessed Sept. 2026).

A health-care facility that receives reimbursement under this section for consultations provided by a Medicaid-participating provider who practices in that facility and a health professional who obtains a consultation under this section shall establish quality-of-care protocols, which may include a requirement for an annual in-person or face-to-face consultation with a patient who receives telehealth services, and patient confidentiality guidelines to ensure that telehealth consultations meet all requirements and patient care standards as required by law.

The Department for Medicaid Services and any managed care organization with whom the department contracts for the delivery of Medicaid services shall not deny reimbursement for telehealth services covered by this section based solely on quality-of-care protocols adopted by a health-care facility.

SOURCE: KY Statute Sec. 205.559. (Accessed Sept. 2026).

The cabinet shall provide oversight, guidance, and direction to Medicaid providers delivering care using telehealth.

The Department for Medicaid Services shall within 30 days after the effective date of the Act do the following:
- Promulgate administrative regulations in accordance with KRS Chapter 13A to establish requirements for telehealth coverage and reimbursement rates, which shall be equivalent to coverage requirements and reimbursement rates for the same service provided in person unless the telehealth provider and the department or a managed care organization contractually agree to a lower reimbursement rate for telehealth services; and
- Create, establish, or designate the claim forms, records required, and authorization procedures to be followed in conjunction with this section and KRS 205.559,
Require that specialty care be rendered by a health care provider who is recognized and actively participating in the Medicaid program;
Require that any required prior authorization requesting a referral or consultation for specialty care be processed by the patient’s primary care provider and that any specialist coordinates care with the patient’s primary care provider; and
Require a telehealth provider to be licensed in Kentucky, or as allowed under the standards and provisions of a recognized interstate compact, in order to receive reimbursement for telehealth services.

The Cabinet for Health and Family Services cannot require a Medicaid provider to be a part of a telehealth network.

SOURCE: KY Statute Sec. 205.5591, (Accessed Sept. 2026).

For FQHCs and RHCs, a “visit” is defined as occurring in-person or via telehealth if authorized by 907 KAR 3:170.

SOURCE: KY 907 KAR 1:055 (37). (Accessed Sept. 2026).

See rule for requirements of health care providers performing a telehealth or digital health service, including those related to confidentiality, patient privacy, consent, credentialing.

SOURCE: KY 900 KAR 12:005 (Accessed Sept. 2026).

The Division of Telehealth Services has a Telehealth Terminology Glossary available.

SOURCE: KY 900 KAR 12:005. (Accessed Sept. 2026).

Corrections

The Department of Corrections shall:

Promulgate administrative regulations to:
- Require telehealth services in county jails

The department may promulgate administrative regulations in accordance with KRS Chapter 13A to implement a program that provides for reimbursement of telehealth consultations.

See statute for additional Information.

SOURCE: KY Revised Statutes 197.020. (Sept. 2026).

Behavioral Health Conditional Dismissal Pilot Program

A pilot program shall be established in no less than ten (10) counties selected by the Chief Justice of the Supreme Court to participate in a behavioral health conditional dismissal program. The pilot program shall begin January 1, 2023, and shall continue until January 1, 2031, unless extended or limited by the General Assembly.

SOURCE: KY Revised Statutes 533.272, (Accessed Sept. 2026).

Notwithstanding any other provision to the contrary, the clinical assessment may be conducted through telehealth or in person, whether the person charged is in the custody of the jail or has been released.

SOURCE:KY Revised Statutes 533.276. (Accessed Sept. 2026)

Recovery Residences

The provision of on-site medical and clinical services, including telehealth services and other in residence services, to an individual residing in a recovery residence by a licensed medical or behavioral health provider provided that:

The licensed provider is not employed or contracted by the recovery residence unless at least one (1) of the following criteria is met:
- The recovery residence does not receive payment from the licensed provider;
- The recovery residence makes on-site clinical services available from an outside service provider, but each resident may utilize the clinical service provider of his or her choosing; or
- The recovery residence is operated by or is a direct subsidiary of the licensed provider and the services are provided as part of a continuum of care that can be shown by the recovery residence operator to include step-down facilities with resident-driven length of stay or referral thereof

SOURCE: KY Revised Statutes 222.506, (Accessed Sept. 2026).

Last updated 09/07/2026

Out of State Providers

KY Medicaid program shall …

Require a telehealth provider to be licensed in Kentucky, or as allowed under the standards and provisions of a recognized interstate compact, in order to receive reimbursement for telehealth services.

In accordance with KRS 211.336, the Department for Medicaid Services and any managed care organization with whom the department contracts for the delivery of Medicaid services shall not:

Require a Medicaid provider to be physically present with a Medicaid recipient, unless the provider determines that it is medically necessary to perform those services in person;
Require prior authorization, medical review, or administrative clearance for telehealth that would not be required if a service were provided in person;
Require a Medicaid provider to be employed by another provider or agency in order to provide telehealth services that would not be required if that service were provided in person;
Require demonstration that it is necessary to provide services to a Medicaid recipient through telehealth;
Restrict or deny coverage of telehealth based solely on the communication technology or application used to deliver the telehealth services; or
Require a Medicaid provider to be part of a telehealth network.

SOURCE: KY Statute Sec. 205.5591. (Accessed Sept. 2026).

A telehealth service shall not be reimbursed by the department if: … The telehealth care provider of the telehealth service: … not physically located within the United States or a United States territory at the time of service.

Telehealth Provided by an Out-of-State Telehealth Care Provider.

The department shall evaluate and monitor the healthcare quality and outcomes for recipients who are receiving healthcare services from out-of-state telehealth care providers.
The department shall implement any in-state or out-of-state participation restrictions established by a state licensing board for the impacted provider.

SOURCE: 907 KAR 003:170. (Accessed Sept. 2026).

Last updated 09/04/2026

Overview

Kentucky’s definition of telehealth includes synchronous and asynchronous technology, remote patient monitoring technology, and audio-only encounters. KY Medicaid is required to reimburse for telehealth services and telehealth consultations under certain circumstances, including RHCs, FQHCs and FQHC look-alikes. Store-and-forward is reimbursed by KY Medicaid under certain circumstances and remote patient monitoring is reimbursed for certain conditions. Medicaid-participating practitioners and home health agencies are strongly encouraged to use audio-only encounters as a mode of delivering telehealth services only when no other approved mode of delivering telehealth services is available.

Last updated 09/07/2026

Remote Patient Monitoring

POLICY

Pursuant to Section 7 of this administrative regulation, remote patient monitoring shall be an eligible telehealth service within the fee-for-service and managed care Medicaid programs.

A recipient participating in a remote patient monitoring service shall:

Have the capability to utilize any monitoring tools involved with the ordered remote patient monitoring service. For the purposes of this paragraph, capability shall include the regular presence of an individual in the home who can utilize the involved monitoring tools; and
Have the internet or cellular internet connection necessary to accommodate any needed remote patient monitoring equipment in the home.

The department may restrict the remote patient monitoring benefit by excluding:

Remote patient monitoring equipment;
Upgrades to remote patient monitoring equipment; or
An internet connection necessary to transmit the results of the services.

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

Live or real-time audio and video synchronous telehealth technology;
Asynchronous store-and-forward telehealth technology;
Remote patient monitoring using wireless devices, wearable sensors, or implanted health monitors;
Audio-only telecommunications systems; or
Clinical text chat technology when:
- Utilized within a secure, HIPAA compliant application or electronic health record system; and

- Meeting:
  - The scope of the provider’s professional licensure; and
  - The scope of practice of the provider; and
  - Comply with the following federal laws to prevent waste, fraud, and abuse relating to telehealth:
    - False Claims Act, 31 U.S.C. § 3729-3733;
    - Anti-Kickback Statute, 42 U.S.C. § 1320a-7b(b); and
    - Physician Self-Referral, Section 1877 of the Social Security Act

SOURCE: KY 900 KAR 12:005 (Accessed Sept. 2026).

Remote monitoring of physiologic parameters codes are included in school-based manual.

SOURCE: KY Cabinet for Health and Family Services, Provider Billing Instructions for School Based Health Services Provider Type 21, V. 7.3, 2/26/26 (Accessed Sept. 2026).

CONDITIONS

Pursuant to Section 7 of this administrative regulation, remote patient monitoring shall be an eligible telehealth service within the fee-for-service and managed care Medicaid programs.

Conditions for which remote patient monitoring shall be covered include:

Pregnancy;
Diabetes;
Heart disease;
Cancer;
Chronic obstructive pulmonary disease;
Hypertension;
Congestive heart failure;
Mental illness or serious emotional disturbance;
Myocardial infarction;
Stroke; or
Any condition that the department determines would be appropriate and effective for remote patient monitoring.

Except for a recipient participating due to a pregnancy, a recipient receiving remote patient monitoring services shall have two (2) or more of the following risk factors:

Two (2) or more inpatient hospital stays during the prior twelve (12) month period;
Two (2) or more emergency department admissions during the prior twelve (12) month period;
An inpatient hospital stay and a separate emergency department visit during the prior twelve (12) month period;
A documented history of poor adherence to ordered medication regimens;
A documented history of falls in the prior six (6) month period;
Limited or absent informal support systems;
Living alone or being home alone for extended periods of time;
A documented history of care access challenges; or
A documented history of consistently missed appointments with health care providers.

A recipient may participate in a remote patient monitoring program as the result of a pregnancy if the provider documents that the recipient has a condition that would be improved by a remote patient monitoring service.

A recipient participating in a remote patient monitoring service shall:

Have the capability to utilize any monitoring tools involved with the ordered remote patient monitoring service. For the purposes of this paragraph, capability shall include the regular presence of an individual in the home who can utilize the involved monitoring tools; and
Have the internet or cellular internet connection necessary to accommodate[host] any needed remote patient monitoring equipment in the home.

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

PROVIDER LIMITATIONS

Remote patient monitoring shall be ordered by:

A physician;
An advanced practice registered nurse;
A physician assistant; or
When operating within their scope of practice and licensure, the following behavioral health practitioners:
- A psychiatrist;
- A licensed psychologist;
- A licensed psychological practitioner;
- A certified psychologist with autonomous functioning;
- A licensed clinical social worker;
- A licensed marriage and family therapist;
- A licensed professional art therapist;
- A licensed clinical alcohol and drug counselor; or
- A licensed behavior analyst.

Providers who may provide remote patient monitoring services include:

A home health agency;
A hospital;
A federally qualified health center;
A rural health center;
A primary care center;
A physician;
An advanced practice registered nurse;
A physician assistant;
A behavioral health multi-specialty group participating in the Medicaid Program pursuant to 907 KAR 15:010;
A behavioral health services organization participating in the Medicaid Program pursuant to 907 KAR 15:020 or 907 KAR 15:022;
A residential crisis stabilization unit participating in the Medicaid Program pursuant to 907 KAR 15:070;
A chemical dependency treatment center participating in the Medicaid Program pursuant to 907 KAR 15:080;
A community mental health center that is participating in the Medicaid Program in compliance with 907 KAR 1:044, 907 KAR 1:045, or 907 KAR 1:047; or
A certified community behavioral health clinic that is participating in the Medicaid Program.

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

OTHER RESTRICTIONS

The department may restrict the remote patient monitoring benefit by excluding:

Remote patient monitoring equipment;
Upgrades to remote patient monitoring equipment; or
An internet connection necessary to transmit the results of the services.

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

Last updated 09/07/2026

Store and Forward

POLICY

KY Medicaid defines and reimburses telehealth and telehealth consultations to include asynchronous (store-and-forward) technologies and coverage in certain instances.

The cabinet shall not require a telehealth consultation if an in-person consultation with a Medicaid-participating provider is reasonably available where the patient resides, works, or attends school or if the patient prefers an in-person consultation.

SOURCE: KY Revised Statutes 205.559; For definition, see: KY Revised Statute 205.510 & 211.332. (Accessed Sept. 2026).

“Asynchronous telehealth” means a store and forward telehealth service that is electronically mediated.

An asynchronous telehealth service or store and forward transfer shall be limited to those telehealth services that have an evidence base establishing the service’s safety and efficacy.

A store and forward service shall be permissible if the primary purpose of the asynchronous interaction involves high quality digital data transfer, such as digital image transfers. An asynchronous telehealth service shall be reimbursable if that service supports an upcoming synchronous telehealth or face-to-face visit to a provider that is providing one of the eligible specialties (see next section).

The department shall evaluate available asynchronous telehealth services quarterly, and may clarify that certain asynchronous telehealth services meet the requirements to be included as permissible asynchronous telehealth, as appropriate and as funds are available, if those asynchronous telehealth services have an evidence base establishing the service’s:

Safety; and
Efficacy.

Any asynchronous service that is determined by the department to meet the criteria established pursuant to this subsection shall be available on the department’s Web site.

Except as allowed pursuant to subsection (4) of this section or otherwise within the Medicaid program, a provider shall not receive additional reimbursement for an asynchronous telehealth service if the service is an included or integral part of the billed office visit code or service code.

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

Live or real-time audio and video synchronous telehealth technology;
Asynchronous store-and-forward telehealth technology;
Remote patient monitoring using wireless devices, wearable sensors, or implanted health monitors;
Audio-only telecommunications systems; or
Clinical text chat technology when:
- Utilized within a secure, HIPAA compliant application or electronic health record system; and

- Meeting:
  - The scope of the provider’s professional licensure; and
  - The scope of practice of the provider; and

Comply with the following federal laws to prevent waste, fraud, and abuse relating to telehealth:

False Claims Act, 31 U.S.C. § 3729-3733;
Anti-Kickback Statute, 42 U.S.C. § 1320a-7b(b); and
Physician Self-Referral, Section 1877 of the Social Security Act

SOURCE: KY 900 KAR 12:005 (Accessed Sept. 2026).

Rural Health Clinic

The following services or activities shall not be covered under this administrative regulation: …

A telephone call, an email, a text message or other electronic contact that does not meet requirements stated in the definition for telehealth established pursuant to KRS 205.510(16) and implemented pursuant to 907 KAR 3:170.

SOURCE: KY Admin Regs. Title 907 KAR 1:082, (Accessed Sept. 2026).

ELIGIBLE SERVICES/SPECIALTIES

An asynchronous telehealth service or store and forward transfer shall be limited to those telehealth services that have an evidence base establishing the service’s safety and efficacy.

A store and forward service shall be permissible if the primary purpose of the asynchronous interaction involves high quality digital data transfer, such as digital image transfers. An asynchronous telehealth service within the following specialties or instances of care that meets the criteria established in this section shall be reimbursable as a store and forward telehealth service:

Radiology;
Cardiology;
Oncology;
Obstetrics and gynecology;
Ophthalmology and optometry, including a retinal exam;
Dentistry;
Nephrology;
Infectious disease;
Dermatology;
Orthopedics;
Wound care consultation;
A store and forward telehealth service in which a clear digital image is integral and necessary to make a diagnosis or continue a course of treatment;
A speech language pathology service that involves the analysis of a digital image, video, or sound file, such as for a speech language pathology diagnosis or consultation; or
Any code or group of services included as an allowed asynchronous telehealth service.

Unless otherwise prohibited by this section, an asynchronous telehealth service shall be reimbursable if that service supports an upcoming synchronous telehealth or in-person visit to a provider that is providing one (1) of the specialties or instances of care listed in subsection (2) of this section.

The department shall evaluate available asynchronous telehealth services quarterly, and may clarify that certain asynchronous telehealth services meet the requirements of this section to be included as permissible asynchronous telehealth, as appropriate and as funds are available, if those asynchronous telehealth services have an evidence base establishing the service’s:

Safety; and
Efficacy.

Any asynchronous service that is determined by the department to meet the criteria established pursuant to this subsection shall be available on the department’s Web site.

Each asynchronous telehealth service shall involve timely actual input and responses from the provider, and shall not be solely the result of reviewing an artificial intelligence messaging generated interaction with a recipient.

A reasonable time;
The existing availability constraints of the provider’s schedule; and
No more than three (3) weeks of the recipient’s request, unless the recipient’s condition or described symptoms suggest a need for an earlier synchronous or in-person encounter.

Recipient
Recipient’s guardian or representative;
Another provider; or
Managed care organization.

The Office of the Ombudsman and Administrative Review shall investigate as appropriate and forward reports of a failure to accommodate to the department.

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

School Based Services

Electronic health record assessment codes are included in school-based manual.

SOURCE: KY Cabinet for Health and Family Services, Provider Billing Instructions for School Based Health Services Provider Type 21, V. 7.3, 2/26/26, (Accessed Sept. 2026).

GEOGRAPHIC LIMITS

No Reference Found.

TRANSMISSION FEE

No Reference Found.

Professional Requirements

Last updated 09/07/2026

Consent Requirements

The treating physician who delivers or facilitates the telehealth service shall obtain the informed consent of the patient before services are provided.

SOURCE: KY Revised Statutes § 311.5975. (Accessed Sept. 2026).

Patient consent must be obtained by:

Also see listing of Professional Board Regulations in Miscellaneous section for regulatory requirements for informed consent by profession.

SOURCE: KY Revised Statutes 310.200, 311.5975, 312.220, 313.060 as amended by HB 776 (2026 Session), 314.155, 314A.230, 315.310, 319.140, 319A.300, 320.390, 327.200 as amended by HB 48 (2026 Session), 334A.200, 335.158 as amended by HB 424 (2026 Session), 335.380 & 314A.330, Originated from HB 177 (2000). (Accessed Sept. 2026).

The Board of Speech Language Pathology and Audiology requires their licensees to obtain informed consent of the client and inform the client in writing about:

The limitations of using technology in the provision of telepractice;
Potential risks to confidentiality of information due to technology in the provision of telepractice;
Potential risks of disruption in the use of telepractice;
When and how the licensee will respond to routine electronic messages;
In what circumstances the licensee will use alternative communications for emergency purposes;
Who else may have access to client communications with the licensee;
How communications can be directed to a specific licensee;
How the licensee stores electronic communications from the client; and
That the licensee may elect to discontinue the provision of services through telehealth.

SOURCE: KY 201 KAR 17:110. (Accessed Sept. 2026).

Social Work

The temporary permit holder shall be allowed to practice telehealth in Kentucky if the permit holder:

The permit holder is allowed to practice telehealth in Kentucky so long as the permit holder …
- Has written consent for telehealth with clients

SOURCE: KY Admin Regulations Title 201 KAR 23:160, (Accessed Sept. 2026).

A social worker who provides or facilitates the use of telehealth shall

Ensure that the informed consent of the client, or another appropriate person with authority to make the health care treatment decision for the client, is obtained before services are provided through telehealth.
Ensure that the confidentiality of the client’s medical information is maintained as required by this chapter and other applicable state and federal law. At a minimum, confidentiality shall be maintained through appropriate processes, practices, and technology that conform to applicable state and federal law, including but not limited to the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, as amended;
Ensure that telehealth services are accessible to clients with disabilities in compliance with Section 508 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. sec. 794(d), Title III of the Americans with Disabilities Act, 42 U.S.C. secs. 12181 to 12189, and all other applicable federal and state accessibility requirements;
Disclose to the client the potential risks to privacy and confidentiality of information due to the use of technology (see statute for requirements).

When a social worker determines a client is at imminent risk of serious harm during a telehealth encounter, the above requirements may be waived as necessary for timely and appropriate intervention to protect the client’s safety. This exception is limited to a single telehealth encounter or successive contacts within the same crisis lasting no more than twenty-four (24) hours. Use of this telehealth exception and the rationale shall be documented in the client record.

SOURCE: KY Revised Statute 335.158 as amended by HB 424 (2026 Session). (Accessed Sept. 2026).

Counselors

In accordance with KRS 211.334 and 900 KAR 12:005 Section 2(1)(c), obtain the informed consent of the client; and inform the client in writing about certain elements (see regulation).

SOURCE: KY Admin Regulations Title 201 KAR 36:045, (Accessed Sept. 2026).

See Medicaid Consent section for consent requirements established by the Cabinet for Health and Family Services.

Last updated 09/07/2026

Cross State Licensing

Except as provided in subsection (2) of this section, no person shall engage or attempt to engage in the practice of medicine or osteopathy within this state, or open, maintain, or occupy an office or place of business within this state for engaging in practice, or in any manner announce or express a readiness to engage in practice within this state, unless the person holds a valid and effective license or permit issued by the board as hereinafter provided.

The provisions of subsection (1) of this section shall not apply to: …

Persons who, being nonresidents of Kentucky and lawfully licensed to practice medicine or osteopathy in their states of actual residence, infrequently engage in the practice of medicine or osteopathy within this state, when called to see or attend particular patients in consultation and association with a physician licensed pursuant to this chapter

See statute for additional exceptions.

SOURCE: KY Revised Statutes § 311.560. (Accessed Sept. 2026).

If a state agency authorized or required to promulgate administrative regulations relating to telehealth chooses to promulgate an administrative regulation relating to telehealth, the state agency:

Shall not: …

Prohibit the delivery of telehealth services to a person located in Kentucky by a provider who is a participant in a recognized interstate compact and delivers telehealth services to a person in Kentucky under the standards and provisions of that interstate compact; …
Prohibit the delivery of telehealth services to a person who is a permanent resident of Kentucky who is temporarily located outside of Kentucky by a provider who is credentialed by a Kentucky professional licensure board;
Prohibit the delivery of telehealth services to a person who is not a permanent resident of Kentucky who is temporarily located in Kentucky by a provider who is credentialed by a professional licensure board in the person’s state of permanent residence; or
Require a health care provider to be physically located in the state that he or she is credentialed in by a professional licensure board in order to provide telehealth services to a person who is a permanent resident of the same state. Nothing in this paragraph shall be construed to imply that the Kentucky Medicaid program would be responsible for reimbursement for any services provided in Kentucky by a provider not credentialed by the Kentucky Medicaid program; and

May promulgate administrative regulations, which shall be no more restrictive than administrative regulations for providers who deliver healthcare services in person, to establish additional requirements relating to telehealth, including requirements:

For the proper use and security of telehealth;

To address emergency situations, including but not limited to suicidal ideations or plans; threats to self or others; evidence of dependency, neglect, or abuse; or other life-threatening conditions;
To prevent waste, fraud, and abuse of telehealth services, both in general and specific to the provision of telehealth services delivered via audio-only encounters; or
That a telehealth provider be licensed in Kentucky, or as allowed under the standards and provisions of a recognized interstate compact, in order to receive reimbursement for telehealth services.

See Professional Board Standards section for the complete statute.

SOURCE: KY Revised Statutes 211.336, (Accessed Sept. 2026).

Counselors

A licensee using distance counseling to deliver counseling services or who practices distance counseling shall:

Comply with the state law where the licensee initiates the distance counseling;
Be licensed to practice counseling where the client is domiciled;
Comply with Section 508 of the Rehabilitation Act, 29 U.S.C. 794(d), to make technology accessible to a client with disabilities; and
Maintain patient privacy and security in accordance with 900 KAR 12:005 Section 2(1)(b).

SOURCE: KY Admin Regulations Title 201 KAR 36:045, (Accessed Sept. 2026).

Social Workers

A person shall not engage in the practice of social work in the Commonwealth of Kentucky, whether in person, through telehealth, or other technology, unless the person:

Is licensed in accordance with the provisions of KRS 335.010 to 335.160 and 335.990;
Is practicing under a temporary permit issued by the board in accordance with KRS 335.070 and applicable administrative regulations; or
Holds an active, unencumbered multistate license and the multistate authorization to practice in accordance with KRS 335.135.

SOURCE: KRS 335.030 as amended by HB 424 (2026 Session). (Accessed Sept. 2026).

Any person located within or outside of Kentucky who provides social work via telehealth to a client in Kentucky, and any person located in Kentucky who provides social work via telehealth to a client outside of Kentucky, shall:

Hold a temporary permit issued under KRS 335.070;
Be licensed under KRS 335.080, 335.090, or 335.100; or
Be licensed to provide social work by a member state, as defined in KRS 335.135, in a jurisdiction that has enacted the Social Work Licensure Compact.

A social worker shall comply with the laws, administrative regulations, and professional standards relating to licensing, telehealth, mandatory reporting, duty to warn, age of consent, and other requirements for the provision of social work services of:

The Commonwealth of Kentucky;
Any jurisdiction in which the social worker is located; and
Any jurisdiction in which a client is located at the time the social worker provides social work via telehealth.

A person practicing social work who is employed by a federal agency, including but not limited to the United States Department of Veterans Affairs, may provide social work services via telehealth to clients of the federal agency regardless of the person’s or client’s location, as permitted under federal law for telehealth and within the scope of the person’s employment.

A person practicing social work who is located outside of the United States may provide social work services via telehealth to clients in Kentucky, and a social worker located in Kentucky may provide social work services via telehealth to clients who are located outside of the United States, if the person practicing social work:

Complies with Kentucky laws and administrative regulations governing the practice of social work and provision of social work services via telehealth;
Complies with the laws and professional standards governing the practice of social work and provision of social work services via telehealth of the foreign country in which the social worker or client is located;
Complies with all United States laws and international agreements that apply to the provision of telehealth services; and
Ensures the secure and compliant handling of client information in accordance with applicable United States and international data protection standards, such as the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, as amended, and the General Data Protection Regulation, Regulation (EU) 2016/679.

SOURCE: KRS 335.158 as amended by HB 424 (2026 Session). (Accessed Sept. 2026).

Social Worker Temporary Permits for Out-of-State Independent Clinical and Non-Clinical License Holders

The temporary permit holder shall be allowed to practice telehealth in Kentucky if the permit holder:

Provides evidence to the board of appropriate training for telehealth practice;
Is complying with all telehealth laws and regulations of Kentucky; and
Has written consent for telehealth with clients.

See regulations for additional details.

SOURCE: KY Admin Regulations Title 201 KAR 23:160, (Accessed Sept. 2026).

Last updated 09/07/2026

Definitions

The delivery of health care services through electronic mail, text, chat, or facsimile unless a state agency authorized or required to promulgate administrative regulations relating to telehealth determines that health care services can be delivered via these modalities in ways that enhance recipient health and well-being and meet all clinical and technology guidelines for recipient safety and appropriate delivery of services; or
Basic communication between a health care provider and a patient, including but not limited to appointment scheduling, appointment reminders, voicemails, or any other similar communication intended to facilitate the actual provision of healthcare services either in-person or via telehealth; and

SOURCE: KY Revised Statute 211.332. (Accessed Sept. 2026).

“Telehealth means the use of interactive audio, video, or other electronic media to deliver health care. It includes the use of electronic media for diagnosis, consultation, treatment, transfer of health or medical data, and continuing education.”

SOURCE: KY Revised Statutes § 310.200, 312.220, 313.010, 314.155, 315.310, 319.140, 319A.300, 320.390, 334A.200, 335.380, 314A.330, & KAR Title 501, Ch. 13, Sec. 010. (Accessed Sept. 2026).

Social Workers

“Telehealth” has the same meaning as in KRS 211.332.

SOURCE: KRS 335.020 as amended by HB 424 (2026 Session). (Accessed Sept. 2026).

Physical Therapy

“Telehealth” means the use of interactive audio, video, or other electronic media to deliver health care. It includes the use of electronic media for physical therapy diagnosis, consultation, treatment, transfer of health or medical data, and continuing education.

SOURCE: KRS 327.200 as amended by HB 48 (2026 Session). (Accessed Sept. 2026).

Veterinarians

“Telehealth” means all uses of technology to remotely gather and deliver health information, advice, education, and care;

“Telemedicine” or “connected care” means the integration of digital technologies to enhance and support the VCPR and facilitate proactive and ongoing care through improved communication, diagnosis, and monitoring

SOURCE: KY Revised Statute Sec. 321.181, (Accessed Sept. 2026).

Last updated 09/07/2026

Licensure Compacts

Member of the Athletic Trainer Compact.

SOURCE: ATC Map. HB 36 (2026 Session). (Accessed Sept. 2026).

Member of the Audiology and Speech-Language Pathology Compact.

SOURCE: ASLP-IC, Compact Map, (Accessed Sept. 2026).

Member of the Counseling Compact.

SOURCE: Counseling Compact Map. (Accessed Sept. 2026).

Member of the Dietitian Licensure Compact.

SOURCE: DLC Map. HB 36 (2026 Session). (Accessed Sept. 2026).

Member of the Interstate Medical Licensure Compact.

SOURCE: Interstate Medical Licensure Compact Map. (Accessed Sept. 2026).

Member of the Nurse Licensure Compact.

SOURCE: Nurse Licensure Compact Map, NCSBN. (Accessed Sept. 2026).

Member of the Occupational Therapy Licensure Compact.

SOURCE: Occupational Therapy Licensure Compact Map. (Accessed Sept. 2026).

Member of the Physical Therapy Compact.

SOURCE: PT Compact Map. (Accessed Sept. 2026).

Member of the Psychology Interjurisdictional Compact.

SOURCE: PSYPACT Map. (Accessed Sept. 2026).

Member of the Respiratory Care Interstate Compact.

SOURCE: RCIC Map. HB 36 (2026 Session). (Accessed Sept. 2026).

Member of the Social Work Licensure Compact.

SOURCE: Social Work Licensure Compact Map. (Accessed Sept. 2026).

* See Compact websites for implementation and license issuing status and other related requirements.

Last updated 09/07/2026

Miscellaneous

There is hereby created a Division of Telehealth Services within the Office of Inspector General to be headed by a director appointed by the secretary pursuant to KRS 12.050. The division shall:

Provide guidance and direction to healthcare providers delivering care using telehealth;
Develop guidance, resources, and education to help promote access to healthcare services in the Commonwealth;
Assist the Cabinet for Health and Family Services with the implementation of KRS 211.334; and
Provide the Department for Medicaid Services with any additional information deemed relevant by the division for inclusion in the report required by KRS 211.334(3).

SOURCE: KY Revised Statute 194A.105, (Accessed Sept. 2026).

Social Workers

A social worker who provides or facilitates the use of telehealth shall:

Assess the client’s current condition and needs to determine the appropriateness of telehealth in meeting those needs and that the client has the necessary knowledge and skill to benefit from telehealth;
Adhere to the same or appropriately adapted standards of care as when treatment or services are provided in person;
Not engage in fee-splitting with other telehealth providers or entities; and
Not engage in false, misleading, or deceptive advertising of telehealth services.

Each time a social worker provides or facilitates services via telehealth, the social worker shall:

Make a reasonable attempt to verify the identity of the client;
Make a reasonable attempt to verify and document the physical location of the client at the time services are provided;
Obtain from the client alternative means of contacting the client;
Provide information on how communication can be directed to the social worker;
Utilize non-public facing technology products that comply with the Health Insurance Portability and Accountability Act of 1996 standards in 42 U.S.C. secs. 1320d to 1320d-9, except when the client, after being duly informed of the risks in writing or through a documented conversation, has requested to use nonsecure communication methods, and the social worker has documented the client’s request and informed consent in the client’s record; and
Document in the client’s record that a service was provided via telehealth, including any technological difficulties experienced during the provision of the service and adherence to all appropriate standards of care.

SOURCE: KRS 335.158 as amended by HB 424 (2026 Session). (Accessed Sept. 2026).

Dietitian Compact

“Practice of dietetics” means the synthesis and application of dietetics as defined by state law and administrative regulations, primarily for the provision of nutrition care services, including medical nutrition therapy, in person or via telehealth, to prevent, manage, or treat diseases or medical conditions and promote wellness;

SOURCE: KRS 310.090 as amended by HB 36 (2026 Session). (Accessed Sept. 2026).

Athletic Trainer Compact

The Athletic Trainer Compact is designed to allow for the use of telehealth to facilitate increased access to athletic training services;

SOURCE: KRS 311.929 as amended by HB 36 (2026 Session). (Accessed Sept. 2026).

Statewide system for heart attack response and treatment – Care levels and standards

Level I Comprehensive Cardiac Centers, Level II Primary Heart Attack Centers, and Level III Acute Heart Attack Ready hospitals are encouraged to coordinate, through a coordinating heart attack care agreement, within their service area to provide appropriate access to care for acute heart attack patients. A coordinating heart attack care agreement shall be in writing and include at a minimum:

Transfer protocols for the transport and acceptance of heart attack patients for treatment therapies which the transferring facility is not capable of providing; and
Communication criteria and protocols that include but are not limited to telemedicine systems.

The department may suspend or revoke a hospital’s designation as Level I Comprehensive Cardiac Center, Level II Primary Heart Attack Center, or Level III Acute Heart Attack Ready if the department determines that the hospital is not in compliance with the requirements of KRS 211.340 to 211.343.

SOURCE: KY Revised Statutes 211.341. (Accessed Sept. 2026).

Workers’ Compensation

Nothing in KRS 211.332 to 211.338 shall be interpreted or construed to limit the authority of the Department of Workers’ Claims to promulgate administrative regulations governing the delivery of health care services via telehealth or digital health pursuant to KRS Chapter 342.

SOURCE: KY Revised Statutes 211.338. (Accessed Sept. 2026).

Medicaid

See Medicaid Misc. section for regulation outlining requirements established by the Cabinet for Health and Family Services on health care providers performing a telehealth or digital health service, including those related to confidentiality, patient privacy, consent, and credentialing.

Last updated 09/07/2026

Online Prescribing

As used in KRS 311.595(9), “dishonorable, unethical, or unprofessional conduct of a character likely to deceive, defraud, or harm the public or any member thereof” shall include but not be limited to the following acts by a licensee:

Prescribes or dispenses any medication:

In response to any communication transmitted or received by computer or other electronic means, when the licensee fails to take the following actions to establish and maintain a proper physician-patient relationship:
- Verification that the person requesting medication is in fact who the patient claims to be;
- Establishment of a documented diagnosis through the use of accepted medical practices; and
- Maintenance of a current medical record.

For the purposes of this paragraph, an electronic, on-line, or telephonic evaluation by questionnaire is inadequate for the initial evaluation of the patient or for any follow-up evaluation.

SOURCE: KY Revised Statutes § 311.597. (Accessed Sept. 2026).

“Good-faith prior examination,” as used in KRS Chapter 218A and for criminal prosecution only, means an in-person medical examination of the patient conducted by the prescribing practitioner or other health-care professional routinely relied upon in the ordinary course of his or her practice, at which time the patient is physically examined and a medical history of the patient is obtained. “In-person” includes telehealth examinations. This subsection shall not be applicable to hospice providers licensed pursuant to KRS Chapter 216B.

SOURCE: KY Revised Statute § 218A.010(18). (Accessed Sept. 2026).

A practitioner-patient relationship may commence via telehealth. An in-person initial meeting shall not be required unless the provider determines it is medically necessary to perform those services in person as set forth in KRS 211.336(2)(a). A licensed health care practitioner may represent the licensee at the initial meeting.

See rule for additional requirements.

SOURCE: KY 201 KAR 17:110. (Accessed Sept. 2026).

A physician performing or inducing an abortion shall be present in person and in the same room with the patient. The use of telehealth as defined in 304.17A-005 shall not be allowed in the performance of an abortion.

SOURCE: KY Revised Statute Sec. 311.728. (Accessed Sept. 2026).

Medical Licensure Board Opinion – Online/Virtual Medication Assisted Treatment (MAT)

Physicians using telemedicine technologies in the provision of medical services to patients must conduct all appropriate evaluations and treatments consistent with the same standards of acceptable and prevailing medical practice as an in-person encounter. Telemedicine visits through real-time interactive audio and video technology can be an important modality for treating patients with OUD, including the initiation of MAT for OUD. KRS 311.597(1) states that “electronic, on-line or telephonic evaluation by questionnaire is inadequate for the initial evaluation of the patient or for any follow-up evaluation.” Initial audio-only person-to-person telephone visits may be considered by physicians treating patients with OUD – especially during a global health pandemic or when real-time, interactive audio and video technology is not immediately available to the patient – provided that an appointment for an inperson medical evaluation or telemedicine evaluation through real-time interactive audio and video technology is scheduled to take place as soon as possible thereafter.

Some but not all components of MAT for OUD may be appropriately carried out via telemedicine technologies, including evaluation and counseling and behavioral modification components. For instance, the Board’s regulation requires that licensees prescribing Buprenorphine-Mono-Product or Buprenorphine-Combinedwith-Naloxone “shall implement a treatment plan that requires objective behavioral modification by the patient” which “shall include the patient’s participation in a behavioral modification program that may include counseling or a twelve (12) step facilitation.” 201 KAR 9:270 Section 2. Telemedicine may be an appropriate and effective means of facilitating such behavioral modification programs. However, the use of telemedicine technologies to carry out monitoring components of treatment, such as through self-directed pills counts or unsupervised off-site drug screening methodologies, are wholly unreliable, and thus are inappropriate and counter to the intent of MAT for OUD. Any credible standards that would allow for monitoring components to be carried out solely via telemedicine technologies would be those set forth and adopted in the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) publication: Medications for Opioid Use Disorder. Treatment Improvement Protocol (TIP) Series 63. Publication No. PEP20-02-01-006. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2020.

SOURCE: KY Medical Board Opinion: Relating to Online/Virtual MAT. (Dec. 2021). (Accessed Sept. 2026).

Buprenorphine Prescribing Standards

In certain instances, a prescriber shall refer patients for formal consultations with a certified addiction specialist. The formal consultation may occur via telehealth if it would meet the same standards of acceptable and prevailing evaluative practices of a physical in-person evaluation.

SOURCE: KY 201 KAR 9:270 (Accessed Sept. 2026).

Counselors

A counselor-client relationship may commence via distance counseling. An in-person meeting shall not be required unless the provider determines it is medically necessary to perform those services in person as established in KRS 211.336(2) (a). A licensee using distance counseling to deliver counseling services or who practices distance counseling shall, upon initial contact complete certain tasks (see regulation).

SOURCE: KY Admin Regulations Title 201 KAR 36:045, (Accessed Sept. 2026).

Veterinarians

A VCPR shall not be established solely by telehealth means. In the absence of a VCPR, any advice provided through telehealth shall be general and not specific to a patient, diagnosis, or treatment. Veterinary telemedicine shall only be conducted within an existing VCPR, with the exception for advice given in an emergency care situation until that patient can be seen in person by a licensed veterinarian.

SOURCE: KY Revised Statute Sec. 321.185, (Accessed Sept. 2026).

Controlled Substances – Medical Cannabis

A bona fide practitioner-patient relationship may be established following a referral from the patient’s primary care provider and may be maintained via telehealth. However, a bona fide practitioner-patient relationship shall not be established via telehealth.

An initial written certification for the use of medicinal cannabis shall be provided during the course of an in-person examination of the patient by the medicinal cannabis practitioner. Subsequent written certifications, including for the purpose of renewing a registry identification card, may be provided electronically or during the course of a telehealth consultation.

For the purpose of applying for a registry identification card, a written certification provided under this section shall be valid for a period of not more than sixty (60) days. The medicinal cannabis practitioner may renew a written certification for not more than three (3) additional periods of not more than sixty (60) days each. Thereafter, the medicinal cannabis practitioner may issue another certification to the patient only after an in-person examination or an examination conducted via telehealth of the patient by the medicinal cannabis practitioner.

SOURCE: KY Revised Statute Sec. 218B.050, (Accessed Sept. 2026).

Last updated 09/07/2026

Professional Board Standards

Speech Language Pathology and Audiology

SOURCE: Title 201, Ch. 17, Sec. 110. (Accessed Sept. 2026).

Board of Dentistry Examiners

SOURCE: Title 201, Ch. 8, Sec. 590. (Accessed Sept. 2026).

Physical Therapy

SOURCE: Title 201, Ch. 22, Sec. 160. (Accessed Sept. 2026).

Dietitians and Nutritionists

SOURCE: Title 201, Ch. 33, Sec. 070. (Accessed Sept. 2026).

Nursing Board

SOURCE: Title 201, Ch. 20, Sec. 520. (Accessed Sept. 2026).

Board of Psychology

SOURCE: Title 201, Ch. 26, Sec. 310. (Accessed Sept. 2026).

Occupational Therapy

SOURCE: Title 201, Ch. 28, Sec. 235. (Accessed Sept. 2026).

Marriage and Family Therapists

SOURCE: Title 201, Ch. 32, Sec. 110. (Accessed Sept. 2026).

Board of Optometric Examiners

SOURCE: Title 201, Ch. 5, Sec. 055. (Accessed Sept. 2026).

Board of Counselors “Distance Counseling”

SOURCE: Title 201, Ch. 36, Reg. 45, (Accessed Sept. 2026).

Board of Chiropractors

SOURCE: Title 201, Ch. 21, Sec. 105. (Accessed Sept. 2026).

Applied Behavior Analysis Board

SOURCE: Title 201, Ch. 43, Sec. 100. (Accessed Sept. 2026).

If a state agency authorized or required to promulgate administrative regulations relating to telehealth chooses to promulgate an administrative regulation relating to telehealth, the state agency:

Use terminology consistent with the glossary of telehealth terminology established by the cabinet pursuant to KRS 211.334; and
Comply with the minimum requirements established by the cabinet pursuant to KRS 211.334;

State agencies shall not:

Require a provider to be physically present with the recipient, unless the provider determines that it is medically necessary to perform those services in person;
Require prior authorization, medical review, or administrative clearance for telehealth that would not be required if a service were provided in person;
Require a provider to be employed by another provider or agency in order to provide telehealth services that would not be required if that service were provided in person;
Require demonstration that it is necessary to provide services to a patient through telehealth;
Restrict or deny coverage of telehealth based solely on the communication technology or application used to deliver the telehealth services;
Prohibit the delivery of telehealth services to a person located in Kentucky by a provider who is a participant in a recognized interstate compact and delivers telehealth services to a person in Kentucky under the standards and provisions of that interstate compact;
Prohibit an insurer or managed care organization from utilizing audits for medical coding accuracy in the review of telehealth services specific to audio-only encounters;
Require a provider to be part of a telehealth network;
Prohibit the delivery of telehealth services to a person who is a permanent resident of Kentucky who is temporarily located outside of Kentucky by a provider who is credentialed by a Kentucky professional licensure board;
Prohibit the delivery of telehealth services to a person who is not a permanent resident of Kentucky who is temporarily located in Kentucky by a provider who is credentialed by a professional licensure board in the person’s state of permanent residence; or
Require a health care provider to be physically located in the state that he or she is credentialed in by a professional licensure board in order to provide telehealth services to a person who is a permanent resident of the same state. Nothing in this paragraph shall be construed to imply that the Kentucky Medicaid program would be responsible for reimbursement for any services provided in Kentucky by a provider not credentialed by the Kentucky Medicaid program; and

For the proper use and security of telehealth;
To address emergency situations, including but not limited to suicidal ideations or plans; threats to self or others; evidence of dependency, neglect, or abuse; or other life-threatening conditions;
To prevent waste, fraud, and abuse of telehealth services, both in general and specific to the provision of telehealth services delivered via audio-only encounters; or
That a telehealth provider be licensed in Kentucky, or as allowed under the standards and provisions of a recognized interstate compact, in order to receive reimbursement for telehealth services.

SOURCE: KY Revised Statute Sec. 211.336 (Accessed Sept. 2026).

Veterinarians

Telehealth shall be authorized for veterinary practice. Telehealth is divided into categories based on who is involved in the communication. For communication between veterinarians and other persons, there are distinctions in practice related to whether a VCPR as set forth in KRS 321.185 has been established with the patient.

See statute for different types of veterinary telehealth.

SOURCE: KY Revised Statute Sec. 321.186, (Accessed Sept. 2026).

Medicaid

See Medicaid definitions and Misc. section for regulation outlining requirements established by the Cabinet for Health and Family Services on health care providers performing a telehealth or digital health service, including definitions, and requirements related to confidentiality, patient privacy, consent, and credentialing.

Federally Qualified Health Center (FQHC)

Last updated 09/07/2026

Definition of Visit

“Visit” means an encounter:

Between a recipient or enrollee and a health care provider during which an FQHC, FQHC look-alike, or RHC service is delivered; and
That occurs:
- In person; or
- Via telehealth if authorized by 907 KAR 3:170.

SOURCE: KY 907 KAR 1:055 (37). (Accessed Sept. 2026).

Last updated 09/07/2026

Eligible Distant Site

For rural health clinics, federally qualified health centers, and federally qualified health center look-alikes, reimbursement for covered telehealth services and telehealth consultations shall:

To the extent permitted under federal law, include an originating site fee in an amount equal to that which is permitted under 42 U.S.C. sec. 1395m for Medicare-participating providers if the Medicaid beneficiary who received the telehealth service or telehealth consultation was physically located at the rural health clinic, federally qualified health center, or federally qualified health center look-alike at the time of service or consultation delivery and the provider of the telehealth service or telehealth consultation is not employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike; or
If the telehealth service or telehealth consultation provider is employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike, include a supplemental reimbursement paid by the Department for Medicaid Services in an amount equal to the difference between the actual reimbursement amount paid by a Medicaid managed care organization and the amount that would have been paid if reimbursement had been made directly by the department.

SOURCE: KY Statute Sec. 205.559. (Accessed Sept. 2026).

See: KY Medicaid Live Video Eligible Providers

Last updated 09/07/2026

Eligible Originating Site

For rural health clinics, federally qualified health centers, and federally qualified health center look-alikes, reimbursement for covered telehealth services and telehealth consultations shall:

To the extent permitted under federal law, include an originating site fee in an amount equal to that which is permitted under 42 U.S.C. sec. 1395m for Medicare-participating providers if the Medicaid beneficiary who received the telehealth service or telehealth consultation was physically located at the rural health clinic, federally qualified health center, or federally qualified health center look-alike at the time of service or consultation delivery and the provider of the telehealth service or telehealth consultation is not employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike.

SOURCE: KY Statute Sec. 205.559. (Accessed Sept. 2026).

SOURCE: KY Revised Statute Sec. 304.17A-138. (Accessed Sept. 2026).

See: KY Medicaid Live Video Eligible Sites.

Last updated 09/07/2026

Facility Fee

For rural health clinics, federally qualified health centers, and federally qualified health center look-alikes, reimbursement for covered telehealth services and telehealth consultations shall to the extent permitted under federal law, include an originating site fee in an amount equal to that which is permitted under 42 U.S.C. sec. 1395m for Medicare-participating providers if the Medicaid beneficiary who received the telehealth service or telehealth consultation was physically located at the rural health clinic, federally qualified health center, or federally qualified health center look-alike at the time of service or consultation delivery and the provider of the telehealth service or telehealth consultation is not employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike.

SOURCE: KY Revised Statute Sec. 205.559. (Accessed Sept. 2026).

See: Medicaid Live Video Facility/Transmission Fee

Last updated 09/07/2026

Home Eligible

Health insurers shall:

Reimburse a rural health clinic, federally qualified health clinic, or federally qualified health center look-alike for covered telehealth services provided by a provider employed by the rural health clinic, federally qualified health clinic, or federally qualified health center lookalike, regardless of whether the provider was physically located on the premises of the rural health clinic, federally qualified health clinic, or federally qualified health clinic look-alike when the telehealth service was provided.

SOURCE: KY Revised Statute Sec. 304.17A-138. (Accessed Sept. 2026).

Last updated 09/07/2026

Modalities Allowed

Live Video

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

A request for reimbursement shall not be denied solely because:

An in-person consultation between a Medicaid-participating practitioner and a patient did not occur; or
A Medicaid-participating provider employed by a rural health clinic, federally qualified health center, or federally qualified health center look-alike was not physically located on the premises of the clinic or health center when the telehealth service or telehealth consultation was provided.

SOURCE: KY Revised Statute Sec. 205.559. (Accessed Sept. 2026).

See: KY Medicaid Live Video

Store and Forward

KY Medicaid reimburses for store-and-forward, however it’s not explicitly stated whether or not FQHCs qualify for reimbursement.

See: KY Medicaid Store and Forward

Remote Patient Monitoring

Providers who may provide remote patient monitoring services include:

A federally qualified health center

SOURCE: KY Admin. Regs. Title, 907, 3:170. (Accessed Sept. 2026).

See: KY Medicaid Remote Patient Monitoring

Audio-Only

The definition for telehealth or digital health includes audio-only encounters, and Medicaid has added reimbursement for telephonic services, but does not explicitly state FQHCs are eligible.

See: KY Medicaid Audio-Only

Last updated 09/07/2026

Patient-Provider Relationship

No Reference Found.

Last updated 09/07/2026

PPS Rate

If the telehealth service or telehealth consultation provider is employed by the rural health clinic, federally qualified health center, or federally qualified health center look-alike, include a supplemental reimbursement paid by the Department for Medicaid Services in an amount equal to the difference between the actual reimbursement amount paid by a Medicaid managed care organization and the amount that would have been paid if reimbursement had been made directly by the department.

SOURCE: KY Revised Statute Sec. 205.559. (Accessed Sept. 2026).

Last updated 09/07/2026

Same Day Encounters

No Reference Found.