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 09/09/2022

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

Alabama

Last updated 08/10/2022

No reference found. Previous COVID waiver expired.

No reference found. Previous COVID waiver expired.

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Alaska

Last updated 08/15/2022

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.

Office of the Governor: Six-Month Window to submit continue working with the State Medical Board and submit for permanent licensure.

STATUS: Expires Nov. 3, 2022

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Arizona

Last updated 07/12/2022

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Arkansas

Last updated 07/02/2022

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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California

Last updated 09/06/2022

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/Policy Update Memo

STATUS: Active, until end of state PHE

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

STATUS: Active, until end of state PHE

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Colorado

Last updated 07/27/2022

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: Varies

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Connecticut

Last updated 08/10/2022

Delaware

Last updated 08/16/2022

STATUS: Active, set to expire September 19, 2022 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)

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District of Columbia

Last updated 09/03/2022

Department of Health: Director Second Amended Declaration – Allowing Temporary Licensure; Temporary Licensure

STATUS: Waiver Period Ended August 11, 2022

Medicaid: Coding for Telemedicine and COVID-19

STATUS: Varies

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

STATUS: Active

DC Health Board of Medicine: Licensure 

STATUS: Active

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

STATUS: Expired March 27, 2022

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

STATUS: Expired August 10, 2022

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Florida

Last updated 08/04/2022

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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Hawaii

Last updated 08/14/2022

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

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: Expired

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Idaho

Last updated 08/22/2022

Board of Medicine: Administrative Rules Temporarily Suspended

STATUS: Expired with …

Illinois

Last updated 08/14/2022

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

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

STATUS: Active June 1, 2022 until expiration of Governor COVID-19 Disaster Proclamations

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

STATUS: Extended until August 20, 2022 and rescinded no later than September 17, 2022

Office of the Governor: COVID-19 Disaster Proclamation

STATUS: Effective August 19, 2022 for 30 days

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Indiana

Last updated 08/20/2022

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 07/20/2022

Kansas

Last updated 08/18/2022

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

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

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Kentucky

Last updated 08/12/2022

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: Expired

Board of Licensed Professional Counselors: Telehealth COVID-19 Letter

STATUS: Active

 

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Louisiana

Last updated 08/10/2022

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 07/27/2022

No reference found.  Previous COVID-19 waivers expired.

No reference found.  Previous COVID-19 waivers expired.

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Massachusetts

Last updated 08/29/2022

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 Dec. 31, 2022

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Michigan

Last updated 09/04/2022

No reference found.

No reference found.

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Minnesota

Last updated 08/03/2022

No Reference Found.

No Reference Found.

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Mississippi

Last updated 08/24/2022

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Missouri

Last updated 08/22/2022

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 08/01/2022

Previous COVID-19 waivers expired. No reference found.

Previous COVID-19 waivers expired. No reference found.

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Nebraska

Last updated 08/25/2022

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 08/17/2022

No Reference Found

No Reference Found

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New Hampshire

Last updated 08/18/2022

No Reference Found

No Reference Found

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New Jersey

Last updated 09/06/2022

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

STATUS: Expired

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

STATUS: Expired

Department of Consumer Affairs:  Waives certain licensing rules

STATUS: Expired

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 08/03/2022

No Reference Found.  Previous COVID-19 waivers expired.

No Reference Found.  Previous COVID-19 waivers expired.

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New York

Last updated 08/25/2022

Office of the Governor: Executive Order Continuing Licensing Flexibilities

STATUS: Expires August 28, 2022.

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

STATUS: Active

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North Carolina

Last updated 08/15/2022

Medical Board: Telemedicine FAQs

STATUS: Active

Medical Board: Telemedicine FAQs

STATUS: Active

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North Dakota

Last updated 08/08/2022

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Ohio

Last updated 09/07/2022

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.

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Oklahoma

Last updated 09/05/2022

No Reference Found

No Reference Found

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Oregon

Last updated 08/23/2022

Oregon Medical Board: COVID-19 Guidance

STATUS: Active. State of Emergency …

Oregon Medical Board: COVID-19 Guidance

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

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Pennsylvania

Last updated 09/06/2022

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

STATUS: Active, until Oct 31, 2022, unless terminated sooner

Department of State: Out-of-State Osteopathic Physicians

STATUS: Active, until Oct 31, 2022, unless terminated sooner

Department of State: Pharmacy Practitioners and Pharmacies in other States

STATUS: Expired

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

STATUS: Expired

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Rhode Island

Last updated 07/19/2022

No Reference Found

No Reference Found

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South Carolina

Last updated 08/12/2022

No Reference Found

No Reference Found

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South Dakota

Last updated 08/19/2022

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 09/04/2022

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Texas

Last updated 09/07/2022

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

STATUS: Active

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

STATUS: Active

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Utah

Last updated 08/23/2022

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 08/11/2022

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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Virginia

Last updated 08/31/2022

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Washington

Last updated 08/26/2022

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

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 08/31/2022

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 (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.

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Wisconsin

Last updated 09/02/2022

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.  Policy expired.

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Wyoming

Last updated 07/13/2022

WY Medical Board: Coronavirus Frequently Asked Questions

STATUS: Cross-state licensing …

WY Medical Board: Coronavirus Frequently Asked Questions

STATUS: Cross-state licensing waiver expired Apr. 28, 2022.

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COVID-19

Cross-State Licensing

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