COVID-19

Cross-State Licensing

When telehealth is used, it is considered to be rendered at the physical location of the patient, and therefore a provider typically needs to be licensed in the patient’s state. During COVID-19 public health emergency (PHE) many states waived this requirement or provided specific exceptions.  The exceptions that were telehealth specific are listed below. However, the Federation of State Medical Boards is also tracking this issue comprehensively on their website via two charts, one broadly covering licensing exceptions and the other specifically related to telehealth. These policies are temporary and most will expire at the end of the PHE.

Click the map to scroll down to the state
Disclaimer

PLEASE NOTE: CCHP is providing the following for informational purposes only. We are not providing legal advice or interpretation of the laws and regulations and policies. CCHP encourages you to check with the appropriate state agency for further information and direction. This information should not be construed as legal counsel. Consult with an attorney if you are seeking a legal opinion.

Federal

Last updated 02/25/2023

Health and Human Services: 10th Declaration under the PREP Act:

Alabama

Last updated 02/06/2023

No reference found. Previous COVID waiver expired.

No reference found. Previous COVID waiver expired.

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Alaska

Last updated 02/08/2023

Medicaid: Telehealth Coverage COVID-19 FAQs

STATUS: Active, though license waivers

Medicaid: Telehealth Coverage COVID-19 FAQs

STATUS: Active, though license waivers have expired.

Business and Professional Licensing: Telehealth and Licensing

STATUS: Expired, however licensing exception during public health emergency extended permanently by SB 241.

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Arizona

Last updated 01/03/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Arkansas

Last updated 01/02/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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California

Last updated 02/24/2023

Medicaid: Emergency Requirements for Medi-Cal Enrollment

STATUS: Active, until end …

Medicaid: Emergency Requirements for Medi-Cal Enrollment

STATUS: Active, until end of national PHE

Emergency Medical Services Authority: Out-of-State Personnel/Policy Update Memo

STATUS: Active, until end of state PHE on February 28, 2023 per Policy Memo

Office of the Governor: Executive Order Continues EMS Authority to Approve Out-of-State Personnel

STATUS: Active, until end of state PHE on February 28, 2023

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Colorado

Last updated 01/11/2023

Department of Public Health: COVID-19 Telehealth Regulation Changes

STATUS: Active…

Department of Public Health: COVID-19 Telehealth Regulation Changes

STATUS: Active

Department of Regulatory Agencies: FAQs on COVID-19 Telehealth Services

STATUS: Active

Division of Professions and Occupations: Emergency Licensure Regulations

STATUS: Active

Division of Professions and Occupations: Information on Telehealth Services

STATUS: Varies

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Connecticut

Last updated 02/16/2023

Department of Public Health: Out-of-State Social Workers and Telehealth

STATUS: …

Department of Public Health: Out-of-State Social Workers and Telehealth

STATUS: Active

HB 5596 (2021 Session): Extends Telehealth emergency orders until June 30, 2023

STATUS: Enacted

HB 5001 (2022 Session): Allows Out-of-State Social Workers to Provide In-State Telehealth Under Certain Circumstances

STATUS: Enacted; Out-of-state social worker provision effective until July 1, 2024

SB 2 (2022 Session): Extends Certain Telehealth Expansions until June 30, 2024, Includes Additional Licensure Provisions

STATUS: Enacted

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Delaware

Last updated 02/20/2023

STATUS: Active, set to expire March 4th, 2023 unless renewed.

Division of Professional Regulation: Telehealth Form for Behavioral Health Providers

STATUS: Active

HB 160: Telehealth Expansions

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

HB 334: Establishes provider interstate telehealth registration process

STATUS: Enacted

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Florida

Last updated 01/26/2023

Medicaid: Telehealth FAQs

STATUS: Active

Department of Health: Florida Telehealth 

Medicaid: Telehealth FAQs

STATUS: Active

Department of Health: Florida Telehealth 

STATUS: Active

Department of Health: Telehealth FAQs

STATUS: Active

Florida Board of Medicine: Updates for health care providers regarding expiration of emergency orders

STATUS: Active

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Georgia

Last updated 01/23/2023

No reference found.

No reference found.

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Hawaii

Last updated 01/26/2023

Department of Commerce and Consumer Affairs: State Provides Guidance for

Department of Commerce and Consumer Affairs: State Provides Guidance for Dental Profession During COVID-19

STATUS: State PHE ended, unclear if still active

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Idaho

Last updated 02/17/2023

ID Division of Occupational & Professional Licenses: COVID-19 Guidance Allowing

ID Division of Occupational & Professional Licenses: COVID-19 Guidance Allowing Out-of-State Providers to Deliver Services in or into ID

STATUS: Expired

Board of Medicine: Administrative Rules Temporarily Suspended

STATUS: Expired with end of ID State of Emergency

Board of Medicine: Idaho Telehealth Access Act COVID-19 Guidance

STATUS: Expired with end of ID State of Emergency

Board of Medicine: Coronavirus (COVID-19) Information

STATUS: Expired with end of ID State of Emergency

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Illinois

Last updated 02/12/2023

Dept. of Financial and Professional Regulation: Proclamation to Invoke Emergency

Dept. of Financial and Professional Regulation: Proclamation to Invoke Emergency Powers to Modify Professional License and Certification Statutes and Regulations

STATUS: Active until expiration of Gubernatorial COVID-19 Disaster Proclamations

Dept. of Financial and Professional Regulation: Proclamation to Invoke Emergency Powers to Modify Professional License and Certification Statutes and Regulations

STATUS: Active Jan. 10, 2022 – May 31, 2022

Office of the Governor: Extends Order on Telehealth Services specifically portions of Executive Order 2020-09.

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Indiana

Last updated 02/26/2023

Professional Licensing Agency: COVID-19 Actions

STATUS: Will expire May 11,

Iowa

Last updated 01/10/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Kansas

Last updated 02/14/2023

Medicaid: MCO Non-Network Provider Participation Requirements

STATUS: Active, exceptions granted …

Medicaid: MCO Non-Network Provider Participation Requirements

STATUS: Active, exceptions granted until rescinded

Medicaid: Telemedicine Updates in Response to COVID-19

STATUS: Active, exceptions granted until rescinded

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Kentucky

Last updated 02/18/2023

Medicaid: COVID-19 FAQs on Telehealth

STATUS: Active, until end of …

Medicaid: COVID-19 FAQs on Telehealth

STATUS: Active, until end of federal PHE. Document available through KY COVID-19 Actions and Guidance Related to Telehealth Word Document.

 

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Louisiana

Last updated 01/17/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Maine

Last updated 01/05/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Maryland

Last updated 01/24/2023

No Reference Found.

No Reference Found.

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Massachusetts

Last updated 03/14/2023

Board of Registration in Medicine: Emergency Temporary License Application for

Board of Registration in Medicine: Emergency Temporary License Application for Out-of-State Physicians

STATUS: Expired.

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Michigan

Last updated 03/27/2023

No reference found.

No reference found.

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Minnesota

Last updated 01/30/2023

No Reference Found.

No Reference Found.

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Mississippi

Last updated 03/04/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Missouri

Last updated 03/06/2023

MO Department of Social Services: Provider Tips Telehealth Services Licensing

MO Department of Social Services: Provider Tips Telehealth Services Licensing Waiver (Jan. 11, 2022)

STATUS:  While the State of Emergency in Missouri concluded December 31, 2021, MHD must submit requests to the Centers for Medicare & Medicaid Services (CMS) to discontinue any of the flexibilities allowed during the Public Health Emergency (PHE). Therefore, the flexibilities continue temporarily until CMS approval is granted. Providers will be notified when the state is approved to discontinue the two flexibilities listed above.

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Montana

Last updated 01/16/2023

Previous COVID-19 waivers expired. No reference found.

Previous COVID-19 waivers expired. No reference found.

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Nebraska

Last updated 03/10/2023

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.

 

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Nevada

Last updated 02/21/2023

No Reference Found

No Reference Found

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New Hampshire

Last updated 02/27/2023

No Reference Found

No Reference Found

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New Jersey

Last updated 03/21/2023

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.

S4139: Extends temporary emergency licensure of certain health care professionals

STATUS: Enacted. Licensure provisions expired.

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New Mexico

Last updated 02/03/2023

No Reference Found.  Previous COVID-19 waivers expired.

No Reference Found.  Previous COVID-19 waivers expired.

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New York

Last updated 01/30/2023

Office of the Governor: Executive Order Continuing Licensing Flexibilities

STATUS: Expires February 21, 2023.

Office of the Professions: Important Information for Licensees Impacted by COVID-19

STATUS: Active

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North Carolina

Last updated 02/21/2023

Medical Board: Telemedicine FAQs

STATUS: Active

Medical Board: Telemedicine FAQs

STATUS: Active

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North Dakota

Last updated 01/25/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Ohio

Last updated 03/03/2023

Medical Board:  Telemedicine Guidance

STATUS:  New rules adopted and went …

Medical Board:  Telemedicine Guidance

STATUS:  New rules adopted and went into effect Feb. 28, 2023.

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Oklahoma

Last updated 03/29/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Oregon

Last updated 03/01/2023

Oregon Medical Board: COVID-19 Guidance

STATUS: Page still active. The …

Oregon Medical Board: COVID-19 Guidance

STATUS: Page still active. The Oregon Medical Board is no longer providing temporary authorization to out of state providers.

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Pennsylvania

Last updated 03/15/2023

Puerto Rico

Last updated 03/01/2023

Ruling Letter CN – 2020-274-D

Status: Appears to be Active…

Ruling Letter CN – 2020-274-D

Status: Appears to be Active

20 LPRA Section 6011/

Status: Status: Active 30 days past the end of the Puerto Rico PHE

Admin Order 470

Status: Appears to be Active

Admin Order 449

Status: Appears to be Active

Admin Order 438

Status: Appears to be Active

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Rhode Island

Last updated 01/05/2023

No Reference Found

No Reference Found

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South Carolina

Last updated 02/02/2023

No Reference Found

No Reference Found

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South Dakota

Last updated 03/03/2023

Previous COVID-10 waivers expired.

Previous COVID-10 waivers expired.

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Tennessee

Last updated 03/23/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Texas

Last updated 03/13/2023

Texas Medical Board: Licensing for Out-of-State Providers

STATUS: Webpage still …

Texas Medical Board: Licensing for Out-of-State Providers

STATUS: Webpage still active

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Utah

Last updated 02/01/2023

Department of Health: Telehealth Resources

STATUS: Page is active, however …

Department of Health: Telehealth Resources

STATUS: Page is active, however licensing waiver has expired.

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Vermont

Last updated 02/10/2023

Office of Professional Regulation: Out of State Licensees, Temporary Licensees

Office of Professional Regulation: Out of State Licensees, Temporary Licensees & Telehealth

STATUS: Active, H.654 was signed into law, extending a modified version of the emergency provisions until March 31, 2023

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Virgin Islands

Last updated 03/02/2023

No reference found.

No reference found.

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Virginia

Last updated 03/16/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Washington

Last updated 02/14/2023

Department of Health: Health Care Professions with Authority to Provide Telehealth Services

STATUS: Active

Department of Health: Dietitians

STATUS: Active

Department of Health: Chiropractors

STATUS: Active

Washington Medical Commission: FAQ on Telemedicine and Licensing

STATUS: Active

STATUS: Effective August 1, 2022

STATUS: Effective July 1, 2022

Office of the Governor: Ongoing State of Emergency/Health Care Workers Proclamation

STATUS: Active – Rescinds Licensing Waiver Proclamation Effective October 27, 2022.

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West Virginia

Last updated 02/05/2023

Board of Medicine: Emergency Registration to Practice

STATUS: Active, until …

Board of Medicine: Emergency Registration to Practice

STATUS: Active, until WV state of emergency ends

Office of Governor: Executive Order 7-20 – Suspends Licensing Requirements

STATUS: Active (EO 12-21 Clarified still in effect until terminated by subsequent EO)

Board of Speech Language Pathology and Audiology: Interstate Telepractice

STATUS: Active, expires on July 1, 2030.

Board of Speech Language Pathology and Audiology: Interstate Telepractice & Telepractice Rule Suspension

STATUS: Expired 6/8/2021, due to passage of HB 2024 which provided for cross-state licensee registration.  See more information HERE.

Board of Medicine: WV Medical Board COVID-19 Special Edition

STATUS: Active

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Wisconsin

Last updated 03/21/2023

AB 148: Out of State Practice

STATUS: Enacted.

AB 148: Out of State Practice

STATUS: Enacted.

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Wyoming

Last updated 01/03/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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COVID-19

Cross-State Licensing

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