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 01/19/2022

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

Alabama

Last updated 05/19/2022

No reference found. Previous COVID waiver expired.

No reference found. Previous COVID waiver expired.

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Alaska

Last updated 05/30/2022

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 03/20/2022

Medicaid: Out of State Enrollment During COVID-19

STATUS: Active

Arizona …

Arkansas

Last updated 03/08/2022

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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California

Last updated 01/17/2022

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, expires March 31, 2022

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

STATUS: Active, expires March 31, 2022

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Colorado

Last updated 12/16/2021

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

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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Delaware

Last updated 03/26/2022

Office of the Governor: Declaration of Public Health Emergency

STATUS: …

Office of the Governor: Declaration of Public Health Emergency

STATUS: Terminated July 12, 2021

Office of the Governor: State of Public Health Emergency Declaration

STATUS: Expired

STATUS: Expired

STATUS: Active, until rescinded.

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

STATUS: Active, until further notice.

Division of Professional Regulation: Telehealth Form for Behavioral Health Providers

STATUS: Active

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: 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 Board of Medicine: Licensure Waivers

STATUS: Active

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

STATUS: Expired 60 days after the end of the PHE declared by the Mayor.

DC Department of Health Administrative Order: Provisional Certification for Emergency Medical Service Agencies

STATUS: Expired at end of PHE declared by the Mayor.

DC Department of Health Emergency Rule: Standards for unlicensed practice in DC

STATUS: Expired January 19, 2022

DC Act A24-0189: Preserve Our Healthcare Workforce Emergency Amendment Act of 2021

STATUS: Enacted without Mayor’s Signature, expired Dec. 21, 2021

DC Act A24-0245: Preserve Our Healthcare Workforce Congressional Review Emergency Amendment Act of 2021

STATUS: Enacted without Mayor’s Signature, expires March 27, 2022

DC Act A24-0240: Preserve Our Healthcare Workforce Temporary Amendment Act of 2021

STATUS: Projected effective Feb. 18, 2022 until August 10, 2022

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Florida

Last updated 02/11/2022

Medicaid: Telehealth FAQs

STATUS: Active

Department of Health: Telehealth FAQs

Medicaid: Telehealth FAQs

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 03/21/2022

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

STATUS: Active until April 15, 2022 unless renewed

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Hawaii

Last updated 03/22/2022

State Provides Guidance for Dental Profession During COVID-19

STATUS: State PHE ended, unclear if still active

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, 27-28).

STATUS: State PHE ended, unclear if still active

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Idaho

Last updated 02/04/2022

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

Board of Medicine: Coronavirus (COVID-19) Information

STATUS: Active, until end of ID State of Emergency

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Illinois

Last updated 02/26/2022

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 Jan. 10, 2022 – May 31, 2022

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 04/07/2022

Medical Licensing Board:  COVID-19 Actions

STATUS: Expired on March 31,

Medical Licensing Board:  COVID-19 Actions

STATUS: Expired on March 31, 2022.

Professional Licensing Agency: COVID-19 Actions

STATUS: Active

Professional Licensing Agency: COVID-19 Temporary Healthcare Provider Registry

STATUS: Extended to at least June 13, 2022. HB 1003 Extends until end of federal PHE.

Office of Governor: Executive Order 21-17

STATUS: Expired on March 31, 2022.

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Iowa

Last updated 03/29/2022

Iowa Medical Board:  Grace Period for Physicians without an Iowa medical license

STATUS:  Expires May 17, 2022

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

STATUS: Expired.

Office of the Governor: Emergency Proclamation on Telehealth/Telemedicine

STATUS: Expired.

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Kansas

Last updated 06/12/2022

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

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

STATUS:  Expired

KS State Board of Healing Arts:  Emergency Action and Guidance

STATUS: Page still active, however emergency has expired as well as out of state COVID-19 waivers.

SB 14: Extends PHE & telemedicine requirements

STATUS: Enacted, however COVID Emergency has Expired

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

STATUS: Expired

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Kentucky

Last updated 03/15/2022

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 03/22/2022

Executive Department:  Out-of-State Licenses – Emergency Proclamation

STAUS: Expired, licenses …

Executive Department:  Out-of-State Licenses – Emergency Proclamation

STAUS: Expired, licenses expire 90 days after the PHE ends.

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Maine

Last updated 02/09/2022

No reference found.  Previous COVID-19 waivers expired.

No reference found.  Previous COVID-19 waivers expired.

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Massachusetts

Last updated 03/22/2022

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: Active until June 30, 2022

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Michigan

Last updated 01/17/2022

No reference found.

No reference found.

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Minnesota

Last updated 03/28/2022

No Reference Found.

No Reference Found.

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Mississippi

Last updated 01/13/2022

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Missouri

Last updated 01/10/2022

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Montana

Last updated 03/30/2022

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

STATUS:  Temporary policies have expired.

Office of the Governor: Directive Implementing EO 2-2021

STATUS:  Temporary policies have expired.

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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.

 

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Nevada

Last updated 01/02/2022

No Reference Found

No Reference Found

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New Hampshire

Last updated 06/09/2022

No Reference Found

No Reference Found

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New Jersey

Last updated 04/13/2022

Div. of Consumer Affairs:  Accelerated Temporary Licensure Reciprocity for out-of-state licensing

STATUS: Active, expires Jun. 30, 2022

Division of Consumer Affairs: Temporary Emergency License for Out-of-State Practitioners

STATUS: Active, expires Jun. 30, 2022

Department of Consumer Affairs:  Waives certain licensing rules

STATUS: Active, expires Jun. 30, 2022

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

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New Mexico

Last updated 03/14/2022

No Reference Found.  Previous COVID-19 waivers expired.

No Reference Found.  Previous COVID-19 waivers expired.

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New York

Last updated 04/07/2022

Office of the Governor: Executive Order Continuing Licensing Flexibilities

STATUS: Expired October 27, 2021.

Office of the Governor: Executive Order Continuing Licensing Flexibilities

STATUS: Expired November 26, 2021.

Office of the Governor: Executive Order Continuing Licensing Flexibilities

STATUS: Expires April 30, 2022.

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

STATUS: Active

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North Carolina

Last updated 03/23/2022

Medical Board: Telemedicine FAQs

STATUS: Active

Medical Board: Telemedicine FAQs

STATUS: Active

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North Dakota

Last updated 04/04/2022

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Ohio

Last updated 03/31/2022

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.

Medical Board: Telemedicine Update

STATUS: Expired

Medical Board: Telemedicine FAQs

STATUS: Expired

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Oklahoma

Last updated 04/07/2022

No Reference Found

No Reference Found

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Oregon

Last updated 01/20/2022

Oregon Medical Board: COVID-19 Guidance

STATUS: Active. State of Emergency …

Oregon Medical Board: COVID-19 Guidance

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

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Pennsylvania

Last updated 04/07/2022

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

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

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

STATUS: Active until June 30, 2022, unless terminated sooner

Department of State: Out-of-State Osteopathic Physicians

STATUS: Active until June 30, 2022, unless terminated sooner

Department of State: Pharmacy Practitioners and Pharmacies in other States

STATUS: Active until June 30, 2022, unless terminated sooner

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

STATUS: Active until June 30, 2022, unless terminated sooner

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Rhode Island

Last updated 02/09/2022

No Reference Found

No Reference Found

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South Carolina

Last updated 03/22/2022

No Reference Found

No Reference Found

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South Dakota

Last updated 01/26/2022

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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Tennessee

Last updated 04/11/2022

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Texas

Last updated 04/12/2022

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

STATUS: Active, until …

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

STATUS: Active, until April 30, 2022

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Utah

Last updated 02/22/2022

Department of Health: Telehealth Resources

STATUS: Active

Department of Health: Telehealth Resources

STATUS: Active

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Vermont

Last updated 03/11/2022

No Reference Found

No Reference Found

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Washington

Last updated 04/11/2022

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

Medicaid: Behavioral Health Policy and Billing FAQ

STATUS: Active

STATUS: Active

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West Virginia

Last updated 04/12/2022

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 03/26/2022

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

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Wyoming

Last updated 01/16/2022

WY Medical Board: Coronavirus Frequently Asked Questions

STATUS: Active

WY …

WY Medical Board: Coronavirus Frequently Asked Questions

STATUS: Active

WY Medical Board: Licensure Application Form

STATUS: Active

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COVID-19

Cross-State Licensing

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