COVID-19

Audio-Only Delivery

Audio-only delivery of healthcare services has historically rarely been reimbursed.  However, due to COVID-19 public health emergency (PHE) and need to practice social distancing, some patients lacked access due to inadequate broadband to support audio-visual communication. This led to the allowance for the audio-only modality to deliver some services in Medicare, as well as many Medicaid programs. These policies are temporary and most will expire at the end of the PHE.

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Federal

Last updated 03/10/2022

Add New Policy Add New PolicyAdd New PolicyAdd New PolicyAdd …

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CMS: COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers

STATUS: Active, Expires at end of PHE

https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf

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Alabama

Last updated 03/03/2022

Medicaid: Telephonic Postpartum Visits

STATUS: Listed as expiring April 16, …

Medicaid: Telephonic Postpartum Visits

STATUS: Listed as expiring April 16, 2020, however, extended by Medicaid until Mar. 31, 2022.

Medicaid: Temporary Telemedicine Extension for Optometrists

STATUS: Listed as expiring April 16, 2020, however, extended by Medicaid until Mar. 31, 2022.

Medicaid: Telemedicine Coverage Extension

STATUS: Listed as expiring April 16, 2020, however, extended by Medicaid until Mar. 31, 2022.

Medicaid: Authorization of Telemedicine for Prenatal Visits During COVID-19 Emergency

STATUS: Listed as expiring May 30, 2020, however, extended by Medicaid until Mar. 31, 2022.

Medicaid: Tip Sheet – Guidance to Rehab Option Service Providers

STATUS: Listed as expiring May 30, 2020, however, extended by Medicaid until Mar. 31, 2022.

Medicaid: Tip Sheet – Guidance to Behavioral Health Provider

STATUS: Listed as expiring April 30, 2020, however, extended by Medicaid until Mar. 31, 2022.

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Alaska

Last updated 03/15/2022

Medicaid: Telehealth Coverage COVID-19 FAQs

STATUS: Active

Medicaid: Temporary Expansion

Division of Behavioral Health:  Telemedicine Emergency Response Policy Guidance

STATUS: Active, until providers notified

Governor’s Office: COVID-19 Health Mandate

STATUS: Expired. See the Health Advisories page.

Medicaid: PHE Declaration

STATUS: Active, until rescinded or federal PHE expires

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Arizona

Last updated 03/20/2022

Medicaid:  Telehealth Delivery and Billing FAQs

STATUS: Active

Medicaid: COVID-19

Medicaid:  Telehealth Delivery and Billing FAQs

STATUS: Active

Medicaid: COVID-19 Telephonic Billing

STATUS: Active, until end of COVID-19 emergency

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Arkansas

Last updated 03/08/2022

Department of Human Services:  Telemedicine COVID-19 Response Manual

Status: Expired…

Department of Human Services:  Telemedicine COVID-19 Response Manual

Status: Expired

Division of Developmental Disabilities Services: COVID-19 Response Manual

STATUS: Expired. Replaced by Manual with no mention of telehealth.

Medicaid 1915(c) Waiver: Appendix K Autism Waiver

STATUS: Extended to July 1, 2022.

HB 1176:  Reimbursement for Audio-Visual Technology & Telephone Services

STATUS: Enacted

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California

Last updated 01/17/2022

Medicaid:  Medi-Cal Payment for Telehealth and Virtual/Telephonic Communications Relative to the 2019-Novel Coronavirus

STATUS: Active, expiration varies depending on policy

STATUS: Active

Medicaid: Supplement Letter for APL 19-009

STATUS: Active, until further notice

Medicaid: Teledentistry Guidance

STATUS: Active

Medicaid: Family PACT Guidance for Virtual/Telephonic Communication

STATUS: Active

STATUS: Active, until further notice

STATUS: Active

Medicaid: Narcotic Treatment Program

STATUS: Active, expiration varies depending on policy

Medicaid: Behavioral Health Information Notice 20-009

STATUS: Active

Medicaid: Behavioral Health Information Notice 20-031

STATUS: Active

Medicaid: State Plan Amendment

STATUS: Active

Medicaid 1135 Waiver: Medi-Cal 2020

STATUS: Active, through end of the PHE

Medicaid 1915(c) Waiver: Appendix K HCBS Waiver

STATUS: Active

Medicaid 1915(c) Waiver: Appendix K Assisted Living Waiver

STATUS: Active

Medicaid 1915(c) Waiver:  Appendix K HIV/AIDS

STATUS: Active

Medicaid 1915(c) Waiver: Multipurpose Senior Services Program

STATUS: Active

STATUS: Active, until 6 months after end of federal PHE

Medicaid: Money follows the person

STATUS: Expired

Department of Managed Health Care: Reimbursement for Telehealth Services (APL 20-009)

STATUS: Active

Department of Managed Health Care:  Telehealth Services (APL 20-13)

STATUS: Active

Department of Managed Health Care: All Plan Letter (20-032) Continuation of APL 20-013 & 20-009; FAQs

STATUS: Active

AB 32: Telehealth Access

Status: Pending

STATUS: Enacted

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Colorado

Last updated 12/16/2021

Medicaid:  Telemedicine Provider Information

STATUS: Active

Medicaid:  Letter on Telemedicine

Connecticut

Last updated 02/07/2022

Medicaid:  FAQs About CMAP’s Response to COVID-19

STATUS: Active

Medicaid: …

Medicaid:  FAQs About CMAP’s Response to COVID-19

STATUS: Active

Medicaid: Provider Message All COVID-19 Telehealth Policies Remain in Effect

STATUS: Active until further notice

Medicaid:  Audio Only Behavioral Health Telephonic Services

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

Medicaid: Provider Bulletin on Additional Changes to Synchronous Telemedicine, Bulletin 20-38

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

Medicaid:  Bulletin on Telemedicine Services, Bulletin 20-9

STATUS: Active

HB 5596: Extends Telehealth emergency orders until June 30, 2023

STATUS: Enacted

Medicaid: Provider Bulletin on Telemedicine Coverage for Home Health Services and Hospice Services, Bulletin 20-13

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

Medicaid: Provider Bulletin on Remote Early Intervention Treatment Services, Bulletin 20-17

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

Medicaid: Provider Bulletin on Expanded Telemedicine and New Audio-Only (Telephonic) Services, Bulletin 20-14

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

Medicaid: Clarifying Guidance for Expanded Use of Synchronized Telemedicine for Specified Behavioral Health Services

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

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Delaware

Last updated 03/26/2022

Medicaid:  Telehealth and COVID FAQs

STATUS: Active, until further notice.…

Medicaid:  Telehealth and COVID FAQs

STATUS: Active, until further notice.

Medicaid: Changes to Telehealth Policy

STATUS: Active, until further notice.

Medicaid: COVID-19 and Telehealth Fee Schedule

STATUS: Active, until further notice.

Medicaid 1915(c) Waiver: Appendix K DDDS Lifespan Waiver

STATUS: Expired January 26, 2021

HB 160: Permanent Private Payer Telehealth Expansions – Made audio-only flexibility permanent and removed in-person requirements in certain instances

STATUS: Enacted (Most provisions took effect July 1, 2021)

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District of Columbia

Last updated 02/18/2022

Medicaid: Final Rule Amending Section 910, Ch. 9, Title 29 of DC Regulations, permanently allow audio-only telehealth via Medicaid

STATUS: Permanent

Medicaid:  Audio-Only Visits and HIPAA

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

Medicaid: Billing for Teledentistry Encounters

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

Medicaid: Coding for Telemedicine and COVID-19

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

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

STATUS: Permanent

Medicaid: Telemedicine Guide

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

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

STATUS: Active, extended through Addendum

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

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

Medicaid: Updates to ADHP rates and Temporary Enhanced Reimbursement Rates for ADHP Services Due to COVID-19

STATUS: Active

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Florida

Last updated 02/11/2022

Medicaid 1915(c) Waiver: Appendix K Developmental Disabilities Individual Budgeting (iBudget) Waiver

STATUS: Active, extended until 6 months after the conclusion of the public health emergency (see combined waiver)

Medicaid 1915(c) Waiver: Appendix K Florida Long-Term Care Program

STATUS: Active, extended until 6 months after the conclusion of the public health emergency (see combined waiver)

Medicaid 1915(c) Waiver: Appendix K Model Waiver and Familial Dysautonomia

STATUS: Active, extended until 6 months after the conclusion of the public health emergency (see combined waiver)

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Georgia

Last updated 03/15/2022

Medicaid: Telehealth Guidance Clarification

STATUS: Active, during COVID-19 State of …

Medicaid: Telehealth Guidance Clarification

STATUS: Active, during COVID-19 State of Emergency

Medicaid: COVID-19 Provider FAQs

STATUS: Active, during COVID-19 State of Emergency

Medicaid: Telehealth Guidance for COVID-19

STATUS: Active, during period of COVID-19 Emergency Response

Department of Behavioral Health and Developmental Disabilities: Medication Assisted Treatment and Telehealth

STATUS: Active until end of GA State of Emergency, currently set to expire on April 15, 2022.

Medicaid:  COVID-19 FAQs

STATUS: Active

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Hawaii

Last updated 03/22/2022

Medicaid: Memo on Telephonic Services and Qualified non-physician Health Care Professionals

STATUS: State PHE ended, unclear if still active

Medicaid: Memo on Telehealth Guidance With Procedure Codes

STATUS: State PHE ended, unclear if still active

Medicaid: COVID-19 Pandemic Action Plan for QI Health Plans

STATUS: Active, until the last day of the final month of the PHE (Some elements may be overridden by QI-2107A).

Medicaid: Memo QI-2038: Telehealth and Telephonic E&M & Terminating Pregnancy

STATUS: Active until 30 days after the end of the PHE

Medicaid: Memo QI-2036: Telehealth Guidance During the PHE Related to EPSDT Visits

STATUS: State PHE ended, unclear if still active

Medicaid: FFS Memo 20-08: Teledentistry and Telephonic Guidance During Public Health Emergency in Response to COVID-19

STATUS: State PHE ended, unclear if still active

Office of the Governor: Twenty-First Proclamation Related To The Covid-19 Emergency(See p.24 for audio-only provision)

STATUS: State PHE ended, unclear if still active

Medicaid: Memo QI-2107A, COVID-19 Action Plan for QI Health Plans – Guidance for Resuming In-Person Services

STATUS: Permanent

Medicaid: Memo QI-2120 -“FFS 2109”: Continued Coverage of Audio-Only Visits Through Federal Public Health Emergency (PHE)

STATUS: active “through the end of the federal PHE.”

Medicaid: Memo QI-2123 – Covid-19 Pandemic Action Plan for QI Health Plans – Part VII

STATUS: Expired Oct. 1, 2021. Further guidance is supposed to be provided.

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Idaho

Last updated 02/04/2022

Illinois

Last updated 02/26/2022

Medicaid:  Provider Notice on Telehealth Service Expansion

STATUS: Active

Medicaid:  …

Medicaid:  Provider Notice on Telehealth Service Expansion

STATUS: Active

Medicaid:  Allows Assisters to Assist Clients Telephonically

STATUS: Active

Medicaid:  Telehealth Expansion Billing Instructions

STATUS: Active

Medicaid:  Emergency Rule on Telehealth Services

STATUS: Active

Medicaid: 1135 Combined Waiver Additive Extension of waiver

STATUS: Active, until 6 months after the conclusion of the public health emergency

Medicaid: 1135 Combined Waiver Additive Extension of waiver

STATUS: Active, until 6 months after the conclusion of the public health emergency

Medicaid: Administrative Amendment  Telehealth Requirements During a Public Health Emergency.

STATUS: Active

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Indiana

Last updated 04/07/2022

Medicaid: Telehealth Policy Update

STATUS: Permanent, except audio-only, which is …

Medicaid: Telehealth Policy Update

STATUS: Permanent, except audio-only, which is currently allowed, but being evaluated for long term use.

Medicaid:  Telemedicine FAQs

STATUS: Active.

Medicaid: Updated Telemedicine FAQs

STATUS: Active, until end of National PHE

Medicaid:  COVID-19 Telemedicine Billing Guidance

STATUS: IN PHE Expired, however, IN Medicaid has not issued a new bulletin with other instructions.

Medicaid 1915(c) Waiver: Appendix K – Aged & Disabled Waiver (A&D) and Traumatic Brain Injury Waiver (TBI) Waiver

STATUS: Expired February 28, 2021; extended extended for up to six months after the national PHE ends.

Medicaid 1915(c) Waiver: Appendix K – Family Supports Waiver (FSW)

STATUS: Expired August 31, 2020; extended for up to six months after the national PHE ends.

Medicaid 1915(c) Waiver: Appendix K Extension – Family Supports Waiver

STATUS: Expired February 28, 2021; extended for up to six months after the national PHE ends.

Medicaid 1915(c) Waiver: Appendix K – Community Integration and Habilitation (CIH)

STATUS: Expired August 31, 2020; extended for up to six months after the national PHE ends.

Medicaid 1915(c) Waiver: Appendix K Extension – Community Integration and Habilitation (CIH)

STATUS: Expired February 28, 2021; extended for up to six months after the national PHE ends.

Medicaid 1915(c) Waiver: Appendix K Extension- Community Integration and Habilitation (CIH)

STATUS: Active, for up to six months after the national PHE ends.

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Iowa

Last updated 03/29/2022

Medicaid: COVID-19 Provider FAQs- Telehealth

STATUS: Active, through 60 days …

Medicaid: COVID-19 Provider FAQs- Telehealth

STATUS: Active, through 60 days after PHE is lifted.  PHE ended on Feb. 15, 2022, see proclamation.

Medicaid:  Informational Letter on Teledentistry

STATUS: PHE expired.  However may still be active due to statement that all telehealth services are in effect statewide through at least 60 days after the PHE declaration is lifted.

Medicaid 1915(c) Waiver:  Appendix K Extension – Children’s Mental Health; AIDS; Elderly; Intellectual Disabilities Waiver; Persons w/ Physical Disabilities; Brain Injury; Health and Disability Waivers Combined

STATUS: Active, expires no later than six months after the expiration of the PHE.

Medicaid 1915(c) Waiver: Appendix K Extension – Children’s Mental Health; AIDS; Elderly; Intellectual Disabilities Waiver; Persons w/ Physical Disabilities; Brain Injury; Health and Disability Waivers Combined

STATUS: Active, expires six months after the expiration of the PHE.

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Kansas

Last updated 01/25/2022

Medicaid:  Guidance for Telephonic Delivery for SUD Providers

STATUS: Active, until further notice

Medicaid: HCBS Waiver Services with Approved Telemedicine Option

STATUS: Active

Medicaid: Telemedicine Updates in Response to COVID-19

STATUS: Active, exceptions granted until rescinded

Medicaid: Expands Telemedicine to HCBS Services during COVID-19

STATUS: Active, exceptions granted until rescinded

Medicaid: Expansion of Telemedicine Services Allowed by ECI and LEA Providers

STATUS: Active, exceptions granted until rescinded

Medicaid:  Additional Codes Added to Telemedicine

STATUS: Active, exceptions granted until rescinded

Medicaid: Tobacco Cessation Counseling via Telemedicine

STATUS: Active, exceptions granted until rescinded

Medicaid: Additional Telemedicine Coverage for BI Waiver Services During COVID-19

STATUS: Active, exceptions granted until rescinded

Medicaid: SED Waiver Codes Allowed via Telemedicine

STATUS: Active, exceptions granted until rescinded

Medicaid: Additional E/M Codes Allowed via Telemedicine

STATUS: Active, exceptions granted until rescinded

Medicaid:  Expansion of Telemedicine Services for Therapy Services

STATUS: Active, exceptions granted until rescinded

Medicaid:  I/DD Telemedicine Services During COVID-19

STATUS: Active

Medicaid: Expansion of Telemedicine Services Allowed by ECI and LEA Providers During COVID-19 Emergency

STATUS: Active, exceptions granted until rescinded

Medicaid 1915(c) Waiver: Appendix K – Autism; Brain Injury, Frail Elderly, Intellectual & Developmental Disability; Physical Disability; Serious Emotional Disturbance; Technology Assisted Combined

STATUS: Expired January 26, 2021; extended through Addendum

Medicaid 1915(c) Waiver: Appendix K Extension – Autism; Brain Injury, Frail Elderly, Intellectual & Developmental Disability; Physical Disability; Serious Emotional Disturbance; Technology Assisted Combined

STATUS: Active, expires six months post expiration of the federal Public Health Emergency declaration

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Kentucky

Last updated 03/15/2022

Medicaid: COVID-19 Telehealth for Behavioral Health Providers

STATUS: Active

Medicaid: …

Medicaid: COVID-19 Telehealth for Behavioral Health Providers

STATUS: Active

Medicaid: Provider Letter Regarding 1915(c) Waiver for Home and Community Based Services Waiver

STATUS: Active

Medicaid: Guidance on Well Child Visits during COVID-19

STATUS: Active

Medicaid: COVID-19 FAQs on Telehealth

STATUS: Active, until end of federal PHE

Medicaid 1915(c) Waiver:  Appendix K – Acquired Brain Injury/Supports for Community Living/Home and Community Based Waiver/Model II Waiver

STATUS: Active, extended six months after end of federal PHE

Medicaid 1915(c) Waiver: Appendix K- Acquired Brain Injury/ Acquired Brain Injury Long Term Care/Supports for Community Living/Michelle P Waiver/Home and Community Based Waiver/Model II Waiver

STATUS: Active, Addendum extends waiver six months after end of federal PHE

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Louisiana

Last updated 03/22/2022

Medicaid: Teledentistry

STATUS: Active

Medicaid: Response to COVID-19

STATUS: Active, …

Medicaid: Teledentistry

STATUS: Active

Medicaid: Response to COVID-19

STATUS: Active, until rescinded

Medicaid: Outpatient SUD Treatment

STATUS: Active, until rescinded

Medicaid: Informational Bulletin on Telehealth Facilitation by Licensed Mental Health Practitioners

STATUS: Active, until rescinded

Medicaid: Informational Bulletin on COVID-19 Policy (includes telemedicine)

STATUS: Varies, some policies have expired due to end of public health emergency.

Medicaid: Information Bulletin on Telehealth Facilitation of Mental Health Rehabilitation Services

STATUS: Active, until rescinded

Department of Health: Emergency Rule on Medicaid Waiver Programs

STATUS: Expired

Medicaid: Emergency Rule(LAC 50:I.505) extending audio-only services

STATUS: Expired.

Medicaid 1915(c) Waiver: Appendix K – Communities Choices & Adult Day Health Care Waiver Combined

STATUS: Expired January 26, 2021; extended through Addendum

Medicaid 1915(c) Waiver: Appendix K Addendum – Communities Choices & Adult Day Health Care Waiver Combined

STATUS: Active, expires 6 months after the conclusion of the Public Health Emergency (PHE)

Medicaid 1915(c) Waiver: Appendix K – New Opportunities Waiver, Residential Options Waiver, Children’s Choice Waiver, Supports Waiver

STATUS: Expired January 26, 2021; extended through Addendum

Medicaid 1915(c) Waiver: Appendix K Extension – New Opportunities Waiver, Residential Options Waiver, Children’s Choice Waiver, Supports Waiver

STATUS: Active, expires 6 months after the conclusion of the Public Health Emergency (PHE)

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Maryland

Last updated 01/24/2022

Medicaid: Provider Guidance Post-Emergency Memo/BHA Telehealth Post Emergency – Revised Guidance 

STATUS: Active

Maryland Health Care Commission: Payer Telehealth Policies

STATUS: Active

Medicaid: Telehealth Coverage

STATUS: Guidance no longer effective

Medicaid:  Letter to Behavioral Health Community (Telehealth)

STATUS: Varies, legislation temporarily extends some flexibilities

Medicaid: Guidance on Telehealth Services

STATUS: Guidance no longer effective

Medicaid: Additional Interpretive Guidance on Telephonic and Electronic Means

STATUS: Guidance no longer effective

Medicaid: FAQs for Opioid Treatment Program and Buprenorphine Providers

STATUS: Varies, legislation temporarily extends some flexibilities

Medicaid: FAQs for Behavioral Health Administration Partners

STATUS: Varies, legislation temporarily extends some flexibilities

Medicaid: Behavioral Health Guidance regarding Telehealth Expansion Regulations

STATUS: Varies, legislation temporarily extends some flexibilities

Medicaid: Behavioral Health Administration Hospital Based Outpatient Programs Telehealth Guidance

STATUS: Varies, legislation temporarily extends some flexibilities

Medicaid: Follow-up Guidance on Temporary Telehealth Services

STATUS: Varies, legislation temporarily extends some flexibilities

Medicaid: Psychiatric Rehabilitation Programs

STATUS: Guidance no longer effective

Medicaid: Behavioral Health Services

STATUS: Guidance no longer effective

Medicaid: General Health Care Services

STATUS: Guidance no longer effective

Office of the Governor: Executive Order to authorize audio-only and flexibility regarding HIPAA

STATUS: Expired (Legislation temporarily extends audio-only flexibility until June 30, 2023, federal PHE maintains HIPAA flexibility)

Medicaid: IEP/IFSP Follow-Up Guidance on Telephone Telehealth Services

STATUS: Guidance no longer effective

Medicaid: DDA Waiver Programs Telehealth and Telephonic Guidance

STATUS: Guidance in effect until further notice

Medicaid: Use of Telephonic and Electronic Communication by Direct Care Providers

STATUS: Guidance no longer effective

Medicaid: Telehealth Guidance for School-Based Health Centers during the COVID-19 Public Health Emergency

STATUS: Guidance in effect until further notice

Medicaid: Telephone/Telehealth Services Authorized for Intensive Outpatient SUD Programs

STATUS: Varies, legislation temporarily extends some flexibilities

Medicaid: Telephone/Telehealth Services Authorized for Intensive Outpatient SUD Programs

STATUS: Varies, legislation temporarily extends some flexibilities

Medicaid: Telehealth Guidance for SUD Residential Treatment Services During the COVID-19 Outbreak.

STATUS: Varies, legislation temporarily extends some flexibilities

Office of Governor: Executive Order on Telehealth and Audio-Only Services

STATUS: Expired (Legislation extends audio-only flexibilities until June 30, 2023)

Medicaid 1915(c) Waiver: Waiver for Children with Autism Spectrum Disorder; Waiver for Adults with Brain Injury; Home and Community Based Options Waiver; Model Waiver for Fragile Children (Model Waiver); and Medical Day Care Services Waiver

STATUS: Active, until Six (6) months after the end of the COVID-19 PHE

Medicaid 1915(c) Waiver: Waiver for Children with Autism Spectrum Disorder; Waiver for Adults with Brain Injury; Home and Community Based Options Waiver; Model Waiver for Fragile Children (Model Waiver); and Medical Day Care Services Waiver

STATUS: Active, until Six (6) months after the end of the COVID-19 PHE

Medicaid 1915(c) Waiver: Family Supports, Community Supports, and, Community Pathways Waivers

STATUS: Active, until Six (6) months after the end of the COVID-19 PHE

STATUS: Enacted

HB 123/SB 3 : Extends many telehealth flexibilities including relaxed originating site restrictions, as well as audio-only and parity until June 30, 2023

STATUS: Enacted

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Massachusetts

Last updated 03/22/2022

Medicaid: Access to Health Services Through Telehealth

STATUS: Permanent

Medicaid: …

Medicaid: Access to Health Services Through Telehealth

STATUS: Permanent

Medicaid: Updated MassHealth Telehealth Policy

STATUS: Extended by Bulleting 314 and 324. Now expired.

Medicaid: Coverage and Reimbursement Policy Updates for Services Related to COVID-19 After the Termination of the State of Emergency

STATUS: Active, through the end of the federal PHE

Medicaid: MassHealth Coverage and Reimbursement Update

STATUS: Active, describes flexibilities that will remain after end of MA State of Emergency.

Medicaid: Managed Care Requirements during COVID-19

STATUS: Active, expires Dec. 31, 2022

Medicaid: Guidance for Home and Community-Based Services (HCBS) Waiver Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency

STATUS: Active, until six months after the end of the federal PHE (extension consistent with Appendix K)

Medicaid: COVID-19 FAQs for Behavioral Health Providers

STATUS: Expired

Medicaid: FAQs for Children’s Behavioral Health Initiative

STATUS: May have been replaced by Children’s Behavioral Health Initiative section in Bulletin 327.

Medicaid: FAQs for Applied Behavioral Analysis

STATUS: Expired

Medicaid 1915(c) Waiver: Traumatic Brain Injury, Community Living, Residential Supports, Acquired Brain Injury with Residential Habilitation, Community Living, Intensive Supports, Adult Supports Waiver

STATUS: Expired February 28, 2021; extended through Addendum

Medicaid 1915(c) Waiver: Appendix K – Frail Elder Waiver; Traumatic Brain Injury Waiver; Community Living; Residential Supports; Acquired Brain Injury with Residential Habilitation; Acquired Brain Injury Non-residential Habilitation; Community Living Waiver; Intensive Supports; Adult Supports Waiver; Children’s Autism Spectrum Disorder

STATUS: Expired February 28, 2021; extended through Addendum

Medicaid: Frail Elder Waiver (FEW), Traumatic Brain Injury (TBI) Waiver, Community Living (MFP-CL) Waiver, Residential Supports (MFP-RS) Waiver, Acquired Brain Injury with Residential Habilitation (ABI-RH) Waiver Acquired Brain, Injury Non-residential Habilitation (ABI-N) Waiver Community Living Waiver (DDS-CL), Intensive Supports Waiver (DDS-IS), Adult Supports Waiver (DDS-AS), Children’s Autism Spectrum Disorder Waiver

STATUS: Active, until six months after the expirations of the COVID-19 PHE

Executive Office of Health and Human Services: Administrative bulletin 21-15 Health Safety Net Service and Reimbursement Policy Flexibilities Related to the 2019 Novel Coronavirus Disease 2019 (COVID-19)

STATUS: Active, expires 90 days after the Massachusetts Public Health Emergency ends

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Michigan

Last updated 01/17/2022

Medicaid: Relaxing Face-to-Face Requirement (Update)

STATUS: Active, time limited policy …

Medicaid: Relaxing Face-to-Face Requirement (Update)

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Specialty Behavioral Health Supports and Services

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Limited Oral Evaluation via Telemedicine

STATUS: Active, time limited policy however expiration date not specified

Medicaid: Behavioral Health Telepractice; Telephone Services

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Telemedicine Reimbursement for FQHCs, RHCs, Tribal Health Centers

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services; COVID-19 Response: Temporary Waiver of Beneficiary Signature for Home- Delivered DMEPOS

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Correction to Bulletin MSA 20-35, Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services;

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid 1915(c) Waiver: Appendix K -MI Health Link Home and Community Based Services Waiver

STATUS: Expired February 28, 2021; extended by Addendum

Medicaid 1915(c) Waiver: Appendix K- MI Health Link Home and Community Based Services Waiver

STATUS: Active until six months after the conclusion of the PHE

Medicaid 1915(c) Waiver: Appendix K – MI Choice

STATUS: Expired February 28, 2021; extended by Addendum

Medicaid 1915(c) Waiver: Appendix K- MI Choice

STATUS: Active until six months after the conclusion of the PHE

Medicaid 1915(c) Waiver: Appendix K – Habilitation Supports, Children’s Waiver Program (CWP) Waiver for Children with Serious Emotional Disturbances (SEDW)

STATUS: Expired February 28, 2021; extended by Addendum

Medicaid 1915(c) Waiver: Appendix K – Habilitation Supports, Children’s Waiver Program (CWP) Waiver for Children with Serious Emotional Disturbances (SEDW)

STATUS: Active until no later than six months after the expiration of the PHE

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Minnesota

Last updated 03/28/2022

Medicaid: COVID-19 and Telemedicine

STATUS: Active

Medicaid: Temporary Coverage of

Medicaid: COVID-19 and Telemedicine

STATUS: Active

Medicaid: Temporary Coverage of Telemedicine Visits for SUD and Mental Health Providers

STATUS: Active

Medicaid: Targeted Case Management Bulletin

STATUS: Active, expires June 16, 2022

Medicaid: Early Intensive Developmental and Behavioral Intervention (EIDBI)

STATUS: Active, expires May 5, 2022

Medicaid: Remote Support for Home and community based services waiver

STATUS: Active, expires May 4, 2022

Medicaid: COVID-19 Telemedicine FAQs: Behavioral Health Division

STATUS: Active

Medicaid: Reimbursement rates temporarily increased for telephone evaluation and management procedure codes during COVID-19 pandemic

STATUS: Active

Minnesota Department of Human Services: Alternative adult day service delivery due to COVID-19 pandemic

STATUS: Active, expires May 4, 2022

Medicaid 1915(c) Waiver: Appendix K – Brain Injury Waiver, Community Alternative Care, (see document for all applicable waivers)

STATUS: Active, until six months after the end of the Federal PHE for COVID-19 (see extension below)

Medicaid 1915(c) Waiver: Appendix K – Brain Injury (BI) Waiver, Community Alternative Care (CAC) Waiver, Community Access for Disability Inclusion (CADI), Developmental Disabilities (DD) Waiver, and Elderly Waiver (EW)

STATUS: Active, until six months after the end of the Federal PHE for COVID-19 (see extension below)

Medicaid 1915(c) Waiver: Appendix K – Brain Injury (BI) Waiver, Community Alternative Care (CAC) Waiver, Community Access for Disability Inclusion (CADI), Developmental Disabilities (DD) Waiver, and Elderly Waiver (EW)

STATUS: Active, until six months after the end of the Federal PHE for COVID-19

HF 33 (2021 Session): Extends COVID-19 Telehealth Waivers

STATUS: Enacted (Audio-only allowance expires June 30, 2023)

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Mississippi

Last updated 01/13/2022

Previous COVID-19 waivers expired

Medicaid: Emergency Telehealth FAQs

STATUS: Unclear …

Previous COVID-19 waivers expired

Medicaid: Emergency Telehealth FAQs

STATUS: Unclear if expired. No specific date in document and still listed on COVID website.

Medicaid:  Regulation on Telehealth Services during emergencies

STATUS: Permanent

Medicaid 1915(c) Waiver: Appendix K – Independent Living Waiver

STATUS: Active, until 6 months following the end of the PHE

Medicaid 1915(c) Waiver: Appendix K Addendum – Independent Living Waiver

STATUS: Active, until 6 months following the end of the PHE

Medicaid 1915(c) Waiver: Appendix K – Traumatic Brain Injury/Spinal Cord Injury Waiver

STATUS: Active, until 6 months following the end of the PHE

Medicaid 1915(c) Waiver: Appendix K – Intellectual Disabilities/Developmental Disabilities

STATUS: Active, until  6 months following the end of the PHE

Medicaid 1915(c) Waiver: Appendix K – Assisted Living Waiver

STATUS: Active, until  6 months following the end of the PHE

Medicaid 1915(c) Waiver: Appendix K – Elderly and Disabled Waiver

STATUS: Active, until expires 6 months following the end of the PHE

Medicaid 1915(c) Waiver: Appendix K Addendum – Traumatic Brain Injury/Spinal Cord Injury Waiver; Independent Living Waiver; Elderly & Disabled Waiver; Assisted Living Waiver; Intellectual Disabilities/Developmental Disabilities Waiver

STATUS: Active, Addendum to approved waivers and expires 6 months following the end of the PHE

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Missouri

Last updated 01/10/2022

Medicaid: Provider COVID-19 Tips

STATUS: Unclear if expired due to …

Medicaid: Provider COVID-19 Tips

STATUS: Unclear if expired due to the expiration of MO State of Emergency.

Medicaid:  COVID FAQs on Telehealth

STATUS: Unclear if expired due to the expiration of MO State of Emergency.

Medicaid: State Plan Amendment – Includes Telehealth

STATUS: Active, ends on the last day of the national COVID-19 PHE

Medicaid: State Plan Amendment – Disaster Relief

STATUS: Active, ends on the last day of the national COVID-19 PHE

Medicaid 1915(c) Waiver: Appendix K – AIDS Waiver

STATUS: Active, expires no later than 6 months after the expiration of the PHE (see extension below)

Medicaid 1915(c) Waiver: Appendix K Addendum – AIDS Waiver

STATUS: STATUS: Active, Addendum waiver extending current waivers no later than 6 months after the expiration of the PHE

Medicaid 1915(c) Waiver: Appendix K – Medically Fragile Adult Waiver

STATUS: Active, expires no later than 6 months after the expiration of the PHE (see extension below)

Medicaid 1915(c) Waiver: Appendix K Addendum – Medically Fragile Adult Waiver

STATUS: STATUS: Active, Addendum waiver extending current waivers no later than 6 months after the expiration of the PHE

Medicaid 1915(c) Waiver: Appendix K – Brain Injury Waiver

STATUS: Active, expires no later than 6 months after the expiration of the PHE (see extension below)

Medicaid 1915(c) Waiver: Appendix K Addendum – Brain Injury Waiver

STATUS: STATUS: Active, Addendum waiver extending current waivers no later than 6 months after the expiration of the PHE

Medicaid 1915(c) Waiver: Appendix K – Aged and Disabled Waiver Adult Day Care Waiver Independent Living Waiver

STATUS: Active, expires no later than 6 months after the expiration of the PHE (see extension below)

Medicaid 1915(c) Waiver: Appendix K Addendum – Aged and Disabled Waiver Adult Day Care Waiver Independent Living Waiver

STATUS: Active, Addendum waiver extending current waivers no later than 6 months after the expiration of the PHE

Medicaid 1915(c) Waiver: Appendix K – Comprehensive Waiver, Community Support Waiver, Partnership for Hope Waiver, Missouri Children with Developmental Disabilities Waiver

STATUS: Active, expires no later than 6 months after the expiration of the PHE (see extension below)

Medicaid 1915(c) Waiver: Appendix K Addendum – Comprehensive Waiver, Community Support Waiver, Partnership for Hope Waiver, Missouri Children with Developmental Disabilities Waiver

STATUS: Active, Addendum extending current waivers no later than 6 months after the expiration of the PHE

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Montana

Last updated 03/30/2022

Medicaid: Nursing Facility Providers

STATUS:  Temporary policies have expired

Medicaid: …

Medicaid: Nursing Facility Providers

STATUS:  Temporary policies have expired

Medicaid: Coverage and Reimbursement for Telemedicine/Telehealth

STATUS:  Temporary policies have expired

Medicaid:  FAQs on Telehealth/Telemedicine

STATUS:  Temporary policies have expired

Medicaid: Non-Covered Service Agreement Change

STATUS: Active

Office of the Governor: Directive Implementing EO 2-2021

STATUS:  Expiration varies, some permanent, and others may have been extended by Temporary Emergency Rule 37-955 but are now expired.

Medicaid 1915(c) Waiver:  Appendix K – Big Sky Home and Community Based Waiver Combined

STATUS: Extended by addendum listed below. Active until the end of federal Public Health Emergency.

Medicaid 1915(c) Waiver:  Appendix K Addendum – Big Sky Home and Community Based Waiver Combined

STATUS: Active until the end of federal Public Health Emergency.

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Nebraska

Last updated 03/26/2022

Medicaid:  General Statewide Telehealth -COVID-19 FAQs

STATUS: Varies, some flexibilities …

Medicaid:  General Statewide Telehealth -COVID-19 FAQs

STATUS: Varies, some flexibilities may have expired due to end of state of emergency.

Medicaid:  Long Term Care COVID—19 FAQs

STATUS: Varies, some flexibilities may have expired due to end of state of emergency.

Medicaid: Telephone Triage Billing

STATUS: May have expired due to end of state of emergency.

Medicaid:  Telehealth Behavioral Health Services

STATUS: May have expired due to end of state of emergency.

Medicaid:  Teledentistry Update

STATUS: May have expired due to end of state of emergency.

Medicaid: Telephone Reimbursement

STATUS:  May have expired due to end of state of emergency.

Medicaid: Behavioral Health FAQs

STATUS: Active, some flexibilities may have expired due to end of state of emergency.

 

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Nevada

Last updated 01/02/2022

Medicaid: Update to Telehealth Services for Behavioral Health

STATUS: Active, until end of COVID-19 pandemic

Medicaid:  Telehealth Services

STATUS: Active

Medicaid:  Update to Telehealth Services

STATUS: Active

Medicaid:  Update to Telehealth Services for Home Health and Hospice Agencies

STATUS: Active

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

STATUS: Active, expires Six (6) months after the end of the Public Health Emergency (PHE)

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

STATUS: Active, expires Six (6) months after the end of the Public Health Emergency (PHE)

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New Hampshire

Last updated 12/17/2021

New Jersey

Last updated 04/13/2022

Medicaid: Teledentistry and Consultations

STATUS: Active, until further notice from …

Medicaid: Teledentistry and Consultations

STATUS: Active, until further notice from Department

Department of Consumer Affairs: Telehealth Services During the COVID-19 Pandemic Frequently Asked Questions (FAQs)

STATUS: Varies. Policies tied to state of emergency, or state public health emergency or both. State PHE has ended, but State of Emergency continues.

Medicaid: Adult Medical Day Care Service Delivery during COVID-19 Emergency Frequently Asked Questions

STATUS: Active

Medicaid: Updates to Adult Medical Day Care Service Delivery during COVID-19 Emergency

STATUS: Active, expires June 30, 2022

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New Mexico

Last updated 03/14/2022

Medicaid 1915(c) Waiver: Appendix K – Supports Waiver, Developmental Disabilities Waiver

STATUS: Active, expires 6 months after the conclusion of the PHE

Medicaid 1915(c) Waiver: Appendix K – Developmental Disabilities Waiver, Mi Via ICF/IDD Waiver, Medically Fragile Waiver

STATUS: Active, expires 6 months after the conclusion of the PHE

Medicaid 1915(c) Waiver: Appendix K Addendum – Developmental Disabilities Waiver, Medically Fragile Waiver, Mi Via Waiver, Supports Waiver Combined

STATUS: Active, Addendum to current waiver and extends it until 6 months after the conclusion of the PHE

Medicaid: COVID-19 Specialty Behavioral Health Service Guidance

STATUS: Active, until end of COVID-19 PHE

Medicaid:  Centennial Care MCO Letter of Direction

STATUS: Active, until end of COVID-19 PHE

Medicaid: Special COVID-19 Guidance

STATUS: Varies. Many active until end of COVID-19 PHE

Medicaid: Special COVID-19 Letter on Telehealth Services

STATUS: Active, until end of COVID-19 PHE

 

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New York

Last updated 04/07/2022

Medicaid: Comprehensive Guidance Regarding the Use of Telehealth including Telephonic Services During COVID-19

STATUS: Active, extended for remainder of federally declared PHE or until issuance of subsequent guidance.

Medicaid: FAQs on Telehealth and Telephonic Services

STATUS:  Active, NY state of emergency ended but based on Comprehensive Guidance telehealth & telephonic policies extended for remainder of federally declared PHE or until issuance of subsequent guidance.

Medicaid: Guidance for Adult Social Day Care Services Telephonically

STATUS: Active, NY state of emergency ended but based on Comprehensive Guidance telehealth & telephonic policies extended for remainder of federally declared PHE or until issuance of subsequent guidance.

Medicaid: Guidance for Adult Social Day Care Telephonically FAQs

STATUS: Active, NY state of emergency ended but based on Comprehensive Guidance telehealth & telephonic policies extended for remainder of federally declared PHE or until issuance of subsequent guidance.

Medicaid: Telehealth and Telephonic Services for Adult Day Health Care Program

STATUS: Active, NY state of emergency ended but based on Comprehensive Guidance telehealth & telephonic policies extended for remainder of federally declared PHE or until issuance of subsequent guidance.

Medicaid: Guidance for Home and Community-Based Services

STATUS: Active, NY state of emergency ended but based on Comprehensive Guidance telehealth & telephonic policies extended for remainder of federally declared PHE or until issuance of subsequent guidance.

Medicaid: Guidance for Children and Family Treatment and Support Service Providers

STATUS: Active, NY state of emergency ended but based on Comprehensive Guidance telehealth & telephonic policies extended for remainder of federally declared PHE or until issuance of subsequent guidance.

Medicaid: Factsheet for Consumers during COVID-19

STATUS: Active, NY state of emergency ended but based on Comprehensive Guidance telehealth & telephonic policies extended for remainder of federally declared PHE or until issuance of subsequent guidance.

Office of Mental Health:  Telemental Health and Program Guidance

STATUS: Based on Waiver believed to still be in effect (Most recent waiver reissued February 5. 2022 for 120 days).

Office of Mental Health: Clinic Treatment Program

STATUS: Based on Waiver believed to still be in effect (Most recent waiver reissued February 5. 2022 for 120 days).

Office of Mental Health: RTF Treatment and Documentation Standards, Visitation, Telemental Health Utilization, and Restraint Response during COVID-19 Emergency Period

STATUS: Active

Office of Mental Health: COVID-19 Disaster Emergency FAQ

STATUS: Active

Medicaid 1915(c) Waiver: Appendix K – Children’s Waiver

STATUS: Active expires six months after the end of the federal PHE

Medicaid 1915(c) Waiver: Appendix K – OPWDD/Home and Community Based Services Waiver

STATUS: Active expires six months after the end of the federal PHE.

Medicaid 1915(c) Waiver: Appendix K – Nursing Home Transition and Diversion (NHTD) and Traumatic Brain Injury (TBI)

STATUS: Active, expires six months after the end of the federal PHE.

Medicaid: Emergency Rule Audio-Only Reimbursement

STATUS: Expired September 22, 2021.

Medicaid: Emergency Rule Audio-Only Reimbursement

STATUS: Expired December 21, 2021.

Medicaid: Emergency Rule Continuing Medicaid Telehealth Expansions

STATUS: Agency intends to make permanent but this emergency rule expired March 21, 2022.

Medicaid: Medicaid Update COVID-19 Vaccine Counseling Provided via Audio-Only

STATUS: Active

Medicaid: Updated COVID-19 Vaccine Counseling Coverage

STATUS: Active

Medicaid: Guidance for the Authorization of CBLTSS Covered by Medicaid in response to COVID-19

 STATUS: Active

Office of Mental Health: Emergency Rule/Proposed Rule Making Continuing Telehealth Expansions

STATUS: Agency intends to make permanent but this emergency rule expired February 12, 2022.

Office of Alcoholism and Substance Abuse Services: Emergency/Proposed Rule Making Continuing Telehealth Flexibilities

STATUS: Expired February 5, 2022.

Office of Alcoholism and Substance Abuse Services: Final Rule Continuing Telehealth Flexibilities

STATUS: Active

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North Carolina

Last updated 03/23/2022

Medicaid:  Bulletin on Telehealth and Virtual Patient Communication for Family Planning

STATUS: Policy flexibilities that are outlined in this bulletin that have not been made permanent by bulletin #237 will be end-dated effective June 30, 2022.

Medicaid: Bulletin on Telehealth for Hybrid Telemedicine with Supporting Home Visit

STATUS: Active, until end of NC state of emergency or rescinded

Medicaid: Bulletin on Telehealth for Behavioral Health Services

STATUS: Active, sunsets on June 30, 2022 per pg. 8 Special Bulletin #237

Medicaid: Bulletin on Innovations and TBI Appendix K and Developmental Disability Plans

STATUS: Active, until end of NC state of emergency or rescinded

Medicaid: Bulletin on Telehealth for Postpartum Depression Screening

STATUS: Active, until end of NC state of emergency or rescinded

Medicaid: Bulletin on Outpatient Behavioral Health Services

STATUS: Active, sunsets on June 30, 2022 per pg. 8 Special Bulletin #237

Medicaid: Bulletin on Telehealth for Interim Perinatal Care

STATUS: Active, until end of NC state of emergency or rescinded

Medicaid:  Bulletin on Telehealth for Optometry Services

STATUS: Active, sunsets on June 30, 2022 per pg. 40 Special Bulletin #237

Medicaid: Bulletin on Telehealth for Outpatient Specialized Therapies and Dental Services

STATUS: Active, until end of NC state of emergency or rescinded

Medicaid: Telehealth Definitions, Eligible Providers, Services and Codes

STATUS: Active, until end of NC state of emergency or rescinded

Medicaid: Guidance for Perinatal Care Providers

STATUS: Active, until end of NC state of emergency or rescinded

Medicaid:  Telehealth Billing Code Summary

STATUS: Active, until end of NC state of emergency or rescinded

Medicaid 1915(c) Waiver: Appendix K – NC Innovations

STATUS: Active, until six months following the end of the Public Health Emergency (see below)

Medicaid 1915(c) Waiver: Appendix K Addendum – NC Innovations

STATUS: Active, until six months following the end of the Public Health Emergency

Medicaid 1915(c) Waiver: Appendix K – CAP/DA

STATUS: Active, until six months following the end of the Public Health Emergency (see below)

Medicaid 1915(c) Waiver: Appendix K Addendum – CAP/DA

STATUS: Active, until six months following the end of the Public Health Emergency

Medicaid 1915(c) Waiver: Appendix K – Community Alternatives for Children

STATUS: Active, until six months following the end of the Public Health Emergency (see below)

Medicaid 1915(c) Waiver: Appendix K Addendum – Community Alternatives for Children

STATUS: Active, until six months following the end of the Public Health Emergency

Medicaid 1915(c) Waiver: Appendix K – NC TBI Waiver

STATUS: Active, until six months following the end of the Public Health Emergency (see below)

Medicaid 1915(c) Waiver: Appendix K Addendum – NC TBI Waiver

STATUS: Active, until six months following the end of the Public Health Emergency

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North Dakota

Last updated 04/04/2022

Human Services: Covid-19 Temporary Telehealth Policy for Right Track

STATUS: Active. Expires date national emergency is declared over. National PHE is still active.

Medicaid: COVID-19 Temporary Telehealth Policy

STATUS: Active. Expires date national emergency is declared over. National PHE is still active.

Medicaid 1915(c) Waiver: Appendix K – Developmental Disabilities Traditional IID/DD HCBS Waiver

STATUS: Active, until 6 Months after the Federal PHE. See extension below.

Medicaid 1915(c) Waiver: Appendix K – Medicaid Waiver for Home and Community Based Services

STATUS: Active, until 6 Months after the Federal PHE. See extension below.

Medicaid 1915(c) Waiver: Appendix K – Medically Fragile Children

STATUS: Active, until 6 Months after the Federal PHE. See extension below.

Medicaid 1915(c) Waiver: Appendix K – Children’s Hospice

STATUS: Active, until 6 Months after the Federal PHE. See extension below.

Medicaid 1915(c) Waiver: Appendix K – Autism Spectrum Disorder (ASD) birth through thirteen

STATUS: Active, until 6 Months after the Federal PHE. See extension below.

Medicaid 1915(c) Waiver: Appendix K Addendum – Developmental Disabilities Traditional IID/DD HCBS Waiver; Children’s Hospice; Medicaid Waiver for Home and Community Based Services; Autism Spectrum Disorder (ASD) birth through thirteen; Medically Fragile Children

STATUS: Active, until 6 Months after the Federal PHE.

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Ohio

Last updated 03/31/2022

Medicaid Managed Care: State of Emergency Provider Guide Statement on Telehealth

STATUS: Still listed on state website, however policies may have been superseded by permanent telehealth policy).

Medicaid Managed Care: Telehealth Provider Guide

STATUS: Still listed on state website, however policies may have been superseded by permanent telehealth policy).

Medicaid: Emergency Telehealth Rules

STATUS: Still listed on state website, however policies may have been superseded by permanent telehealth policy).

Dept. of Mental Health & Addiction: Behavioral Health Services

STATUS:  Expired. Permanent regulation adopted.

Dept. of Mental Health & Addiction: COVID-19 Telehealth FAQs

STATUS:  Varies. Mix of temporary expired policies and permanent policies.

Medicaid 1915(c) Waiver: Appendix K – Individual Options, Level One, and Self-Empowered Life Funding Waiver (SELF)

STATUS:  Active, until 6 months after the conclusion of the PHE (See extension)

Medicaid 1915(c) Waiver: Appendix K – Assisted Living, Ohio Home Care Waiver, My Care Ohio, PASSPORT

STATUS:  Active, until 6 months after the conclusion of the PHE (See extension)

Medicaid 1915(c) Waiver: Appendix K – Assisted Living, Ohio Home Care Waiver, My Care Ohio, PASSPORT

STATUS:  Active, until 6 months after the conclusion of the PHE

Medicaid 1915(c) Waiver: Appendix K Addendum – Individual Options, Level One, and Self-Empowered Life Funding Waiver (SELF)

STATUS:  Active, until 6 months after the conclusion of the PHE

 

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Oklahoma

Last updated 04/07/2022

Medicaid: Provider Updates

STATUS: Many policies effective until end of …

Medicaid: Provider Updates

STATUS: Many policies effective until end of federal PHE. Allowance for telehealth in physical therapy has ended per a 2021 message.

Medicaid: WebAlerts SoonerCare Members

STATUS: Indicates telehealth allowances ended Apr. 30, 2021.

Medicaid: Expanded telehealth and telephonic services

STATUS: Mentions PHE extension to Apr. 30, 2021 but no mention of further extensions. May have expired. Unable to locate navigation to webpage on SoonerCare website.

Medicaid 1915(c) Waiver: Appendix K – Community Waiver; Homeward Bound Waiver

STATUS: Expires six months after Public Health Emergency expiration. State of emergency ended May 4, 2021.

Medicaid 1915(c) Waiver: Appendix K Addendum – Community Waiver; Homeward Bound Waiver

STATUS: Expires six months after Public Health Emergency expiration. State of emergency ended May 4, 2021.

Medicaid 1915(c) Waiver: Appendix K Addendum – Community Waiver; Homeward Bound Waiver; In Home Supports Waiver for Adults

STATUS: Expires six months after Public Health Emergency expiration. State of emergency ended May 4, 2021.

Medicaid 1915(c) Waiver: Appendix K – In Home Supports Waiver for Children

STATUS: Expires six months after Public Health Emergency expiration. State of emergency ended May 4, 2021.

Medicaid 1915(c) Waiver: Appendix K Addendum – Community Waiver; Homeward Bound Waiver; In Home Supports Waiver for Adults; In Home Supports Waiver for Children

STATUS: Expires six months after Public Health Emergency expiration. State of emergency ended May 4, 2021.

Medicaid 1915(c) Waiver: Appendix K Addendum – Community Waiver; Homeward Bound Waiver; In Home Supports Waiver for Adults; In Home Supports Waiver for Children; Medically Fragile Waiver Combined

STATUS: Active, expires six months after Public Health Emergency expiration

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Oregon

Last updated 01/20/2022

State Plan Amendment: Oregon Health Plan coverage of telephone/telemedicine/telehealth services

STATUS: Active, until end of COVID-19 emergency

Medicaid: Telemedicine/Telehealth School Based Guidance

STATUS: Active, during the COVID-19 emergency

Medicaid: COVID-19 Provider Guide

STATUS: Active. State of Emergency ends June 30, 2022. Federal PHE still active.

Medicaid: Emergency Rule on Covered Telehealth Services

STATUS: Active, expires March 29, 2022

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Pennsylvania

Last updated 04/07/2022

Medicaid: Teledentistry Guidelines

STATUS: Active, until end of Federal PHE…

Medicaid: Teledentistry Guidelines

STATUS: Active, until end of Federal PHE

Medicaid: Provider Quick Tips Telemedicine Guidelines (Updated April 2020)

STATUS: Expired, obsolete by Medical Assistance bulletin 99-21-06

Medicaid: Instructions for Delivery of BHRS and IBHS through Telehealth

STATUS: Expired, replaced by permanent policy, OMHSAS-21-09

Medicaid 1915(c) Waiver: Appendix K – Infants, Toddlers and Families

STATUS: Expired January 26, 2021; extended through Addendum

Medicaid 1915(c) Waiver: Appendix K Addendum – Infants, Toddlers & Families Waiver

STATUS: Active, until 6 months after the conclusion of the PHE

Medicaid 1915(c) Waiver: Appendix K – OBRA

STATUS: Active, expired March 5, 2021; extended through Addendum

Medicaid 1915(c) Waiver: Appendix K – Community HealthChoices

STATUS: Active, expired March 5, 2021; extended through Addendum

Medicaid 1915(c) Waiver: Appendix K Addendum – Community HealthChoices; OBRA Combined

STATUS: Active, until six months after the end of the COVID-19 Public Health Emergency

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Rhode Island

Last updated 02/10/2022

Medicaid:  COVID-19 Telehealth Guidance

STATUS: Active until further notice

Medicaid:  COVID-19 Telehealth Guidance

STATUS: Active until further notice

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South Carolina

Last updated 03/22/2022

Medicaid: Telehealth COVID-19 Codes

STATUS: Active

Medicaid: Telehealth Policy Updates

Medicaid: Telehealth COVID-19 Codes

STATUS: Active

Medicaid: Telehealth Policy Updates for Physicians, NPs, PAs and LIPs

STATUS: Active, until end of PHE

Medicaid: Telehealth Policy Update to PT, OT, and ST Coverage

STATUS: Active, until end of PHE

Medicaid: Telehealth Policy Update to Behavioral Health Coverage

STATUS: Active, until end of PHE

Medicaid: Telehealth Policy Update to Early Intervention Coverage

STATUS: Active, until end of federally declared public health emergency unless rescinded or superseded by SCDHHS prior to the end of the emergency.

Medicaid: Telehealth Policy Update to ABA Coverage

STATUS: Active, until end of federally declared public health emergency unless rescinded or superseded by SCDHHS prior to the end of the emergency.

Medicaid: Frequently Asked Questions

STATUS: Active

1135 Waiver: Community Choices (CC), HIV/AIDS, and Mechanical Ventilator Dependent (VENT)

STATUS: Active, expires no later than six months after the expiration of the PHE (see extension)

1135 Waiver: Palmetto Coordinated System of Care (PCSC)

STATUS: Active, expires no later than six months after the expiration of the PHE

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South Dakota

Last updated 01/26/2022

Medicaid: South Dakota Provider Manual

STATUS: Permanent, some sections only …

Medicaid: South Dakota Provider Manual

STATUS: Permanent, some sections only apply during PHE

Medicaid: COVID-19 FAQs

STATUS: Some policies permanent while others contingent on PHE.

Medicaid: Telemedicine and Telephonic Services Update (July 2, 2021)

STATUS: Active

Medicaid: COVID-19 Telemedicine Updates

STATUS: Active

Medicaid 1915(c) Waiver: Appendix K – CHOICES

STATUS: Active, Expires 6 months after end of PHE

Medicaid 1915(c) Waiver: Appendix K – CHOICES

STATUS: Active, Addendum expires 6 months after end of PHE

Office of the Governor: Executive Order 2020-34 (extending telehealth flexibilities in prior EOs)

STATUS: Active, Extended by EO 2021-01.

Office of the Governor: Executive Order (suspends Medicaid telemedicine restrictions)

STATUS: Active, until SD state of emergency ends

Medicaid 1915(c) Waiver: Appendix K – Assistive Daily Living Services

STATUS: Active, Expires 6 months after end of PHE

Medicaid 1915(c) Waiver: Appendix K – Assistive Daily Living Services

STATUS: Active, Addendum expires 6 months after end of PHE

Medicaid 1915(c) Waiver: Appendix K – Home and Community-Based Options and Person-Centered Excellence (HOPE) Waiver

STATUS: Active, Expires 6 months after end of PHE

Medicaid 1915(c) Waiver: Appendix K- Home and Community-Based Options and Person-Centered Excellence (HOPE) Waiver

STATUS: Active, Addendum expires 6 months after  end of PHE

 

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Tennessee

Last updated 04/11/2022

Medicaid:  Behavioral Health Group Therapy Telehealth Services

STATUS: Unknown

Medicaid:  …

Medicaid:  Behavioral Health Group Therapy Telehealth Services

STATUS: Unknown

Medicaid:  Behavioral Health Psychosocial Rehabilitation Telehealth Services

STATUS: Unknown

Medicaid: Behavioral Health Telehealth Services

STATUS: Unknown

Medicaid 1915(c) Waiver: Appendix K – Statewide Home and Community Based Services (or “Statewide”) waiver; Comprehensive Aggregate Cap Home and Community Based Services (or “CAC”) Waiver; Tennessee Self-Determination Waiver Program

STATUS: Active, ends no longer than 6 months following expiration of PHE. See below.

Medicaid 1915(c) Waiver: Appendix K – Statewide Home and Community Based Services (or “Statewide”) waiver; Comprehensive Aggregate Cap Home and Community Based Services (or “CAC”) Waiver; Tennessee Self-Determination Waiver Program

STATUS: Active, ends no longer than 6 months following expiration of PHE.

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Texas

Last updated 04/12/2022

Medicaid: Provider Information

STATUS: Active, various expiration dates.

Medicaid: COVID-19

Medicaid: Provider Information

STATUS: Active, various expiration dates.

Medicaid: COVID-19 Extension for multiple Flexibilities

STATUS: Active

Medicaid:Telemedicine (Physician-Delivered) and Telehealth (Non-Physician-Delivered) Services Extended through January 21, 2021, or through January 31, 2021 if the PHE is Extended

STATUS: Expires Apr. 30, 2022

Medicaid: FQHC Reimbursement for Telemedicine and Telehealth Services

STATUS: Permanent

Medicaid: RHC Reimbursement for Telemedicine and Telehealth Services

STATUS: Permanent

Medicaid: Telephone Early Childhood Intervention Specialized Skills Training

STATUS: Expires Apr. 30, 2022

Medicaid: Telephone Nutritional Counseling Services

STATUS: Expires Apr. 30, 2022

Medicaid: Telephone for Behavioral Health Services

STATUS: Expires Apr. 30, 2022

Medicaid: Telephone for Medical Services

STATUS: Expires Apr. 30, 2022

Medicaid 1915(c) Waiver: Appendix K – Texas Home Living (TxHmL) and Home and Community-based Services (HCS)

STATUS:  Active, expires at end of PHE. See Addendum

Medicaid 1915(c) Waiver: Appendix K- Texas Home Living (TxHmL) and Home and Community-based Services (HCS)

STATUS: Addendum, Active until end of PHE

Medicaid 1915(c) Waiver: Appendix K – Youth Empowerment Services (YES)

STATUS: Active, expires at end of PHE. See Addendum

Medicaid 1915(c) Waiver: Appendix K- Youth Empowerment Services (YES)

STATUS: Addendum, Active until end of PHE

Medicaid 1915(c) Waiver: Appendix K – Deaf Blind with Multiple Disabilities (DBMD) and Community Living Assistance and Support Services (CLASS)

STATUS: Active, expires at end of PHE. See Addendum

Medicaid 1915(c) Waiver: Appendix K- Deaf Blind with Multiple Disabilities (DBMD) and Community Living Assistance and Support Services (CLASS)

STATUS: Addendum, Active until end of PHE

Medicaid 1915(c) Waiver: Appendix K – Medically Dependent Children Program (MDCP)

STATUS: Active, expires at end of PHE. See Addendum

Medicaid 1915(c) Waiver: Appendix K- Medically Dependent Children Program (MDCP)

STATUS: Addendum, Active until end of PHE

Texas Health and Human Services Commission: Behavioral Health Services Providers FAQs

STATUS: Active

Texas Health and Human Services Commission: Chemical Dependency Treatment Facility Requirements During the COVID-19 Pandemic 

STATUS: Active until October 11, 2021

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Vermont

Last updated 03/11/2022

Medicaid: Continuing Telemedicine Coverage for Dental Services & Telephonic Coverage

STATUS: Active

Medicaid: Memo on Telephonic Services

STATUS: Active during the Federal COVID-19 Public Health Emergency and State of Emergency.  Statewide emergency has ended, but Federal PHE continues.

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Virginia

Last updated 04/10/2022

Medicaid: Continuing COVID flexibilities based on federal authority

STATUS: Active

Medicaid: Policies remaining in effect

STATUS: Active

Medicaid: New 1135 Waiver and Administrative Provider Flexibilities (5/26)

STATUS:  Active, until the end of the emergency declaration

Medicaid 1915(c) Waiver: Appendix K – Commonwealth Coordinated Care Plus, Family and Individuals Supports, Community Living, and Building Independence

STATUS:  Active, expires six months after end of PHE

Medicaid 1915(c) Waiver: Appendix K Addendum – Commonwealth Coordinated Care Plus, Family and Individuals Supports, Community Living, and Building Independence

STATUS:  Active, expires six months after end of PHE

Medicaid 1915(c) Waiver: Appendix K – Commonwealth Coordinated Care Plus, Family and Individuals Supports, Community Living, and Building Independence

STATUS:  Active, expires six months after end of PHE

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Washington

Last updated 04/11/2022

Medicaid: Telemedicine and Telehealth Brief

STATUS: Expired. Effective January 1, 2022 see Clinical policy and billing

Medicaid: Clinical Policy and Billing FAQ

STATUS: Effective February 1, 2022

Medicaid: Apple Health (Medicaid) Applied Behavior Analysis (ABA) policy and billing during the COVID-19 pandemic

STATUS: Active

Medicaid: Behavioral Health Policy and Billing FAQ

STATUS: Active

STATUS: Active

STATUS: Active

Medicaid: Home Health FAQ

STATUS: Active

STATUS: Active

Medicaid 1915(c) Waiver: Basic Plus

STATUS: Active, Expires 6 months following the end of the federal PHE.

Medicaid 1915(c) Waiver: Core

STATUS: Active, Expires 6 months following the end of the federal PHE.

Medicaid 1915(c) Waiver: Community Protection

STATUS: Active, Expires 6 months following the end of the federal PHE.

Medicaid 1915(c) Waiver: Individual and Family Services

STATUS: Active, Expires 6 months following the end of the federal PHE.

Medicaid 1915(c) Waiver: Children’s Intensive In Home Behavior Support

STATUS: Active, Expires 6 months following the end of the federal PHE.

Medicaid 1915(c) Waiver: Basic Plus; Individual and Family Services, Core, Community Protection, Children’s Intensive In home Behavior Support

STATUS: Active, Expires 6 months following the end of the federal PHE. Extends waivers shown above.

Medicaid: 1115 Waiver Summary – Telephone and Telehealth Options

STATUS: Active during the PHE.

Medicaid 1915(c) Waiver: New Freedom

STATUS: Active, Expires 6 months following the end of the federal PHE.

Medicaid 1915(c) Waiver: Residential Support Waiver

STATUS: Active, Expires 6 months following the end of the federal PHE.

Medicaid 1915(c) Waiver: COPES Waiver; Residential Support Waiver; New Freedom Waiver

STATUS: Active, extends the end date of current waivers shown above until 6 months following the end of the Federal PHE

Medicaid 1135 Waiver: Telehealth Summary

STATUS: Active

Medicaid: Provider Bulletin Expanding Telemedicine to include Audio-Only

STATUS: Effective July 1, 2022

Medicaid: Telehealth Audio-Only Codes

STATUS: Effective July 1, 2022

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West Virginia

Last updated 04/12/2022

Medicaid: Telehealth Modality for Physical, Occupational or Speech Therapy

STATUS: Active

Medicaid: Telehealth Modality

STATUS: Active

Medicaid 1915(c) Waiver: Appendix K – Intellectual/Developmental Disability Waiver

STATUS: Active, see waiver below for extension to six months following end of PHE.

Medicaid 1915(c) Waiver: Appendix K – Aged and Disabled Disability Waiver

STATUS: Active, see waiver below for extension to six months following end of PHE.

Medicaid 1915(c) Waiver: Appendix K – Traumatic Brain Injury Disability Waiver

STATUS: Active, see waiver below for extension to six months following end of PHE.

Medicaid 1915(c) Waiver: Appendix K – Children with Serious Emotional Disorder

STATUS: Active, see waiver below for extension to six months following end of PHE.

Medicaid 1915(c) Waiver: Children with Serious Emotional Disorders 1915 C Waiver

STATUS: Active, see waiver below for extension to six months following end of PHE.

Medicaid 1915(c) Waiver: Extension for waivers combined

STATUS:  Active, extended six months following end of PHE.

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Wisconsin

Last updated 03/26/2022

Medicaid: Telehealth Expansion and Related Resources

STATUS: Active. Expires day …

Medicaid: Telehealth Expansion and Related Resources

STATUS: Active. Expires day after end of federal public health emergency (PHE). The federal PHE is currently set to expire Apr. 16, 2022.

Medicaid: Transition from Temporary to Permanent Synchronous Telehealth Coverage Policy and Billing Guidelines 

STATUS: Expired Dec. 31, 2021. Some policies may have been extended until end of federal public health emergency. See link above.

Medicaid: Alert 019: Opioid Treatment Program Phone Calls

STATUS: Active, until ForwardHealth announces otherwise

Medicaid: Transition from Temporary to Permanent Synchronous Telehealth Coverage Policy and Billing Guidelines

STATUS: Active, to facilitate the transition from temporary to permanent telehealth  coverage policy, between July 1, 2021, and December 31, 2021. Permanent policy active Jan. 1, 2022.

Medicaid: Temporary Changes to Telehealth Policy and Clarifications for Behavioral Health and Targeted Case Management Providers

STATUS: Some policies active until ForwardHealth announces otherwise’ some policies permanent.  May be superseded by permanent policy beginning Jan. 1, 2022.  See policy above.

Medicaid: Changes to ForwardHealth Telehealth Policies for Covered Services, Originating Sites, and Federally Qualified Health Centers

STATUS: Permanent

Medicaid: Additional Services to be Provided Via Telehealth

STATUS: Active, until rescinded or modified when emergency orders issued by the state and federal governments expire

Medicaid: Changes to Narcotic Treatment Services

STATUS: Active, until further notice

Medicaid 1915(c) Waiver: Appendix K – Children’s Long Term Support Waiver Program

STATUS:  Extended to no later than six months after the expiration of the national public health emergency, see below.

Medicaid 1915(c) Waiver: Appendix K Extension – Children’s Long Term Support Waiver Program

STATUS: Active, no later than six months after the expiration of the national public health emergency

Medicaid 1915(c) Waiver: Appendix K –Family Care Waiver Renewal 2020

STATUS: Extended to no later than six months after the expiration of the national public health emergency, see below.

Medicaid 1915(c) Waiver: Appendix K Extension – Family Care Waiver Renewal 2020

STATUS: Active, no later than six months after the expiration of the national public health emergency

Medicaid 1915(c) Waiver: Appendix K – Self-Directed Support Waiver, Intellectual/developmental Disability and Aged/Physical Disability

STATUS: Extended to no later than six months after the expiration of the national public health emergency, see below.

Medicaid 1915(c) Waiver: Appendix K Extension – Self-Directed Support Waiver, Intellectual/developmental Disability and Aged/Physical Disability

STATUS: Active, no later than six months after the expiration of the national public health emergency

PERMANENT TELEHEALTH COVERAGE POLICY AND BILLING GUIDELINES

*Only synchronous (two-way, real-time, interactive communications) and remote physiological monitoring services identified under permanent policy may be reimbursed when provided via telehealth effective on the first day of the first month after the federal public health emergency related to the COVID-19 pandemic expires.

Temporary telehealth policy will remain in effect until the switch to permanent policy occurs when ForwardHealth will require providers to follow permanent billing guidelines for synchronous telehealth and remote physiological monitoring services. Telehealth-related updates to the ForwardHealth Online Handbook will be available following the implementation of permanent policy.

PERMANENT TELEDENTISTRY POLICY

*ForwardHealth will transition to permanent telehealth coverage policy and billing guidelines for synchronous (two-way, real-time, interactive communications) telehealth services effective on the first day of the first month after the public health emergency related to the COVID-19 pandemic expires.

This telehealth coverage policy will include coverage for synchronous teledentistry services. Asynchronous teledentistry policy is still in development and will be published in a future ForwardHealth Update. Temporary public health emergency allowances, including Health Insurance Portability and Accountability Act of 1996 flexibilities, will continue through the end of the federal health public emergency unless providers are notified otherwise in writing prior to that time.

PERMANENT TELEHEALTH POLICY FOR SCHOOL-BASED SERVICES

*ForwardHealth will transition to permanent telehealth coverage policy and billing guidelines for school-based services effective on the first day of the first month after the federal public health emergency related to the COVID-19 pandemic expires.

Temporary telehealth policy will remain in effect until the switch to permanent policy occurs. Telehealth related updates to the ForwardHealth Online Handbook will be available following the implementation of permanent policy. Refer to ForwardHealth Update 2021-50, titled “Permanent Telehealth Coverage Policy and Billing Guidelines,” for additional information. This Update highlights permanent telehealth policy for school-based services in support of the child’s needs in the virtual environment.

Temporary public health emergency allowances including Health Insurance Portability and Accountability Act of 1996 flexibilities will continue through the end of the federal health public emergency unless providers are notified otherwise in writing prior to that time.

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Wyoming

Last updated 01/16/2022

Medicaid: Telehealth Updates for COVID-19

STATUS; Active

Medicaid:  FQHC/RHC Tribal

Medicaid: Telehealth Updates for COVID-19

STATUS; Active

Medicaid:  FQHC/RHC Tribal Facilities

STATUS; Active

Medicaid:  Home Health COVID-19

STATUS; Active

Medicaid:  BH Peer Specialist via Telehealth

STATUS; Active

Medicaid 1915(c) Waiver:  Appendix K – Supports Waiver; Comprehensive Waiver

STATUS; Expired January 26, 2021; extended through 6 months after conclusion of PHE.

Medicaid 1915(c) Waiver: Appendix K Extension – Supports Waiver

STATUS; Active, extended through 6 months after conclusion of PHE.

Medicaid 1915(c) Waiver:  Appendix K – Children’s Mental Health Waiver

STATUS; Expired February 28, 2021

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COVID-19

Audio-Only Delivery

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