An ‘At a Glance’ look at trends in state telehealth laws, regulations and reimbursement policies across all 50 states, the District of Columbia, Puerto Rico and Virgin Islands. See the number of states reimbursing for different modalities. All information is based on the policies reviewed for each state between late May and early September 2025.
This chart provides a quick reference summary of each state’s telehealth policy on Medicaid reimbursement, private payer reimbursement laws (both if a law exists and whether or not payment parity is required), and professional requirements around interstate compacts and consent based on information gathered between late May and early September 2025.
The Fall 2025 Edition of the findings within CCHP’s Policy Finder summarizes the updated information and examples of policy trends for Spring 2024. The focus on Medicaid policies pertaining to FQHCs is driven by the intricate criteria and requirements in which FQHCs must adhere. The FQHC category aims to capture this information in a consolidated way to help FQHCs navigate telehealth Medicaid policy across the United States. All State Medicaid manuals, administrative codes, and manuals for fee-for-service policies were reviewed between late May and early September 2025.
A recent Journal of General Internal Medicine study, Comparative Analysis of Clinical Outcomes Related to Telehealth and In-Person Encounters Among Older Veterans with Diabetes, found that telehealth can lead to improved patient satisfaction, continuity of care, and clinical outcomes. The study assessed Veterans Health Administration data from 2019-2021 to examine the use of hybrid telehealth, which is telehealth-based care in addition to in-person care, for chronic disease management. As noted in a Bioengineer article discussing the study, telehealth has emerged as a critical modality for delivering healthcare to the veteran population, who often reside in rural areas with limited access to conventional, in-person medical services. Moreover, telehealth offers a realistic solution to the mobility challenges often experienced by this demographic.
On October 1, 2025, the Centers for Medicare and Medicaid Services (CMS) issued guidance regarding Medicare telehealth claims during the government shutdown via a special edition of the Medicare Learning Network (MLN) Newsletter. In the update, CMS stated that when legislative payment provisions are scheduled to expire, CMS directs Medicare Administrative Contractors (MACs) to implement a temporary claims hold, typically of up to 10 business days. The hold is meant to prevent a large reprocessing of claims if Congress acts after the statutory expiration date, which was September 30, 2025. As the 10-day hold period had expired on October 14, CMS has now issued an additional claims hold update on October 15, 2025, stating that in anticipation of possible Congressional action, CMS has instructed all MACs to continue to temporarily hold claims with dates of service of October 1, 2025 and later for services impacted by the expired Medicare legislative waivers.
