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

Federal

Last updated 09/27/2021

Health and Human Services: 4th Declaration under the PREP Act:

Health and Human Services: 4th Declaration under the PREP Act: Cross State Licensing for delivering medical countermeasures

STATUS: Active, Expires at end of PHE

HR 688/S 155: Equal Access to Care Act

STATUS: Introduced

HR 708/S 168: Temporary Licensure Reciprocity

STATUS: Pending

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Alabama

Last updated 10/14/2021

Medical Board: Telemedicine/Telehealth Guidelines & Licensing for Physician Assistants

STATUS: Active until Oct. 31, 2021, the end of the state PHE.

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Alaska

Last updated 10/14/2021

STATUS: Active

Business and Professional …

STATUS: Active

Business and Professional Licensing: Telehealth and Licensing

STATUS: Active, until national PHE ends

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Arizona

Last updated 09/20/2021

California

Last updated 08/28/2021

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

STATUS: Active, for duration of emergency

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Colorado

Last updated 08/16/2021

Division of Professions and Occupations: Emergency Licensure Regulations

STATUS: Active…

Division of Professions and Occupations: Emergency Licensure Regulations

STATUS: Active

Board of Nursing: Licensing Rules

STATUS: Active

Office of Governor:  Executive Order to Expand Telehealth & EO Extension; EO Ending State PHE, Maintaining some licensing flexibilities

STATUS: Expired

Division of Professions and Occupations:  Information on Telehealth Services

STATUS: Expired

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Connecticut

Last updated 06/28/2021

Office of Governor:  Executive Order Telehealth Services

STATUS: Active for …

Office of Governor:  Executive Order Telehealth Services

STATUS: Active for duration of the public health and civil preparedness emergency

HB 6001: Extends Telehealth emergency orders until March 15, 2021

STATUS: Enacted

Office of Governor: Extends HB 6001 and Telehealth emergency orders until April 20, 2021

STATUS: Expired

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

STATUS: Enacted

Medicaid: Bulletin announcing Current Emergency COVID-19 Telehealth Policies in Effect until Further Notice

STATUS: Active, until further notice

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Delaware

Last updated 07/03/2021

Office of the Governor: Declaration of Public Health Emergency

STATUS:…

Office of the Governor: Declaration of Public Health Emergency

STATUS: Expires July 13, 2021

Department of Health and Social Services: Joint Order on COVID-19

STATUS: Active, until further notice, or end of DE public health emergency or state of emergency

HB 348:  Extends Telehealth Emergency Expansions – Allow audio-only, waive in-person, requirements, expand eligible providers and insurance coverage

STATUS: Enacted  (Expired July 1, 2021)

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District of Columbia

Last updated 08/25/2021

Medicaid: Coding for Telemedicine and COVID-19

STATUS: Active

Health Regulation

Medicaid: Coding for Telemedicine and COVID-19

STATUS: Active

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

STATUS: Active

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

STATUS: Active until 60 days after the end of the PHE

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Florida

Last updated 07/16/2021

Medicaid:  Telemedicine Guidance for Medical and Behavioral Health Providers

STATUS: Expired at end of FL State of Emergency

Department of Health:  Emergency Order on Telehealth, Prescribing and Licensing

STATUS: Expired

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 09/30/2021

Governor Executive Order: Continued Regulatory Suspensions for health care licensees and licensing boards

STATUS: Active until Oct. 28, 2021 unless renewed

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Hawaii

Last updated 09/28/2021

Office of the Governor COVID-19 Emergency Proclamation from June 7: …

Office of the Governor COVID-19 Emergency Proclamation from June 7: Suspension of enforcement penalties related to provider prescribing practices and out-of-state providers (See p.22-23).

STATUS: Active

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Idaho

Last updated 10/04/2021

Board of Medicine:  Administrative Rules Temporarily Suspended

STATUS: Active, until …

Board of Medicine:  Administrative Rules Temporarily Suspended

STATUS: Active, until end of ID Emergency Declaration

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

STATUS: Active, until end of ID State of Emergency

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Illinois

Last updated 08/25/2021

Division of Professional Regulation: Guidance to Applicants for Mental Health

Division of Professional Regulation: Guidance to Applicants for Mental Health Professional Licensure

STATUS: Active

Dep. Of Financial and Professional Regulation:  Guidance for Out-of-State Providers and Telehealth

STATUS: Expired

Department of Financial and Professional Regulation: Proclamation and extension of Out-of State Professional Licensure

STATUS: Expired

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Indiana

Last updated 08/25/2021

Medical Licensing Board:  COVID-19 Actions

STATUS: Active, until end of …

Medical Licensing Board:  COVID-19 Actions

STATUS: Active, until end of PHE.

Professional Licensing Agency: COVID-19 Actions

STATUS: Active

Professional Licensing Agency: COVID-19 Temporary Healthcare Provider Registry

STATUS: Active

Office of Governor: Executive Order 20-17

STATUS: Active.

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Iowa

Last updated 10/11/2021

Office Of the Governor:  Emergency Proclamation on Disaster Emergency, signed on Oct. 15, 2021, 2021

STATUS: Active, Expires Nov. 14, 2021.

Office Of the Governor:  Emergency Proclamation on Disaster Emergency, signed on Sept. 17, 2021

STATUS: Expired

Office Of the Governor:  Emergency Proclamation on Telehealth/Telemedicine

STATUS: Expired

Office of the Governor: Emergency Proclamation on Telehealth/Telemedicine

STATUS: Active, expires Sept. 19, 2021

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Kansas

Last updated 08/30/2021

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

Office of Governor: Executive Order on Out-of-State Telemedicine

STATUS: Expired

Office of Governor: Executive Order on Professionals Utilizing Telemedicine

STATUS: Expired

Board of Healing Arts: Guidance on Telemedicine during COVID-19

STATUS: Active, license expires in 90 days if not renewed or 30 days after KS State of Emergency ends

Board of Healing Arts: Telemedicine Practice Form during COVID-19

STATUS: Active

Board of Healing Arts:  Licensure Waiver for Telemedicine Services

STATUS: Active, expires January 26, 2021

HB 2066: Out-of-State Providers

STATUS; Enacted

SB 14: Extends PHE & telemedicine requirements

STATUS: Enacted

SB 283: Extends the expanded use of telemedicine in response to the COVID-19 public health emergency

STATUS: Active, until March 31, 2022

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Kentucky

Last updated 09/14/2021

Medicaid: COVID-19 FAQs on Telehealth

STATUS: Active, until end of …

Medicaid: COVID-19 FAQs on Telehealth

STATUS: Active, until end of federal PHE

Board of Licensed Professional Counselors: Out-of-State Telehealth Services

STATUS: Active, until end of KY state of emergency.

Board of Licensed Professional Counselors: Telehealth COVID-19 Letter

STATUS: Active

KY Board of Medical Licensure: Out of State Registry for Inpatient Hospital Services and Skilled Nursing Care

STATUS: Active

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Louisiana

Last updated 08/27/2021

No reference found

No reference found

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Maine

Last updated 08/09/2021

Office of the Governor: Emergency Order on Health Care Licensing

STATUS: Expired, June 30, 2021 due to state end of Civil Emergency.

Office of Governor: : Emergency Order related to Health Care and Veterinary Care in Maine

STATUS: Expired, June 30, 2021 due to state end of Civil Emergency.

Office of the Governor: Emergency Order Amending EO 35-Professional Licensing and Veterinary Medicine

STATUS: Expired, June 30, 2021 due to state end of Civil Emergency.

Maine Board of Licensure in Medicine: COVID-19 Executive Order Summary

STATUS: Expired, June 30, 2021 due to state end of Civil Emergency.

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Maryland

Last updated 08/31/2021

Massachusetts

Last updated 09/01/2021

Office of the Governor: Cross State Practice via telehealth

STATUS: …

Michigan

Last updated 09/02/2021

Office of the Governor:  Executive Order on Telehealth

STATUS: Rescinded

Office of the Governor:  Executive Order on Telehealth

STATUS: Rescinded

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Minnesota

Last updated 09/14/2021

Medicaid: COVID-19 and Telemedicine

STATUS: Active

Office of the Governor:  …

Medicaid: COVID-19 and Telemedicine

STATUS: Active

Office of the Governor:  Out of State Providers and Telehealth

STATUS: Expired

Board of Medicine: Press Release on Governor’s Executive Order for Out of State Providers

STATUS: Expired

Office of the Governor: Rescinds Previous Executive Orders on Out of State Providers and Telehealth

STATUS: Effective May 27, 2021

Board of Behavioral Health and Therapy: Out-of-state telehealth registration applications will no longer be processed

STATUS: Effective May 6, 2021

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Mississippi

Last updated 08/09/2021

Medical Board: Proclamation on Telehealth

STATUS: Expired

Medical Board:  Amended

Medical Board: Proclamation on Telehealth

STATUS: Expired

Medical Board:  Amended Proclamation on Telehealth (Superseded by Proclamation above)

STATUS: Expired

Medical Board: Supplemental Proclamation

STATUS: Active, until end of MS State of Emergency

Medical Board: Emergency License Attestation Form

STATUS: The Board is no longer accepting emergency medical licenses requests due to decreased need.

Board of Optometry: Temporary Rule or Practice Standards

STATUS: Effective 6/30/2021 and remains in effect for up to 120 days.

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Missouri

Last updated 08/04/2021

Department of Insurance:  Provision of Services via Telehealth and Extension

Department of Insurance:  Provision of Services via Telehealth and Extension

STATUS: Expired June 15, 2020

Department of Commerce and Insurance: Licensing Waiver

STATUS: Active

Board of Registration of the Healing Arts: Waiver Chart

STATUS: Active until August 31, 2021 unless extended

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Montana

Last updated 09/08/2021

Office of the Governor:  Montana State of Emergency Executive Order (2-2021)

STATUS:  Expired, but extended by Temporary Emergency Rule 37-955. Temporary rule effective for 120 days after July 2, 2021.

Office of the Governor: Directive Implementing EO 2-2021

STATUS:  Expired, but extended by Temporary Emergency Rule 37-955. Temporary rule effective for 120 days after July 2, 2021.

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Nebraska

Last updated 08/02/2021

Medicaid:  General Statewide Telehealth -COVID-19 FAQs

STATUS: Active, some flexibilities …

Medicaid:  General Statewide Telehealth -COVID-19 FAQs

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

 

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Nevada

Last updated 07/28/2021

No Reference Found

No Reference Found

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New Hampshire

Last updated 07/26/2021

Office of Governor: Executive Order on out of state providers and telehealth

STATUS: Expired with end of State of Emergency on June 11, 2021. Some provisions were made permanent through HB 1623.

Medicaid: Telehealth Informational COVID-19 Bulletin (April)

STATUS: Expired with end of State of Emergency on June 11, 2021. Some provisions were made permanent through HB 1623.

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New Jersey

Last updated 07/21/2021

Div. of Consumer Affairs:  Press Release on telehealth and out-of-state licensing

STATUS: Active, until end of COVID-19 PHE

Department of Consumer Affairs:  Waives certain licensing rules

STATUS: Expired, no new licenses being issued.

Department of Consumer Affairs:  Waives certain licensing rules

STATUS: Active, until end of state of emergency.  State PHE ended but State of Emergency continues.

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.

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New Mexico

Last updated 07/19/2021

No Reference Found

No Reference Found

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New York

Last updated 07/15/2021

No Reference Found

No Reference Found

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North Carolina

Last updated 07/13/2021

Medical Board: Telemedicine FAQs

STATUS: Active

Medical Board: Telemedicine FAQs

STATUS: Active

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North Dakota

Last updated 07/08/2021

Office of the Governor: Telehealth and Licensing Requirements

STATUS: Expired. …

Office of the Governor: Telehealth and Licensing Requirements

STATUS: Expired. State of emergency rescinded and all related executive orders.

Office of the Governor: Licensing Requirements for Hospitals and Health Care Facilities

STATUS: Expired. State of emergency rescinded and all related executive orders.

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Ohio

Last updated 07/06/2021

Medical Board:  Telemedicine Guidance

STATUS:  Varies.  OH State of Emergency …

Medical Board:  Telemedicine Guidance

STATUS:  Varies.  OH State of Emergency ended on June 18. Federal public health emergency is still active.

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Oklahoma

Last updated 06/29/2021

No Reference Found

No Reference Found

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Oregon

Last updated 06/30/2021

Oregon Medical Board: COVID-19 Guidance

STATUS: Active. State of Emergency …

Oregon Medical Board: COVID-19 Guidance

STATUS: Active. State of Emergency ends June 28, 2021. Federal PHE still active.

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Pennsylvania

Last updated 10/18/2021

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

STATUS: Expired, obsolete by MA bulletin 99-21-06

Medicaid: MCO Memo on Telemedicine Guidance During COVID-19 (Updated April 2020)

STATUS: Expired

Department of State:  Authorization for Health Care Professionals to Utilize Telemedicine during COVID-19

STATUS: Active until March 31, 2022

Department of State: Out-of-State Osteopathic Physicians

STATUS: Active until March 31, 2022

Department of State: Pharmacy Practitioners and Pharmacies in other States

STATUS: Active until March 31, 2022

Department of State: Out-of-State Health Care Practitioners

STATUS: Active until March 31, 2022

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Rhode Island

Last updated 06/25/2021

No Reference Found

No Reference Found

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South Carolina

Last updated 06/19/2021

No Reference Found

No Reference Found

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South Dakota

Last updated 09/10/2021

Board of Social Work Examiners: Telehealth COVID-19 Update

STATUS: Active

Board of Social Work Examiners: Telehealth COVID-19 Update

STATUS: Active

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Texas

Last updated 09/23/2021

No reference found.

No reference found.

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Utah

Last updated 06/09/2021

Department of Health: Telehealth Resources

STATUS: Active

Department of Health: Telehealth Resources

STATUS: Active

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Vermont

Last updated 06/02/2021

No Reference Found

No Reference Found

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Virginia

Last updated 09/21/2021

Executive Order:  Licensing of Health Care Professionals

STATUS:  Expired

Executive …

Executive Order:  Licensing of Health Care Professionals

STATUS:  Expired

Executive Order: Extension of Certain Waivers

STATUS:  Expired

Board of Psychology:  COVID-19 Information

STATUS:  Licensure flexibility expired September 8, 2020

Board of Medicine:  COVID-19 Announcements

STATUS: Expired

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Washington

Last updated 09/08/2021

Washington State Department of Health: Health Care Professions with Authority

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

STATUS: Active

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West Virginia

Last updated 09/13/2021

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

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.

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Wisconsin

Last updated 09/06/2021

Executive Order: Telemedicine Licensing and Payers

STATUS: PHE overturned by …

Executive Order: Telemedicine Licensing and Payers

STATUS: PHE overturned by state supreme court. Expired with end of state PHE.

Office of the Governor:  Cross-State Licensing Reciprocity

STATUS: Active, until superseded or end of federal PHE

AB 148: Out of State Practice

STATUS: Enacted; ends with end of federal PHE or Jan. 1, 2022

SB 202: Out of State Practice

STATUS: Pending Legislation

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Wyoming

Last updated 09/03/2021

No Reference Found

No Reference Found

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COVID-19

Cross-State Licensing

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