Professional Requirements

Definitions

Each state differs in how they define the term ‘telemedicine’ or ‘telehealth’. In some states both terms are explicitly defined in law and/or policy and regulations. ‘Telehealth’ is sometimes used to reflect a broader definition, while “telemedicine” is used mainly to define the delivery of clinical services.  Additional variations of the term, primarily utilizing the “tele” prefix are also becoming more prevalent.  Sometimes states use one definition that applies to Medicaid, private payers and professional regulation while other times states have separate definitions for each.

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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 03/18/2024

Controlled Substances Act

The term “practice of telemedicine” means, for …

Controlled Substances Act

The term “practice of telemedicine” means, for purposes of this title, the practice of medicine in accordance with applicable Federal and State laws by a practitioner (other than a pharmacist) who is at a location remote from the patient and is communicating with the patient, or health care professional who is treating the patient, using a telecommunications system referred to in section 1834(m) of the Social Security Act, which practice—

  • is being conducted—
    • while the patient is being treated by, and physically located in, a hospital or clinic registered under section 303(f); and
    • by a practitioner—
      • acting in the usual course of professional practice;
      • acting in accordance with applicable State law; and
      • registered under section 303(f) in the State in which the patient is located, unless the practitioner—
        • is exempted from such registration in all States under section 302(d); or
        • is—
          • an employee or contractor of the Department of Veterans Affairs who is acting in the scope of such employment or contract; and
          • registered under section 303(f) in any State or is utilizing the registration of a hospital or clinic operated by the Department of Veterans Affairs registered under section 303(f)
  • is being conducted while the patient is being treated by, and in the physical presence of, a practitioner—
    • acting in the usual course of professional practice;
    • acting in accordance with applicable State law; and
    • registered under section 303(f) in the State in which the patient is located, unless the practitioner—
      • is exempted from such registration in all States under section 302(d); or
      • is—
        • an employee or contractor of the Department of Veterans Affairs who is acting in the scope of such employment or contract; and
        • registered under section 303(f) in any State or is using the registration of a hospital or clinic operated by the Department of Veterans Affairs registered under section 303(f);
  • is being conducted by a practitioner—
    • who is an employee or contractor of the Indian Health Service, or is working for an Indian tribe or tribal organization under its contract or compact with the Indian Health Service under the Indian Self-Determination and Education Assistance Act;
    • acting within the scope of the employment, contract, or compact described in clause (i); and
    • who is designated as an Internet Eligible Controlled Substances Provider by the Secretary under section 311(g)(2).
      • is being conducted during a public health emergency declared by the Secretary under section 319 of the Public Health Service Act; and
      • involves patients located in such areas, and such controlled substances, as the Secretary, with the concurrence of the Attorney General, designates, provided that such designation shall not be subject to the procedures prescribed by subchapter II of chapter 5 of title 5, United States Code;
  • is being conducted by a practitioner who has obtained from the Attorney General a special registration under section 311(h);
  • is being conducted –
    • in a medical emergency situation—
      • that prevents the patient from being in the physical presence of a practitioner registered under section 303(f) who is an employee or contractor of the Veterans Health Administration acting in the usual course of business and employment and within the scope of the official duties or contract of that employee or contractor;
      • that prevents the patient from being physically present at a hospital or clinic operated by the Department of Veterans Affairs registered under section 303(f);
      • during which the primary care practitioner of the patient or a practitioner otherwise practicing telemedicine within the meaning of this paragraph is unable to provide care or consultation; and
      • that requires immediate intervention by a health care practitioner using controlled substances to prevent what the practitioner reasonably believes in good faith will be imminent and serious clinical consequences, such as further injury or death; and
  • by a practitioner that—
    • is an employee or contractor of the Veterans Health Administration acting within the scope of that employment or contract;
    • is registered under section 303(f) in any State or is utilizing the registration of a hospital or clinic operated by the Department of Veterans Affairs registered under section 303(f); and
    • issues a controlled substance prescription in this emergency context that is limited to a maximum of a 5-day supply which may not be extended or refilled; or
  • is being conducted under any other circumstances that the Attorney General and the Secretary have jointly, by regulation, determined to be consistent with effective controls against diversion and otherwise consistent with the public health and safety.

SOURCE:  21 USCS Sec. 802, (Accessed Mar. 2024).

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Alabama

Last updated 02/26/2024

Telehealth. The use of electronic and telecommunications technologies, including devices …

Telehealth. The use of electronic and telecommunications technologies, including devices used for digital health, asynchronous and synchronous communications, or other methods, to support a range of medical care and public health services.

Telehealth medical service. Digital health, telehealth, telemedicine, and the applicable technologies and devices used in the delivery of telehealth. The term does not include incidental communications between a patient and a physician.

Telemedicine. A form of telehealth referring to the provision of medical services by a physician at a distant site to a patient at an originating site via asynchronous or synchronous communications, or other devices that may adequately facilitate and support the appropriate delivery of care. The term includes digital health, but does not include incidental communications between a patient and a physician.

SOURCE: AL Code Sec. 34-24-701, (Accessed Feb. 2024).

Board of Nursing

Telehealth Nursing: The practice of distance nursing care using telecommunications technology.

SOURCE: AL Admin Code 610-X-6-.01(26), (Accessed Feb. 2024).

Optometrists

Telemedicine. — A health service that is delivered by a licensed optometrist acting within the scope of his or her license and that requires the use of advanced telecommunications technology, other than telephone or facsimile technology, including all of the following:

  • Compressed digital interactive video, audio, or data transmission.
  • Clinical data transmission using computer imaging by way of still image capture and store and forward.
  • Other technology that facilitates access to health care services or optometric specialty expertise.

SOURCE: Code of Alabama, Sec. 34-22-81, (Accessed Feb. 2024).

Board of Optometry

Telemedicine: As used in these regulations, a health service that is delivered by a licensed optometrist acting within the scope of his or her license and that requires the use of telecommunications technology other than telephone or facsimile. Telecommunications technology as used herein shall include, but not be limited to:

  • Compressed digital interactive video, audio, or data transmission;
  • Clinical data transmission using computer imaging by way of still image capture and store and forward;
  • Other technology that facilitates access to health care services or optometric specialty services.

SOURCE: AL Admin Code 630-X-13-.01(7). (Accessed Feb. 2024).

Board of Social Work

Telehealth is a mode of providing  social work services through interactive audio, video or  electronic communication occurring between a licensed social  worker and the client, including any electronic communication  for evaluation, assessment, treatment, and management of  confidential information and case records in a secure platform.

SOURCE: AL Admin Code 850-x-2-.01(7). (Accessed Feb. 2024).

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Alaska

Last updated 02/27/2024

“Telehealth” means the practice of health care delivery, evaluation, diagnosis, …

“Telehealth” means the practice of health care delivery, evaluation, diagnosis, consultation, or treatment, using the transfer of health care data through audio, visual, or data communications, performed over two or more locations between providers who are physically separated from the recipient or from each other or between a provider and a recipient who are physically separated from each other.

SOURCE: AK Statute Sec. 47.05.270(e), (Accessed Feb. 2024).

Business Registry

“Telemedicine services” means the delivery of health care services using the transfer of medical data through audio, visual, or data communications that are performed over two or more locations by a provider who is physically separated from the recipient of the health care services.

SOURCE: AK Statute, Sec. 44.33.381(c) (Accessed Feb. 2024).

Speech-Language Pathology 

“Asynchronous telemedicine” means the capturing and transmitting of data for the later viewing or interpreting by a person licensed or registered under AS 08.11.

SOURCE: AK Admin. Code, Title 12, Sec. 07.090. (Accessed Feb. 2024).

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Arizona

Last updated 02/09/2024

“Telehealth” means:

  • The interactive use of audio, video or other

“Telehealth” means:

  • The interactive use of audio, video or other electronic media, including asynchronous store-and-forward technologies and remote patient monitoring technologies, for the practice of health care, assessment, diagnosis, consultation or treatment and the transfer of medical data.
  • Includes the use of an audio-only telephone encounter between the patient or client and health care provider if an audio-visual telehealth encounter is not reasonably available due to the patient’s functional status, the patient’s lack of technology or telecommunications infrastructure limits, as determined by the health care provider.
  • Does not include the use of a fax machine, instant messages, voice mail or email.

SOURCE: AZ Revised Statute Sec. 36-3601 (Accessed Feb. 2024)

Board of Psychologist Examiners

“Telepractice” means providing psychological services through interactive audio, video or electronic communication that occurs between the psychologist and the patient or client, including any electronic communication for diagnostic, treatment or consultation purposes in a secure platform, and that meets the requirements of telehealth pursuant to section 36-3602.  Telepractice includes supervision.

SOURCE: AZ Revised Statute Sec. 32-2061 (Accessed Feb. 2024).

Board of Behavioral Health Examiners

“Telepractice” means providing behavioral health services through interactive audio, video or electronic communication that occurs between a behavioral health professional and the client, including any electronic communication for evaluation, diagnosis and treatment, including distance counseling, in a secure platform, and that meets the requirements of telemedicine pursuant to A.R.S. § 36-3602. A.R.S. § 32-3251.

SOURCE: AZ Administrative Code R4-6-101, (Accessed Feb. 2024).

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Arkansas

Last updated 02/06/2024

“Telemedicine means the use of electronic information and communication technology …

“Telemedicine means the use of electronic information and communication technology to deliver healthcare services, including without limitation the assessment, diagnosis, consultation, treatment, education, care management and self-management of a patient. Telemedicine includes store-and-forward technology and remote patient monitoring.”

“Telemedicine” does not include the use of audio-only electronic technology by a physician to renew a written certification that was previously issued to the same patient.

SOURCE: AR Code Sec. 17-80-402 (Accessed Feb. 2024).

“Telemedicine” means the use of electronic information and communication technology to deliver healthcare services, including without limitation the assessment, diagnosis, consultation, treatment, education, care management, and self-management of a patient. Telemedicine includes store-and-forward technology and remote patient monitoring.

SOURCE:  Rules and Regulations, Social Work Licensing Board, Sec. XIV (120 00 CARR 001)., & Board of Examiners in Counseling, Rule XII, Sec. 12.1 (122 00 CARR 001) (Accessed Feb. 2024).

The Board of Examiners in Speech-Language Pathology and Audiology defines “telepractice” as tele-speech, teleaudiology, teleSLP, telehealth or telerehabilitation when used separately or together.

It defines “telepractice service” as the application of telecommunication technology equivalent in quality to services delivered face-to-face to deliver speech-language pathology or audiology services, or both, at a distance for assessment, intervention or consultation, or both.

SOURCE: AR Code Sec. 17-100-103. (Accessed Feb. 2024).

Physical Therapy

“Telehealth” means the use of electronic information and communication technology to deliver healthcare services, including without limitation the assessment, diagnosis, consultation, treatment, education, care management, and self-management of a patient.  “Telehealth” includes store-and-forward technology and remote patient monitoring.

SOURCE: Telehealth Rule, AR Physical Therapy Website. (Accessed Feb. 2024).

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California

Last updated 04/02/2024

“Telehealth means the mode of delivering health care services and …

“Telehealth means the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient’s health care. Telehealth facilitates patient self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers.”

SOURCE: CA Business & Professions Code Sec. 2290.5. (Accessed Apr. 2024)

Veterinarians

“Telehealth” means the mode of delivering veterinary medicine via electronic communication technologies to facilitate the diagnosis, consultation, care management, or treatment of an animal patient, and includes, but is not limited to, synchronous video and audio communication; synchronous, two-way audio communication; and electronic transmission of images, diagnostics, data, and medical information.

SOURCE: CA Business and Professions Code Section 4825.1 as amended by AB 1399 (2023 Session). (Accessed Apr. 2024).

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Colorado

Last updated 04/30/2024

“Telemedicine” means the delivery of medical services through technologies that

“Telemedicine” means the delivery of medical services through technologies that are used in a manner that is compliant with HIPAA, including information, electronic, and communication technologies, remote monitoring technologies, and store-and-forward transfers, to facilitate the assessment, diagnosis, consultation, or treatment of a patient while the patient is located at an originating site and the person who provides the services is located at a distant site.

SOURCE: CO Revised Statutes 12-240-104(6), (Accessed Apr. 2024).

“Telepsychology” means the provision of psychological services using telecommunications technologies.

SOURCE: CO Revised Statutes 12-245-301(6). (Accessed Apr. 2024).

Colorado Medical Board

“Telehealth” means a mode of delivery of health care services through HIPAA-compliant telecommunications systems, including information, electronic, and communication technologies, remote monitoring technologies, and store-and-forward transfers, to facilitate the assessment, diagnosis, consultation, treatment, education, care management, or self-management of a covered person’s health care while the person is located at an originating site and the provider is located at a distant site.

“Telehealth” includes “Telemedicine” as defined in section 12-240-104(6), C.R.S. This policy defines “telehealth” for purposes of compliance with the Medical Practice Act. Telehealth may be defined differently in different statutory contexts, including but not limited to, insurance requirements or reimbursement.

“Telehealth technologies” means technologies and devices enabling secure electronic communications and information exchange between a licensee in one location and a patient in another location with or without an intervening healthcare provider.

Occupational Therapy

Telehealth means the use of electronic information and telecommunications technology to support and promote access to clinical health care, client and professional health-related education, public health and health administration.

Telerehabilitation or teletherapy means the delivery of rehabilitation and habilitation services via information and communication technologies, commonly referred to as “telehealth” technologies.

SOURCE: CO Revised Statute 12-270-104 (13) & (14). (Accessed Apr. 2024).

Behavioral Health Entities

Telehealth means delivery of services through telecommunications systems that are compliant with all federal and state protections of client privacy, to facilitate client assessment, diagnosis, consultation, treatment, and/or service planning/case management when the client and the individual providing BHE services are not in the same location. Telecommunications systems used to provide telehealth include information, electronic, and communication technologies.

SOURCE: 6 CO Regs. Rule 1011-1. Chap. 3, 1.3.36. (Accessed Apr. 2024).

General Hospitals

“Telehealth” means a mode of delivery of health care services through HIPAA-compliant telecommunications systems, including information, electronic, and communication technologies, remote monitoring technologies, and store-and-forward transfers, to facilitate the assessment, diagnosis, consultation, treatment, education, care management, or self-management of a person’s health care.

SOURCE: 6 CO Regs. Rule 1011-1. Ch. 4, Sec. 2. (Accessed Apr. 2024).

Nursing Care Facilities

“Telehealth” means a mode of delivery of health care services through telecommunication systems, including information, electronic, and communication technologies, to facilitate the assessment, diagnosis, consultation, treatment, education and care management of a resident’s health care when the resident and practitioner are located at different sites. Telehealth includes ‘telemedicine’ as defined in Section 12-36-102.5(8), C.R.S.”

SOURCE: 6 CO Regs. Rule 1011-1. Ch. 5, Sec. 2. (Accessed Apr. 2024).

Colorado Mental Health Boards

“Teletherapy” means a mode of delivery of mental health services through telecommunications systems, including information, electronic, and communication technologies, to facilitate the assessment, diagnosis, treatment, education, care management, or self-management of a person’s mental health care while the person is located at an originating site and the provider is located at a distant site. The term includes synchronous interactions and store-and-forward transfers.

This policy defines “telehealth” for purposes of compliance with the Mental Health Practice Act. Teletherapy may be defined differently in different statutory contexts, including but not limited to, insurance requirements or reimbursement.

“Teletherapy technologies” means technologies and devices enabling secure electronic communications and information exchange between a licensed, certified, or registered mental health professional in one location and a patient in another location with or without an intervening mental health care provider.

SOURCE: State Board of Psychologist Examiners Policies, 30-1, page 10. Teletherapy Policy – Guidance regarding Psychotherapy through Electronic Means. 2/2/18. (Accessed Apr. 2024).

Veterinarians

Telehealth means the use of telecommunications technology to provide veterinary services or to collect and deliver veterinary health information or education virtually and can encompass general veterinary services or patient-specific veterinary services. Telehealth may include tele-advice, teleconsulting, tele-education, telemedicine, telemonitoring, telereferral, telesupervision, teletriage (see statute for definitions of each) and other tools that help veterinary professionals deliver veterinary education and services virtually.

Telemedicine means the remote practice of veterinary medicine through the use of telecommunications technology that allows a licensed veterinarian with an established veterinarian-client-patient relationship to evaluate, diagnose, and treat a patient virtually.

SOURCE: CO Revised Statute 12-315-301 as proposed to be added by HB 24-1048 (2024 Legislative Session). (Accessed Apr. 2024).

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Connecticut

Last updated 04/12/2024

Effective Now Until June 30, 2024

“Telehealth” means the mode …

Effective Now Until June 30, 2024

“Telehealth” means the mode of delivering health care or other health services via information and communication technologies to facilitate the diagnosis, consultation and treatment, education, care management and self-management of a patient’s physical, oral and mental health, and includes interaction between the patient at the originating site and the telehealth provider at a distant site, synchronous interactions, asynchronous store and forward transfers or remote patient monitoring, but does not include interaction through facsimile, texting or electronic mail.

Source: HB 5596 (2021 Session) sec. 1 & SB 2 (2022 Session) sec. 32. (Accessed Apr. 2024).

Permanent Statute

“Telehealth” means the mode of delivering health care or other health services via information and communication technologies to facilitate the diagnosis, consultation and treatment, education, care management and self-management of a patient’s physical and mental health, and includes (A) interaction between the patient at the originating site and the telehealth provider at a distant site, and (B) synchronous interactions, asynchronous store-and-forward transfers or remote patient monitoring. Telehealth does not include the use of facsimile, audio-only telephone, texting or electronic mail.

SOURCE: CT General Statute 19a, Sec. 906.  (Accessed Apr. 2024).

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Delaware

Last updated 04/24/2024

Applies to: Physicians, Podiatry, Optometry, Chiropractic, Dentistry, Nursing, Occupational Therapy,

Applies to: Physicians, Podiatry, Optometry, Chiropractic, Dentistry, Nursing, Occupational Therapy, Mental Health, Chemical Dependency Professionals, Psychology, Dietetic and Nutrition Therapy, and Clinical Social Workers

“Telehealth” means the use of information and communications technologies consisting of telephones, remote patient monitoring devices or other electronic means which support clinical health-care, provider consultation, patient and professional health-related education, public health, health administration, and other services as described in regulation.

“Telemedicine” means a form, or subset, of telehealth, which includes the delivery of clinical health-care services by means of real time 2-way audio (including audio-only conversations, if the patient is not able to access the appropriate broadband service or other technology necessary to establish an audio and visual connection), visual, or other telecommunications or electronic communications, including the application of secure video conferencing or store and forward transfer technology to provide or support health-care delivery, which facilitates the assessment, diagnosis, consultation, treatment, education, care management and self-management of a patient’s health-care.

SOURCE: Title 24, Ch. 60, Sec. 6001(5) & (6). (Accessed Apr. 2024).

Applies to: Physical Therapy

“Telehealth is the use of electronic communications to provide and deliver a host of health-related information and healthcare services, including physical therapy and athletic training related information and services, over large and small distances.  Telehealth encompasses a variety of healthcare and health promotion activities, including education, advice, reminders, interventions, and monitoring of intervention.”

SOURCE: 24 DE Administrative Code 2602(13). (Accessed Apr. 2024).

Applies to: Social Workers 

“Telehealth” means the practice of social work by distance communication technology, such as, but not necessarily limited to, telephone, email, Internet-based communications, and videoconferencing. The licensee shall use telehealth only where appropriate based on the licensee’s professional judgment.

SOURCE: 24 DAC 3900, 10, as proposed to be amended by Final Regulations. (Accessed Apr. 2024).

Applies to: Optometrists

Telehealth is the use of electronic communications to provide and deliver a host of health-related information and health-care services, including optometry-related information and services, over large and small distances. Telehealth encompasses a variety of health care and health promotion activities, including education, advice, reminders, interventions, and monitoring of interventions.

SOURCE: 24 DAC 2100, 5, as proposed to be added by Final Regulations. (Accessed Apr. 2024).

NOTE: DE Professional Boards have different definitions of telehealth/telepractice/telemedicine.  See Professional Board Standards section for references.

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District of Columbia

Last updated 03/21/2024

Telemedicine – The practice of medicine by a licensed practitioner …

Telemedicine – The practice of medicine by a licensed practitioner to provide patient care, treatment or services, between a licensee in one location and a patient in another location with or without an intervening healthcare provider, through the use of health information and technology communications, subject to the existing standards of care and conduct.

SOURCE: DC Regs. Sec. 17-4699., DC Department of Health Board of Medicine Policy No. 15-01 (Accessed Mar. 2024).

“Telehealth” means the delivery of healthcare services through interactive audio, video, or other electronic media used for the purpose of diagnosis, consultation, or treatment; provided, that services delivered through audio-only telephones, electronic mail messages, or facsimile transmissions are not included.

SOURCE: Code of the District of Columbia Sec. 7-3201(13). (Accessed Mar. 2024).

Medical Marijuana

Telehealth medicine means the use of electronic information and telecommunication technologies, including teleconference and videoconference, to provide care when the qualifying patient and the authorized practitioner are not in the same place at the same time.

SOURCE: DC Regs. Sec. 22-C-807.2 as added by Alcoholic Beverage and Cannabis Administration – Notice of Final Rulemaking – Amending 22-C DCMR Ch. 1, etc. – Medical Marijuana, (Mar. 2024). (Accessed Mar. 2024).

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Florida

Last updated 02/23/2024

“Telehealth” means the use of synchronous or asynchronous telecommunications technology …

“Telehealth” means the use of synchronous or asynchronous telecommunications technology by a telehealth provider to provide health care services, including, but not limited to, assessment, diagnosis, consultation, treatment, and monitoring of a patient; transfer of medical data; patient and professional health-related education; public health services; and health administration. The term does not include e-mail messages or facsimile transmissions.

SOURCE: FL Statute 456.47, (Accessed Feb. 2024).

Substance Abuse Services

“Telehealth” as defined in Section 456.47(1)(a), F.S.  (see above).

SOURCE: FL Admin Code 65D-30.002, (Accessed Feb. 2024).

Children’s Medical Services

“Telemedicine” means “the use of telecommunication and information technology to provide clinical care to individuals at a distance and to transmit the information needed to provide that care.

SOURCE: FL Admin Code 64C-8.001. (Accessed Feb. 2024).

Professional Counselor Licensure Compact

“Telehealth” means the application of telecommunication technology to deliver professional counseling services remotely to assess, diagnose, and treat behavioral health conditions.

SOURCE: FL Statute 491.017 (Article II (25)). (Accessed Feb. 2024).

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Georgia

Last updated 01/31/2024

Physical Therapy Services

“Telehealth” is the use of electronic communications …

Physical Therapy Services

“Telehealth” is the use of electronic communications to provide and deliver a host of health-related information and health care services including, but not limited to physical therapy related information and services, over large and small distances. Telehealth encompasses a variety of health care and health promotion activities including, but not limited to, education, advice, reminders, interventions, and monitoring of interventions.

SOURCE: GA Rules & Regulations. Sec. 490-9-.06 (Accessed Jan 2024). 

Occupational Therapy Services

Telehealth’ means the application of evaluative, consultative, preventative, and therapeutic services delivered through telecommunication and information technologies by licensed occupational therapy practitioners. This may include, but shall not be limited to, telemedicine, telepractice, telecare, telerehabilitation, and e-health services.

SOURCE:  Official Code of GA Annotated Sec. 43-28-3. (Accessed Jan 2024).

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Hawaii

Last updated 02/13/2024

“Telehealth” means the use of telecommunications services, as defined in …

“Telehealth” means the use of telecommunications services, as defined in section 269‑1, to encompass four modalities:  store-and-forward technologies, remote monitoring, live consultation, and mobile health; and which shall include but not be limited to real-time video conferencing-based communication, secure interactive and non‑interactive web-based communication, and secure asynchronous information exchange, to transmit patient medical information, including diagnostic-quality digital images and laboratory results for medical interpretation and diagnosis, for the purpose of: delivering enhanced health care services and information while a patient is at an originating site and the physician is at a distant site; establishing a physician-patient relationship; evaluating a patient; or treating a patient.  Except as provided through an interactive telecommunications system, standard telephone contacts, facsimile transmissions, or e-mail text, in combination or alone, do not constitute telehealth services.

SOURCE: HI Revised Statutes Ch. 453-1.3.  Amended by HB 907 (To be repealed December 31, 2025).  (Accessed Feb. 2024).

“Telehealth” means the use of telecommunications, as that term is defined in section 269-1, to encompass four modalities:  store and forward technologies, remote monitoring, live consultation, and mobile health; and which shall include but not be limited to real-time video conferencing-based communication, secure interactive and non-interactive web-based communication, and secure asynchronous information exchange, to transmit patient medical information, including diagnostic-quality digital images and laboratory results for medical interpretation and diagnosis, for the purpose of delivering enhanced health care services and information while a patient is at an originating site and the radiologist is at a distant site.  Standard telephone contacts, facsimile transmissions, or e-mail texts, in combination or by themselves, do not constitute a telehealth service for the purposes of this paragraph.

SOURCE: HI Revised Statutes Sec. 453-2.  HI Revised Statutes Sec. 466J-6 (8). (Accessed Feb. 2024).

Nursing

“Telehealth” means the use of telecommunications as that term is defined in section 269-1, to encompass four modalities: store and forward technologies, remote monitoring, live consultation, and mobile health; and which shall include but not be limited to real-time video conferencing-based communication, secure interactive and non-interactive web-based communication, and secure asynchronous information exchange, to transmit patient medical information, including diagnostic-quality digital images and laboratory results for medical interpretation and diagnosis, to support long-distance clinical health care while a patient is at an originating site and the nurse is at a distant site, patient and professional health-related education, public health and health administration, to the extent that it relates to nursing.

SOURCE: HI Revised Statutes Sec. 457-2(a). (Accessed Feb. 2024).

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Idaho

Last updated 02/13/2024

 “Virtual care” means technology-enabled health care services in which the

 “Virtual care” means technology-enabled health care services in which the patient and provider are not in the same location. Virtual care is an umbrella term that encompasses terms associated with a wide variety of synchronous and asynchronous care delivery modalities enabled by technology, such as telemedicine, telehealth, m-health, e-consults, e-visits, video visits, remote patient monitoring, and similar technologies. Virtual care is considered to be rendered at the physical location of the patient.

SOURCE: ID Code Sec. 54-5703(6),  (Accessed Feb. 2024).

“Telehealth services” means health care services provided by a provider to a person through the use of electronic communications, information technology, asynchronous store and forward transfer or synchronous interaction between a provider at a distant site and a patient at an originating site. Such services include, but are not limited to, clinical care, health education, home health and facilitation of slef-managed care and caregiver support.

SOURCE: ID Admin Code 24.33.03 (201)(06). (Accessed Feb. 2024).

Telepsychology Services mean psychological services provided by a provider through the use of electronic communications, information technology, asynchronous store and forward transfer of information or synchronous interaction between the provider at a distant site and a service recipient at an original site. Such services include, but are not limited to, assessing, testing, diagnosing, treating, education, and consulting.

SOURCE: ID Admin Code 24.12.01 (601). (Accessed Feb. 2024).

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Illinois

Last updated 02/27/2024

“Telehealth services” means the evaluation, diagnosis, or interpretation of electronically …

“Telehealth services” means the evaluation, diagnosis, or interpretation of electronically transmitted patient-specific data between a remote location and a licensed health care professional that generates interaction or treatment recommendations. “Telehealth services” includes telemedicine and the delivery of health care services, including mental health treatment and substance use disorder treatment and services to a patient, regardless of patient location, provided by way of an interactive telecommunications system, asynchronous store and forward system, remote patient monitoring technologies, e-visits, or virtual check-ins.

“Virtual check-in” means a brief patient-initiated communication using a technology-based service, excluding facsimile, between an established patient and a health care professional. “Virtual check-in” does not include communications from a related office visit provided within the previous 7 days, nor communications that lead to an office visit or procedure within the next 24 hours or soonest available appointment.

“E-visit” means a patient-initiated non-face-to-face communication through an online patient portal between an established patient and a health care professional.

“Asynchronous store and forward system” means the transmission of a patient’s medical information through an electronic communications system at an originating site to a health care professional or facility at a distant site that does not require real-time or synchronous interaction between the health care professional and the patient.

“Interactive telecommunications system” means an audio and video system, an audio-only telephone system (landline or cellular), or any other telecommunications system permitting 2-way, synchronous interactive communication between a patient at an originating site and a health care professional or facility at a distant site. “Interactive telecommunications system” does not include a facsimile machine, electronic mail messaging, or text messaging.

“Remote patient monitoring” means the use of connected digital technologies or mobile medical devices to collect medical and other health data from a patient at one location and electronically transmit that data to a health care professional or facility at a different location for collection and interpretation.

“Health care professional” includes, but is not limited to, physicians, physician assistants, optometrists, advanced practice registered nurses, clinical psychologists licensed in Illinois, prescribing psychologists licensed in Illinois, dentists, occupational therapists, pharmacists, physical therapists, clinical social workers, speech-language pathologists, audiologists, hearing instrument dispensers, licensed certified substance use disorder treatment providers and clinicians, and mental health professionals and clinicians authorized by Illinois law to provide mental health services, and qualified providers listed under paragraph (8) of subsection (e) of Section 3 of the Early Intervention Services System Act, dietitian nutritionists licensed in Illinois, and health care professionals associated with a facility.

“Facility” includes a facility that is owned or operated by a hospital under the Hospital Licensing Act or University of Illinois Hospital Act, a facility under the Nursing Home Care Act, a rural health clinic, a federally qualified health center, a local health department, a community mental health center, a behavioral health clinic as defined in 89 Ill. Adm. Code 140.453, an encounter rate clinic, a skilled nursing facility, a substance use treatment program licensed by the Division of Substance Use Prevention and Recovery of the Department of Human Services, a school-based health center as defined in 77 Ill. Adm. Code 641.10, a physician’s office, a podiatrist’s office, a supportive living program provider, a hospice provider, home health agency, or home nursing agency under the Home Health, Home Services, and Home Nursing Agency Licensing Act, a facility under the ID/DD Community Care Act, community-integrated living arrangements as defined in the Community-Integrated Living Arrangements Licensure and Certification Act, and a provider who receives reimbursement for a patient’s room and board.

“Established patient” means a patient with a relationship with a health care professional in which there has been an exchange of an individual’s protected health information for the purpose of providing patient care, treatment, or services.

SOURCE: IL Compiled Statutes, Chapter 225, 150/5.  (Accessed Feb. 2024).

Telemedicine means the performance of any of the activities listed in Section 49, including, but not limited to, rendering written or oral opinions concerning diagnosis or treatment of a patient in Illinois by a person in a different location than the patient as a result of transmission of individual patient data by telephonic, electronic, or other means of communication. “Telemedicine” does not include the following:

  1. periodic consultations between a person licensed under this Act and a person outside the State of Illinois;
  2. a second opinion provided to a person licensed under this Act;
  3. diagnosis or treatment services provided to a patient in Illinois following care or treatment originally provided to the patient in the state in which the provider is licensed to practice medicine; and
  4. health care services provided to an existing patient while the person licensed under this Act or patient is traveling.

This section is scheduled to be repealed on January 1, 2027.

SOURCE: IL Compiled Statutes, Chapter 225, 60/49.5(c). (Accessed Feb. 2024). 

Under the Department of Public Health, telemedicine means the provision of clinical services to patients by physicians and practitioners from a distance via electronic communications.

SOURCE: IL Admin. Code, Title 77, Sec. 250.310(a)(8) (Accessed Feb. 2024). 

“Teledentistry” means the use of telehealth systems and methodologies in dentistry and includes patient care and education delivery using synchronous and asynchronous communications under a dentist’s authority as provided under this Act.

SOURCE: IL Code 225, Sec. 25/4. (Accessed Feb. 2024).

Optometrists (To be repealed January 1, 2027)

“Telehealth” means the evaluation, diagnosis, or interpretation of patient-specific data that is transmitted by way of an interactive telecommunication system between a remote location and an optometrist located at a distant site that generates interaction or treatment recommendations for a patient located at a remote location. “Telehealth” includes the performance of any of the activities set forth in Sections 3 and 15.1.

“Interactive telecommunications system” means an audio and video system permitting 2-way, real-time interactive communication between a patient located at a remote location and an optometrist located at a distant site.

An optometrist may not provide telehealth services unless the optometrist has established a provider-patient relationship with the patient. In this subsection, “provider-patient relationship” means a relationship in which the optometrist has provided services to the patient at an in-person consultation no more than 3 years prior to the date on which telehealth services are provided. An in-person consultation is not required for new conditions relating to a patient with whom the optometrist has a provider-patient relationship unless the optometrist deems an in-person consultation is necessary to provide appropriate care. An optometrist may treat a patient through telehealth in the absence of a provider-patient relationship when, in the professional judgment of the optometrist, emergency care is required.

SOURCE: IL Compiled Statutes Chapter 225, 80/9.  IL Compiled Statutes Chapter 225, 80/15.4. (Accessed Feb. 2024).

Dietian (Scheduled to be repealed January 1, 2028)

“Telehealth” or “telepractice” means the delivery of services under this Act by using electronic communication, information technologies, or other means between an individual licensed under this Act in one location and a patient or client in another location, with or without an intervening healthcare provider. “Telehealth” or “telepractice” includes direct, interactive patient encounters, asynchronous store-and-forward technologies, and remote monitoring. Telehealth or telepractice is not prohibited under this Act provided that the provision of telehealth or telepractice services is appropriate for the client and the level of care provided meets the required level of care for that client. Individuals providing services regulated by this Act via telepractice shall comply with and are subject to all licensing and disciplinary provisions of this Act.

SOURCE:  225 ILCS 30/10. (Accessed Feb. 2024).

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Indiana

Last updated 03/20/2024

“Telehealth means the delivery of health care services using interactive …

“Telehealth means the delivery of health care services using interactive electronic communications and information technology, in compliance with the federal Health Insurance Portability and Accountability Act (HIPAA), including:

  • Secure videoconferencing
  •  store-and-forward technology; or
  • Remote patient monitoring technology;

Between a provider in one location and a patient in another location.  The term does not include the following unless the practitioner has an established relationship with the patient:

  • Electronic mail
  • An instant messaging conversation
  • Facsimile
  • Internet questionnaire
  • Internet consultation

The term does not include a health care service provided by:

  • An employee of a practitioner; or
  • An individual who is employed by the same entity that employs the practitioner;

who is performing a health care service listed in previous sections under the direction and that is customarily within the specific area of practice of the practitioner.

SOURCE: IN Code, 25-1-9.5-6 (Accessed Mar. 2024)

 “Telehealth” means a specific method of delivery of services, including medical exams and consultations and behavioral health evaluations and treatment, including those for substance abuse, using technology allowed under IC 25-1-9.5-6 to allow a provider to render an examination or other service to a patient at a distant location.

SOURCE: IN code, 16-18-2-348.5 (Accessed Mar. 2024)

“Telehealth” means the practice of health care delivery, diagnosis, consultation, treatment, transfer of medical data, or exchange of medical education information by means of real-time video or secure chat or secure e-mail or integrated telephony while the patient is at any location and the health care provider is at any other location.

“Telehealth services” means the use of telecommunications and information technology to provide access to health assessment, diagnosis, intervention, consultation, treatment, supervision, and information across a distance.

SOURCE: IN Administrative Code, 844-Article 5-8-2, “Telehealth Services Pilot Program” p. 29 (Accessed Mar. 2024)

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Iowa

Last updated 04/22/2024

Telecommunications and Technology Commission

“Telemedicine means use of a telecommunications …

Telecommunications and Technology Commission

“Telemedicine means use of a telecommunications system for diagnostic, clinical, consultative, data, and educational services for the delivery of health care services or related health care activities by licensed health care professionals, licensed medical professionals, and staff who function under the direction of a physician, a licensed health care professional, or hospital, for the purpose of developing a comprehensive, statewide telemedicine network or education.”

SOURCE: IA Admin. Code, 751 7.1(8D). (Accessed Apr. 2024).

Psychologists

“Telepsychology” means the provision of psychological services using telecommunication technologies.

SOURCE: Iowa Admin Code, Sec. 645-243.1, (Accessed Apr. 2024).

Physician Assistant Regulations

“Asynchronous store-and-forward transmission” – the collection of a patient’s relevant health information and the subsequent transmission of the data from an originating site to a health care provider at a distant site without the presence of the patient.

“Telemedicine” – the practice of medicine using electronic audiovisual communications and information technologies or other means, including interactive audio with asynchronous store-and-forward transmission, between a licensee in one location and a patient in another location with or without an intervening health care provider. Telemedicine includes asynchronous store-and-forward technologies, remote monitoring, and real-time interactive services, including teleradiology and telepathology. Telemedicine, for the purposes of this rule establishing standards of practice, does not include the provision of medical services only through an audio-only telephone, email messages, facsimile transmissions, or U.S. mail or other parcel service, or any combination thereof.

SOURCE: Iowa Admin Code, Sec. 645-327.9, (Accessed Apr. 2024).

Medicine

“Telemedicine” means the practice of medicine using electronic audio-visual communications and information technologies or other means, including interactive audio with asynchronous store-and-forward transmission, between a licensee in one location and a patient in another location with or without an intervening health care provider. Telemedicine includes asynchronous store-and-forward technologies, remote monitoring, and real-time interactive services, including teleradiology and telepathology. Telemedicine shall not include the provision of medical services only through an audio-only telephone, email messages, facsimile transmissions, or U.S. mail or other parcel service, or any combination thereof.

SOURCE: Iowa Admin Code, Sec. 653-13.11, (Accessed Apr. 2024).

Speech Pathology and Audiology

“Telehealth visit” means the provision of speech pathology or audiology services by a licensee to a patient using technology where the licensee and the patient are not at the same physical location during the appointment.

SOURCE: Iowa Admin Code, Sec. 645-301.1, (Accessed Apr. 2024).

Nutritionists

“Telehealth visit” means the provision of dietetic services by a licensee to an individual or a group using technology where the licensee and the individual or group are not at the same physical location for the therapy session.

SOURCE:  Iowa Administrative Code Section 645.81.17. (Accessed Apr. 2024)

Nursing – RN

“Telehealth” means the practice of nursing using electronic audiovisual communications and information technologies or other means, including interactive audio with asynchronous store-and-forward transmission, between a licensee in one location and a patient in another location with or without an intervening health care provider. Telehealth includes asynchronous store-and-forward technologies, remote monitoring, and real-time interactive services, including teleradiology and telepathology. Telehealth, for the purposes of this rule, shall not include the provision of nursing services only through an audio-only telephone, email messages, facsimile transmissions, or U.S. mail or other parcel service, or any combination thereof.

SOURCE: IA Admin Code Sec. 655-6.1(152), (Accessed Apr. 2024).

Nursing – ARNP

“Telehealth” means the practice of nursing using electronic audiovisual communications and information technologies or other means, including interactive audio with asynchronous store-and-forward transmission, between a licensee in one location and a patient in another location with or without an intervening health care provider. Telehealth includes asynchronous store-and-forward technologies, remote monitoring, and real-time interactive services, including teleradiology and telepathology. Telehealth, for the purposes of this rule, shall not include the provision of nursing services only through an audio-only telephone, email messages, facsimile transmissions, or U.S. mail or other parcel service, or any combination thereof.

SOURCE: IA Admin Code Sec. 655-7.1, (Accessed Apr. 2024).

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Kansas

Last updated 03/04/2024

‘‘Telemedicine,’’ including ‘‘telehealth,’’ means the delivery of healthcare services or …

‘‘Telemedicine,’’ including ‘‘telehealth,’’ means the delivery of healthcare services or consultations while the patient is at an originating site and the healthcare provider is at a distant site. Telemedicine shall be provided by means of real-time two-way interactive audio, visual, or audio-visual communications, including the application of secure video conferencing or store-and-forward technology to provide or support healthcare delivery, that facilitate the assessment, diagnosis, consultation, treatment, education and care management of a patient’s healthcare. ‘‘Telemedicine’’ does not include communication between:

    1. Healthcare providers that consist solely of a telephone voice-only conversation, email or facsimile transmission; or
    2. a physician and a patient that consists solely of an email or facsimile transmission.

SOURCE:  KS Statute Ann. § 40-2,211(5). (Accessed Mar. 2024).

Home Health Agency Licensure

“Telehealth” means the use of information and communication technology while a patient is at one site and a qualified health professional is at another site so that clinical parameters and other clinical data can be sent to qualified health professionals overseeing the health care provided to the patient. This term is also known as “telemedicine,” “telemonitoring,” or “remote monitoring.”

SOURCE:  KS Administrative Regulation, Sec. 28-51-100, (Accessed Mar. 2024).

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Kentucky

Last updated 03/18/2024

“Telehealth” or “digital health” means a mode of delivering healthcare …

“Telehealth” or “digital health” means a mode of delivering healthcare services through the use of telecommunication technologies, including but not limited to synchronous and asynchronous technology, remote patient monitoring technology, and audio-only encounters, by a health care provider to a patient or to another health care provider at a different location. Shall not include:

  • The delivery of health care services through electronic mail, text, chat, or facsimile unless a state agency authorized or required to promulgate administrative regulations relating to telehealth determines that health care services can be delivered via these modalities in ways that enhance recipient health and well-being and meet all clinical and technology guidelines for recipient safety and appropriate delivery of services; or
  • Basic communication between a health care provider and a patient, including but not limited to appointment scheduling, appointment reminders, voicemails, or any other similar communication intended to facilitate the actual provision of healthcare services either in-person or via telehealth; and

Unless waived by the applicable federal authority, shall be delivered over a secure communications connection that complies with the federal Health Insurance Portability and Accountability Act of 1996.

SOURCE: KY Revised Statute 211.332. (Accessed Mar. 2024).

“Telehealth means the use of interactive audio, video, or other electronic media to deliver health care. It includes the use of electronic media for diagnosis, consultation, treatment, transfer of health or medical data, and continuing education.”

SOURCE: KY Revised Statutes § 310.200312.220, 314.155, 315.310, 319.140, 319A.300, 320.390, 327.200, 334A.200,335.158335.380314A.330, & KAR Title 501, Ch. 13, Sec. 010. (Accessed Mar. 2024).

Veterinarians

“Telehealth” means all uses of technology to remotely gather and deliver health information, advice, education, and care;

“Telemedicine” or “connected care” means the integration of digital technologies to enhance and support the VCPR and facilitate proactive and ongoing care through improved communication, diagnosis, and monitoring

SOURCE: KY Revised Statute Sec. 321.181, (Accessed Mar. 2024).

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Louisiana

Last updated 02/15/2024

“Telehealth” shall have the same meaning as that term defined …

“Telehealth” shall have the same meaning as that term defined in R.S. 40:1223.3.

SOURCE: LA Revised Statute 37:1262(4) as amended by Senate Bill 66 (2023 Session) (Accessed Feb. 2024).

“Telehealth” means healthcare services, including behavioral health services, provided by a healthcare provider, as defined in this Section, to a person through the use of electronic communications, information technology, asynchronous store-and-forward transfer technology, or synchronous interaction between a provider at a distant site and a patient at an originating site, including but not limited to assessment of, diagnosis of, consultation with, treatment of, and remote monitoring of a patient, and transfer of medical data. The term “telehealth” shall not include any of the following:

  • Electronic mail messages and text messages that are not compliant with applicable requirements of the Health Insurance Portability and Accountability Act of 1996, as amended (42 U.S.C. 1320d et seq.).
  • Facsimile transmissions.

SOURCE: LA Revised Statute 40:1223.3 (Accessed Feb. 2024).

Speech-Language Pathology & Audiology

Telehealth, also known as telepractice, is a mode of delivering audiology and speech-language pathology services that utilizes information and communication technologies to enable the diagnosis, consultation, treatment, education care management, and self-management of clients at a distance from the audiologist or speech-language pathologist provider. Telehealth allows services to be accessed when providers are in a distant site and patients are in the originating site. Telehealth facilitates self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers.

SOURCE: LA Admin. Code 46: LXXV.103., p. 4 (Accessed Feb. 2024).

Physician’s Use of Telemedicine in Practice

Telemedicine – the practice of health care delivery, diagnosis, consultation, treatment, and transfer of medical data by a physician using interactive telecommunication technology that enables a physician and a patient at two locations separated by distance to interact via two-way video and audio transmissions simultaneously. Neither an electronic mail message between a physician and a patient, or a true consultation constitutes telemedicine for the purposes of this Part. A physician practicing by telemedicine may utilize interactive audio without the requirement of video if, after access and review of the patient’s medical records, the physician determines that he or she is able to meet the same standard of care as if the healthcare services were provided in-person.

SOURCE: LA Admin. Code 46: XLV.7503., p. 225 (Accessed Feb. 2024).

Board of Optometry

Optometric Telemedicine — a health service interaction that is delivered by a licensed optometrist acting within the scope of his or her license between an optometrist in one physical location and a patient located in any different physical location, accomplished via audio-visual link, imaging, telephone, or other appropriate forms of electronic communication and/or technology used to allow or assist the optometrist in providing care to the patient and may require the use of advanced telecommunications technology, other than facsimile technology, including all of the following:

  • Compressed digital interactive video, audio, or data transmission;
  • Clinical data transmission using computer imaging by way of still image capture and store and forward;
  • Another technology that facilitates access to health care services or optometric specialty expertise.

SOURCE: LA Admin Code LAC 46:LI.509, (Accessed Feb. 2024).

Board of Psychology

Telecommunication—the preparation, transmission, communication, or related processing of information by electrical, electromagnetic, electromechanical, electrooptical, or electronic means (Committee on National Security Systems, 2010).

Telepsychology—the practice of psychology which includes assessment, diagnosis, intervention, consultation or information by psychologists using interactive telecommunication technology that enables a psychologist and a client, at two different locations separated by distance to interact via two-way audio/ or audio only transmissions simultaneously. Telepsychology is not a separate specialty. If the use of technology is for purely administrative purposes, it would not constitute telepsychology under this Chapter.

Telesupervision—a method of providing supervision to psychology trainees via two-way video and audio transmissions simultaneously or other telecommunication technologies.

SOURCE: LA Admin Code LAC Title 46:LXIII Sec. 1401-1409, (Accessed Feb. 2024).

Teledentistry

Teledentistry is defined as the use of medical or dental information exchanged from one site to another via electronic communications to provide dental treatment or diagnosis, but does not include email or telephone exchanges between a provider and a patient with whom an in-person provider-patient relationship has been established.

SOURCE: LA Admin. Code LAC 46:XXXIII.203 (Accessed Feb. 2024).

Professional Counselors

Teletherapy is defined as a method of delivering mental health counseling, psychotherapy, and marriage and family therapy services as prescribed by R.S. 37:1101 and R.S. 37:1116 using interactive technology-assisted media to facilitate prevention, assessment, diagnosis, and treatment of mental, emotional, behavioral, relational, and addiction disorders to individuals, groups, organizations, or the general public that enables a licensee and a client(s) separated by distance to interact via synchronous video and audio transmission.

SOURCE: LA Admin. Code LAC 46, Part LX, Subpart 1, Sec. 505 (Accessed Feb. 2024).

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Maine

Last updated 02/03/2024

Board of Licensure in Medicine, State Board of Nursing, &

Board of Licensure in Medicine, State Board of Nursing, & Board of Osteopathic Licensure

“Telehealth” means the provision of health care services using electronic audio-visual communications and information technologies or other means, including interactive audio with asynchronous store-and-forward transmission, between a licensee in one location and a patient in another location with or without an intervening health care provider. Telehealth includes asynchronous store-and-forward technologies, telemonitoring, and real-time interactive services, including teleradiology and telepathology. When necessary and appropriate under the circumstances and if in compliance with the applicable standard of care, telehealth includes the use of audio-only technology. Telehealth shall not include the provision of health care services only through e-mail, instant messaging, facsimile transmission, or U.S. mail or other parcel service, or any combination thereof between a licensee in one location and a patient in another location with or without an intervening health care provider.

SOURCE: ME Regulation Sec. 02-373 Ch. 11, 02-380 Ch. 11, 02-383 Ch. 11. (Accessed Feb. 2024).

Office-Based Treatment for OUD – Board of Licensure in Medicine, State Board of Nursing & Board of Osteopathic Licensure

Telehealth means the provision of health care services using electronic audio-visual communications and information technologies or other means, including interactive audio with asynchronous store-and-forward transmission, between a clinician in one location and a patient in another location with or without an intervening health care provider. Telehealth includes asynchronous store-and-forward technologies, telemonitoring, and real-time interactive services, including teleradiology and telepathology. When necessary and appropriate under the circumstances and if in compliance with the applicable standard of care, telehealth includes the use of audio-only technology. Telehealth shall not include the provision of health care services between a licensee in one location and a patient in another location with or without an intervening health care provider only through e-mail, instant messaging, facsimile transmission, or U.S. mail or other parcel service, or any combination thereof.

SOURCE:  Joint Rule Regarding office-based treatment of opioid use disorder Sec. 02-373-12, 02-380-12, 02-383-12. (Accessed Feb. 2024).

“Telehealth services” means health care services delivered through the use of information technology and includes synchronous encounters, asynchronous encounters, store and forward transfers and telemonitoring.

SOURCE: Title 32, Ch. 48, Subch. 4, Sec. 3300-AA (Accessed Feb. 2024). Definition referenced in many different specialties throughout Professions and Occupations Code.

“Teledentistry,” as it pertains to the delivery of oral health care services, means the use of interactive, real-time visual, audio or other electronic media for the purposes of education, assessment, examination, diagnosis, treatment planning, consultation and directing the delivery of treatment by individuals licensed under this chapter and includes synchronous encounters, asynchronous encounters, remote patient monitoring and mobile oral health care in accordance with practice guidelines specified in rules adopted by the board.

SOURCE: ME Revised Statute Title 32, Sec. 18302, (Accessed Feb. 2024).

“Teledentistry services” means oral health care services delivered through the use of interactive, real-time visual, audio or other electronic media for the purposes of education, assessment, examination, diagnosis, treatment planning, consultation and directing the delivery of treatment by licensees and includes a synchronous encounter, an asynchronous encounter, a store and forward transfer and remote patient monitoring and mobile oral health care in accordance with this chapter.

SOURCE: ME Regulation Sec. 02-313 Ch. 15,  (Accessed Feb. 2024).

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Maryland

Last updated 02/21/2024

Telehealth means a mode of delivering health care services through …

Telehealth means a mode of delivering health care services through the use of telecommunications technologies by a health care practitioner to a patient at a different physical location than the health care practitioner.  Telehealth includes synchronous and asynchronous interactions. Telehealth does not include the provision of health care services solely through audio-only calls, e-mail messages or facsimile transmissions.

SOURCE: MD Health Occupations Code 1-1001 (e). (Accessed Feb. 2024).

“Telehealth” means the use of interactive audio, video, audio-visual, or other telecommunications or electronic technology by a Maryland licensed physician or licensed allied health practitioner to deliver clinical services within the scope of practice of the Maryland licensed physician or licensed allied health practitioner at a location other than the location of the patient.  “Telehealth” does not include (i) An audio-only telephone conversation between a Maryland licensed physician or licensed allied health practitioner and a patient; (ii) An electronic mail message between a Maryland licensed physician or licensed allied health practitioner and a patient; or (iii) A facsimile transmission between a Maryland licensed physician or licensed allied health practitioner and a patient.

SOURCE: Code of Maryland Admin. Regs. Sec. 10.32.05.02. (Accessed Feb. 2024).

Audiologists, Hearing Aid Dispensers, Speech Language Pathologists, Music Therapists, Optometrists, Massage Therapists, Occupational Therapists, Physical Therapists, Chiropractors, Podiatrists, and Dieticians

“Telehealth” has the meaning stated in Health Occupations Article, §1-1001, Annotated Code of Maryland.

SOURCE: Code of Maryland Admin. Regs 10.41.06.02; 10.28.01.02 (Optometrists); 10.65.10.02 (Massage Therapists); 10.46.08.02 (Occupational Therapists); 10.38.13.02 (Physical Therapists); 10.43.17.02 (Chiropractors); 10.40.12.02 (Podiatrists); 10.56.10.02 (Dieticians). (Accessed Feb. 2024).

Audiologists, Hearing Aid Dispensers, and Speech Language Pathologists

“Telehealth means the use of telecommunications and information technologies for the exchange of information from one site to another for the provision of health care to an individual from a provider through hardwire or Internet connection.”

SOURCE: MD Health Occupations Code Sec. 2-101(u). (Accessed Feb. 2024).

Perinatal and Neonatal Referral Center Standards

“Telemedicine” means the use of interactive audio, video, or other telecommunications or electronic technology by a licensed health care provider to deliver a health care service within the scope of practice of the health care provider at a site other than the site at which the patient is located, in compliance with COMAR 10.32.05.and including at least two forms of communication.

SOURCE: Code of Maryland Admin. Regs. Sec. 30.08.12.01. (Accessed Feb. 2024).

Board of Professional Counselors and Therapists and Social Workers

“Teletherapy” means telehealth as defined in Health Occupations Article, §1-901, Annotated Code of Maryland.

SOURCE: Code of Maryland Admin. Regs. Sec. 10.58.06.02; COMAR 10.42.10.02. (Accessed Feb. 2024).

Board of Examiners of Psychologists

“Telepsychology” means the use of interactive audio, video, or other telecommunications or electronic media by a psychologist or psychology associate who engages in the practice of psychology at a location other than the location of the client.

“Telepsychology” does not include:

  • An audio-only telephone conversation between a psychologist or psychology associate and a client;
  • An electronic mail message between a psychologist or psychology associate and a client;
  • A facsimile transmission between a psychologist or psychology associate and a client; or
  • A text message or other type of message sent between a psychologist or psychology associate and a client by a short message service or multimedia messaging service.

SOURCE: Code of Maryland Admin. Regs. Sec. 10.36.10.02. (Accessed Feb. 2024).

Board of Nursing

“Teletherapy” means the delivery of behavioral health services by a CRNP/PMH or a PMH/APRN at a location other than the location of the client through the use of synchronous interactive audio, video, audio-visual, or other telecommunications or electronic technology.

“Teletherapy” does not include:

  • An audio-only telephone conversation between the CRNP/PMH or PMH/APRN and a client;
  • An electronic mail message between a CRNP/PMH or PMH/ APRN and a client; or
  • A facsimile transmission between a CRNP/PMH or PMH/APRN and a client.

SOURCE: Code of Maryland Admin. Regs. Sec. 10.27.17.02. (Accessed Feb. 2024).

Emergency Medical Services

“Telemedicine” means the use of interactive audio, video, or other telecommunications or electronic technology by a licensed health care provider to deliver a health care service within the scope of practice of the health care provider at a site other than the site at which the patient is located, in compliance with COMAR 10.32.05.and including at least two forms of communication.

SOURCE: Code of Maryland Admin. Regs. Sec. 30.08.12.01(B)(9). (Accessed Feb. 2024).

Physicians

“Telemedicine” means the use of interactive audio, video, or other telecommunications or electronic technology by a physician in the practice of medicine outside the physical presence of the patient. “Telemedicine” does not include:

  • An audio–only telephone conversation between a physician and a patient;
  • An electronic mail message between a physician and a patient; or
  • A facsimile transmission between a physician and a patient.

SOURCE: MD Code Health, General Section 19-319(e)(1)(ii). (Accessed Feb. 2024).

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Massachusetts

Last updated 04/15/2024

“Telehealth” shall mean the use of synchronous or asynchronous audio, …

“Telehealth” shall mean the use of synchronous or asynchronous audio, video, electronic media or other telecommunications technology, including, but not limited to: (i) interactive audio-video technology; (ii) remote patient monitoring devices; (iii) audio-only telephone; and (iv) online adaptive interviews, for the purpose of evaluating, diagnosing, consulting, prescribing, treating or monitoring of a patient’s physical health, oral health, mental health or substance use disorder condition.

SOURCE: MA General Laws, Part 1, Title XVI, Ch. 112, Sec. 5O . (Accessed Apr. 2024).

Telemedicine means the provision of services to a patient by a physician from a distance by electronic communication in order to improve patient care, treatment or services.

SOURCE: 243 CMR 2.01. (Accessed Apr. 2024).

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Michigan

Last updated 04/29/2024

“Telehealth” means the use of electronic information and telecommunication technologies …

“Telehealth” means the use of electronic information and telecommunication technologies to support or promote long-distance clinical health care, patient and professional health-related education, public health, or health administration.

Telehealth may include, but is not limited to, telemedicine. As used in this subdivision, “telemedicine” means that term as defined in section 3476 of the insurance code of 1956, 1956 PA 218, MCL 500.3476.

SOURCE:  MI Compiled Laws Sec. 333.16283(c), (Accessed Apr. 2024).

“Telemedicine” means the use of an electronic media to link patients with health care professionals in different locations. To be considered telemedicine under this section, the health care professional must be able to examine the patient via a health insurance portability and accountability act of 1996, Public Law 104-191 compliant, secure interactive audio or video, or both, telecommunications system, or through the use of store and forward online messaging.

SOURCE:  MI Insurance Code 500.3476 & MI Compiled Laws Sec. 330.1100d(16). (Accessed Apr. 2024).

Occupational Therapy

“Telehealth” means the use of electronic information and telecommunication  technologies to support or promote long-distance clinical healthcare, patient and professional health-related education, public health, or health administration. Telehealth may include, but is not limited to, telemedicine.

“Telehealth service” means a healthcare service that is provided through   telehealth. 

“Telemedicine” means the use of electronic media to link patients with  healthcare professionals in different locations. To be considered telemedicine, the  telemedicine services must be provided by a healthcare professional who is licensed, registered, or otherwise authorized to engage in his or her healthcare profession in the state where the patient is located.

SOURCE: MI Administrative Rule R 338.1241, (Accessed Apr. 2024).

Dentist

“Telehealth” means the use of electronic information and telecommunication technologies to support or promote long-distance clinical healthcare, patient and professional health-related education, public health, or health administration. Telehealth may include, but is not limited to, telemedicine. 

“Telehealth service” means a healthcare service that is provided through telehealth. The requirement in R 338.11401 to have an “in-person” contact with the dentist or dental therapist once every 24 months does not apply to telehealth services unless the dentist or dental therapist delegates or assigns duties, other than radiographic images, to allied dental personnel.

“Telemedicine” means the use of electronic media to link patients with healthcare professionals in different locations. To be considered telemedicine, the telemedicine services must be provided by a healthcare professional who is licensed, registered, or otherwise authorized to engage in the healthcare professional’s healthcare profession in the state where the patient is located. 

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Minnesota

Last updated 02/29/2024

“Telehealth” has the meaning given in section 62A.673, subdivision 2,

“Telehealth” has the meaning given in section 62A.673, subdivision 2, paragraph (h):

“Telehealth” means the delivery of health care services or consultations through the use of real time two-way interactive audio and visual communications to provide or support health care delivery and facilitate the assessment, diagnosis, consultation, treatment, education, and care management of a patient’s health care. Telehealth includes the application of secure video conferencing, store-and-forward technology, and synchronous interactions between a patient located at an originating site and a health care provider located at a distant site. Until July 1, 2025, telehealth also includes audio-only communication between a health care provider and a patient in accordance with subdivision 6, paragraph (b). Telehealth does not include communication between health care providers that consists solely of a telephone conversation, email, or facsimile transmission. Telehealth does not include communication between a health care provider and a patient that consists solely of an email or facsimile transmission. Telehealth does not include telemonitoring services as defined in paragraph (i).

SOURCE: MN Statute Sec 147.033. (Accessed Feb. 2024).

Chemical Dependency Licensed Treatment Facilities

“Telehealth” means the delivery of a substance use disorder treatment service while the client is at an originating site and the health care provider is at a distant site via telehealth as defined in section 256B.0625, subdivision 3b, and as specified in section 254B.05, subdivision 5, paragraph (f).

SOURCE: MN Statute Section 245G.01, Subd. 26.  (Accessed Feb. 2024).

 

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Mississippi

Last updated 04/05/2024

Practice of Medicine

“Telemedicine” is the practice of medicine by …

Practice of Medicine

“Telemedicine” is the practice of medicine by a licensed healthcare provider using HIPAA-compliant telecommunication systems, including information, electronic, and communication technologies, remote monitoring technologies and store-and-forward transfer technology. These technologies may be used to facilitate, but are not limited to, provider to patient or provider to provider interactions. The technology must be capable of replicating the interaction of a traditional in-person encounter between a provider and a patient. This definition does not include the practice of medicine through postal or courier services.

SOURCE: MS Code Title 30 Part 2635, Ch. 5 Rule 5.1. (Accessed Apr. 2024). 

Health Facilities Licensure and Certification

Telehealth:  The use of technology to deliver healthcare. Telehealth includes telemedicine, mHealth, eHealth, and Tele-Education.

Telemedicine: As defined in Section 25-15-9 (1) (c) of the Mississippi Code of 1972, Annotated, “telemedicine means the delivery of healthcare services such as diagnosis, consultation, and treatment through the use of interactive audio, video or other electronic media.

SOURCE: MS Admin Code Agency 15, Sub-agency 16, part 16, Subpart 1, Ch. 6 (Sec. 6.2.3-4), (Accessed Apr. 2024).

Cross-State Practice

Telemedicine, or the practice of medicine across state lines, shall be defined to include any one or both of the following:

  • Rendering of a medical opinion concerning diagnosis or treatment of a patient within this state by a physician located outside this state as a result of transmission of individual patient data by electronic or other means from within this state to such physician or his agent; or
  • The rendering of treatment to a patient within this state by a physician located outside this state as a result of transmission of individual patient data by electronic or other means from within this state to such physician or his agent.

SOURCE: MS Code Sec. 73-25-34(1). (Accessed Apr. 2024).

Optometry

Telehealth is the practice of medicine using electronic communication, information technology or other means between a physician in one location and a patient in another location with or without an intervening health care provider. This definition does not include the practice of optometry through postal or courier services. Telehealth means the delivery of optometric care such as diagnosis, consultation, or treatment through the use of interactive audio, video or other electronic media. Telehealth must be “real-time” consultation, and it does not include the use of audio-only telephone, e-mail or facsimile.

SOURCE: MS Rules and Regulations, Title 30 Part 2901 Chapters 1-11.1, (Accessed Apr. 2024).

MS Department of Health: Occupational Therapy

Telehealth is a mode of service delivery for the provision of occupational therapy services delivered by an occupational therapy practitioner to a client at a different physical location using telecommunications or information technology. Telehealth, in this rule, refers only to the practice of occupational therapy by occupational therapy practitioners who are licensed by this Board with clients who are located in Mississippi at the time of the provision of occupational therapy services. Telehealth may be known by other terms including but not limited to telemedicine, telepractice, telecare, telerehabilitation, and e-health services. Occupational therapy practitioners must have direct contact with the client for the duration of the intervention session via telehealth using synchronous audiovisual technology. Other telecommunications or information technology may be used to aid in the intervention session but may not be the primary means of contact or communication.

SOURCE: Title 15, Part 19, Subpart 60, Rule 8.1.5 (Accessed Apr. 2024).

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Missouri

Last updated 05/01/2024

“Telehealth” or “telemedicine”, the delivery of health care services by …

“Telehealth” or “telemedicine”, the delivery of health care services by means of information and communication technologies which facilitate the assessment, diagnosis, consultation, treatment, education, care management, and self-management of a patient’s health care while such patient is at the originating site and the health care provider is at the distant site.  Telehealth or telemedicine shall also include the use of asynchronous store-and-forward technology.

SOURCE: MO Revised Statute Sec. 191.1145. (Accessed May 2024).

Licensing of Physicians and Surgeons

Telehealth means the use of medical information exchanged from one site to another via electronic communications to improve the health status of a patient.

SOURCE: MO Code of State Regulation. Title 20, 2150-2.001. (Accessed May 2024).

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Montana

Last updated 02/13/2024

Telemedicine means the practice of medicine using interactive electronic communications, …

Telemedicine means the practice of medicine using interactive electronic communications, information technology, audio-only conversations, or other means between a licensee in one location and a patient in another location with or without an intervening health care provider. Telemedicine includes the application of secure videoconferencing or store-and-forward technology.

The term does not mean an e-mail or instant messaging conversation or a message sent by facsimile transmission.

For physicians providing written certification of a debilitating medical condition pursuant to 50-46-310, the term does not include audio-only communication unless the physician has previously established a physician-patient relationship through an in-person encounter.

SOURCE: MT Code Sec. 37-3-102, (Accessed Feb. 2024).

“Telehealth” means the use of audio, video, or other telecommunications technology or media, including audio-only communication, that is:

  • used by a health care provider or health care facility to deliver health care services; and
  • delivered over a secure connection that complies with the requirements of state and federal privacy laws.

The term does not include delivery of health care services by means of facsimile machines or electronic messaging alone. The use of facsimile machines and electronic messaging is not precluded if used in conjunction with other audio, video, or telecommunications technology or media.

For physicians providing written certification of a debilitating medical condition pursuant to 16-12-509, the term does not include the use of audio-only communication unless the physician has previously established a physician-patient relationship through an in-person encounter.

SOURCE: Montana Code Annotated 37-2-305, (Accessed Feb. 2024).

“Practice pharmacy by means of telehealth” means to provide pharmaceutical care through the use of information technology to patients at a distance.

SOURCE: Montana Code Annotated 37-7-101 (Accessed Feb. 2024).

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Nebraska

Last updated 04/10/2024

Uniform Credentialing Act (Licensed/Credentialed Health Professionals)

Telehealth means the use …

Uniform Credentialing Act (Licensed/Credentialed Health Professionals)

Telehealth means the use of medical information electronically exchanged from one site to another, whether synchronously or asynchronously, to aid a credential holder in the diagnosis or treatment of a patient. Telehealth includes services originating from a patient’s home or any other location where such patient is located, asynchronous services involving the acquisition and storage of medical information at one site that is then forwarded to or retrieved by a credential holder at another site for medical evaluation, and telemonitoring.

SOURCE: NE Revised Statutes Sec. 38-120.01. (Accessed Apr. 2024).

Telemonitoring means the remote monitoring of a patient’s vital signs, biometric data, or subjective data by a monitoring device which transmits such data electronically to a credential holder for analysis and storage.

SOURCE: NE Revised Statutes Sec. 38-120.02. (Accessed Apr. 2024).

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Nevada

Last updated 03/26/2024

Telehealth means the delivery of services from a provider of …

Telehealth means the delivery of services from a provider of health care to a patient at a different location through the use of information and audio-visual communication technology, not including facsimile or electronic mail.  The term includes, without limitation, communication between a provider of health care who is providing in-person services to a patient and a provider of health care at a different location and the delivery of services from a provider of health care to a patient at a different location through the use of:

  • Synchronous interaction or an asynchronous system of storing and forwarding information; and
  • Audio-only interaction, whether synchronous or asynchronous.

SOURCE: NV Revised Statutes Sec. 629.515 as amended by AB 276 (2023 Session), (Accessed Mar. 2024).

“Veterinary telemedicine” means the use of medical information exchanged from one site to another via electronic communications regarding the health status of an animal or a group of animals and includes, without limitation, communication via telephone, video, a mobile application or an online platform on an Internet website.

SOURCE: NV Revised Statute Ch. 638.014, (Accessed Mar. 2024).

“Teledentistry” means the use of telehealth by a licensee described in subsection 1 of section 7 of this act who is located at a distant site to facilitate the diagnosis, treatment, education, care management and self-management of or consultation with a patient who is located at an originating site.

The term includes, without limitation:

  • Real-time interactions between a patient at an originating site and a licensee at a distant site;
  • The asynchronous transmission of medical and dental information concerning a patient from an originating site to a licensee at a distant site;
  • Interaction between a licensee who is providing dental services to a patient at an originating site and another licensee at an originating site; and
  • Monitoring of a patient at an originating site by a licensee at a distant site.

SOURCE: NV Revised Statute Ch. 631 as added by AB 147 (2023 Session), (Accessed Mar. 2024).

“Asynchronous optometric telemedicine” means a form of optometric telemedicine in which data that is collected from an examination of a patient that is conducted in person is later transmitted to an optometrist for review.

“Optometric telemedicine” means the use of telehealth, as defined in NRS 629.515, by a licensee who is located at a distant site to deliver health care services to a patient who is located at an originating site. The term includes, without limitation, synchronous optometric telemedicine and asynchronous optometric telemedicine.

“Synchronous optometric telemedicine” means a form of optometric telemedicine in which information is exchanged via electronic communication in real time and includes, without limitation, communication via telephone, video, a mobile application or an online platform on an Internet website.

SOURCE: NV Revised Statute Ch. 636 as added by AB 432 (2023 Session), (Accessed Mar. 2024).

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New Hampshire

Last updated 03/29/2024

Telemedicine means the use of audio, video, or other electronic …

Telemedicine means the use of audio, video, or other electronic media for the purpose of diagnosis, consultation, or treatment [including the use of synchronous or asynchronous interactions as defined in RSA 310:7].

SOURCE: NH Revised Statutes 330-A:15-b, NH Revised Statutes 327:1,  NH Revised Statutes 326-B:2, NH Revised Statutes 326-D:12-a, NH Revised Statutes Annotated, 317-A:7-B, NH Revised Statutes 330-C:14-a, NH Revised Statutes 315:6a , NH Revised Statutes 316-A:15-a, (Accessed Mar. 2024).

Telepsychology, telehealth, and telemedicine services, as provided by psychologists, include those psychology services that utilize electronic means, including audio, video, or other electronic media, to engage in visual or virtual presence in contemporaneous time.

SOURCE: NH Revised Statutes 329-B:16. (Accessed Mar. 2024).

“Telemedicine” means the use of audio, video, or other electronic media and technologies by a physician in one location to a patient in a different location for the purpose of diagnosis, consultation, or treatment, including the use of synchronous or asynchronous interactions as defined in RSA 310.

SOURCE:  NH Revised Statutes Annotated, 329:1-d-I; (Accessed Mar. 2024).

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New Jersey

Last updated 05/09/2024

Telemedicine means the delivery of a health care service using …

Telemedicine means the delivery of a health care service using electronic communications, information technology, or other electronic or technological means to bridge the gap between a health care provider who is located at a distant site and a patient who is located at an originating site, either with or without the assistance of an intervening health care provider. Telemedicine does not include the use, in isolation, of audio-only telephone conversations, electronic mail, instant messaging, phone text, or facsimile transmission.  (NOTE: In some professions the definition also includes mental health services).

“Telehealth” means the use of information and communications technologies, including telephones, remote client monitoring devices, or other electronic means, to support clinical health care, provider consultation, client and professional health-related education, public health, health administration, and other services in accordance with the provisions of P.L. 2017, c. 117 (N.J.S.A. 45:1-61 et seq.).

SOURCE: NJ Statute C.45:1-61. NJ Administrative Code, Title 13, 13:30-9.2 (Dentistry), 13:34-6A.2 (Marriage and Family Therapist), 13:34-32.2 (Marriage and Family Therapy Examiners), 13:34C-7.2 (Alcohol and Drug Counselor)13:35-8.22 (Hearing Aid Dispensers), 13:35-9.22 (Accupuncture), 13:35-2A.19 (Physicians), 13:35-2C.2 (Physician Assistants), 13:35-6B.2 (Medical Examiners), 13:35-12A.2 (Electrologists), 13:37-8A.2 (Nursing), 13:39A-10.2 (Physical Therapy), 13:42-13.2 (Psychological Examiners), 13:44G-15.2 (Social Workers), 13:44C-11.2 (Audiology & Speech Language Pathology), 13:44F-11.2 (Respiratory Care), 13:44H-11.2 (Orthotics & Prosthetics), 13:44K-7.2 (Occupational Therapy), 13:44L-7.2 (Polysomnography), 13:35-14.20 (Genetic Counseling), 13:44-4A.2 (Veterinarians).  (Accessed May 2024).

“Telehealth” means the use of information and communications technologies, including telephones, remote patient monitoring devices, or other electronic means, to support clinical health care, provider consultation, patient and professional health-related education, public health, health administration, and other services in accordance with the provisions of P.L. 2017, c. 117 ( N.J.S.A. 45:1-61 et seq.).

“Telemedicine” means the delivery of a health care service using electronic communications, information technology, or other electronic or technological means to bridge the gap between a State-certified psychoanalyst who is located at a distant site and a patient who is located at an originating site, either with or without the assistance of an intervening State-certified psychoanalyst, and in accordance with the provisions of P.L. 2017, c. 117 ( N.J.S.A. 45:1-61 et seq.). “Telemedicine” does not include the use, in isolation, of audio-only telephone conversation, electronic mail, instant messaging, phone text, or facsimile transmission.

SOURCE: 13:42A-8.2 (Psychoanalysts) (Accessed May 2024).

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New Mexico

Last updated 02/26/2024

“Telehealth means the use of electronic information, imaging and communication …

“Telehealth means the use of electronic information, imaging and communication technologies, including interactive audio, video and data communications as well as store-and-forward technologies, to provide and support health care delivery, diagnosis, consultation, treatment, transfer of medical data and education.”

SOURCE: NM Statutes Annotated Sec. 24-1G-3. (Accessed Feb. 2024).

Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Board

“Telehealth” means the use of telecommunications and information technologies for the exchange of information from one site to another for the provision of audiology, speech-language pathology or hearing aid dispensing services to an individual from a provider through hardwire or internet connection.

“Telepractice” means the practice of telehealth.

SOURCE: NM Administrative Code 16.26.1.7(AA) & (BB). (Accessed Feb. 2024).

Osteopathic Medicine

“Telemedicine” means the practice of medicine across state lines using electronic communications, information technology or other means between a licensed osteopathic physician out of state and a patient in New Mexico. Telemedicine involves the application of secure videoconferencing or store and forward technology to provide or support healthcare delivery by replicating the traditional interaction of the in-person encounters between a provider and a patient.

SOURCE: NM Administrative Code 16.17.1.7(T). (Accessed Feb. 2024).

Osteopathic Medicine – Licensure

Telemedicine: A limited medical license that allows an osteopathic physician located outside New Mexico to practice osteopathic medicine on patients located in New Mexico.

SOURCE: NM Administrative Code 16.17.2.7, (Accessed Feb. 2024).

Teledentistry (Will be Repealed July 1, 2024)

Teledentistry means a dentist’s, dental hygienist’s or dental therapist’s use of electronic information, imaging and communication technologies,  including interactive audio, video and data communications as well as store-and-forward technologies, to provide and support dental health care delivery, diagnosis, consultation, treatment, transfer of dental data and education.”

SOURCE: NM Statutes Annotated Sec. 61-5A-3 (Accessed Feb. 2024).

“Teledentistry” means a dentist’s, dental hygienist’s or dental therapist’s use of electronic information, imaging and communication technologies, including interactive audio, video and data communications as well as store-and-forward technologies, to provide and support dental health care delivery, diagnosis, consultation, treatment, transfer of dental data and education.”

SOURCE: NMAC Sec. 16.5.1.7 (Accessed Feb. 2024).

Medicine and Surgery Practitioners 

Telemedicine means the practice of medicine across state lines as defined in the Medical Practice Act, Subsection K of Section 61-6-6 NMSA 1978.

SOURCE: NM Administrative Code 16.10.2.7, (Accessed Feb. 2024).

Categories of Active License 

Telemedicine: A limited medical license that allows a physician located outside New Mexico to practice medicine on patients located in New Mexico.

SOURCE: NM Administrative Code 16.10.2.8, (Accessed Feb. 2024).

Related to Medical Cannabis

Telemedicine means the use of telecommunications and information technology to provide clinical health care from a site apart from the site where the patient is located, in real time or asynchronously, including the use of interactive simultaneous audio and video or store-and-forward technology, or off-site patient monitoring and telecommunications in order to deliver health care services.

SOURCE: NM Administrative Code 7.34.3.7 & 7.34.2.7. (Accessed Feb. 2024).

Respiratory Care Practitioners

Telemedicine means the use of telephonic or electronic communications to provide clinical services to patients without an in-person visit.

SOURCE: NM Administrative code 16.23.1.7, (Accessed Feb. 2024).

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New York

Last updated 03/13/2024

Related to Credentialing and Privileging health care practitioners providing telemedicine

Related to Credentialing and Privileging health care practitioners providing telemedicine

“Telemedicine means the delivery of clinical health care services by means of real time two-way electronic audio-visual communications which facilitate the assessment, diagnosis, consultation, treatment, education, care management and self-management of a patient’s health care, while such patient is at the originating site and the health care provider is at a distant site.”

SOURCE: NY Public Health Law Article 28 – Section 2805-u. (Accessed Mar. 2024).

Office of Addiction Services and Supports

Telehealth (formerly referred to as telepractice) as defined in 14 NYCRR Part 830 is the delivery of addiction treatment services via audio and video telecommunication, audioonly or video-only telecommunication.

SOURCE: OASAS Telehealth Standards for OASAS Designated Providers, p. 3, Aug. 2023. (Accessed Mar. 2024).

Applied Behavior Analysis, Mental Health Practitioners, Psychology Practice & Social Work

Telepractice includes the use of telecommunications and web-based applications to provide assessment, diagnosis, intervention, consultation, supervision, education and information across distance. It may include providing non-face-to-face applied behavior analysis (ABA), psychological, mental health, marriage and family, creative arts, psychoanalytic, psychotherapy and social work services via technology such as telephone, e-mail, chat and videoconferencing.

SOURCE: NY Office of the Professions, Applied Behavior Analysis, Practice Guidelines; Mental Health Practitioners, Telepractice; Psychology Practice, Telepractice Guidelines; Social Work, Telepractice Guidelines, (Accessed Mar. 2024).

Speech Language Pathology and Audiology

“Telepractice” is providing service that is not “in person” and is delivered through the use of technology. Such technology may include, but is not limited to: telephone, telefax, email, internet, or videoconference. It is considered a mode of practice and the same standards that apply to all forms of practice in the speech-language pathology and audiology professions would apply to telepractice. With reference to speech-language pathology and audiology, telepractice is the use of technology for the application of speech language pathology and audiology services over a distance by connecting a qualified and licensed clinician to a client or one clinician to another for assessment, treatment, and/or consultation.

SOURCE: NY Office of the Professions, Speech Language Pathology and Audiology, Practice Guidelines. (Accessed Mar. 2024).

Physical Therapy

“Telepractice” is providing service that is not “in person” and is facilitated through the use of technology. Such technology may include, but is not limited to, telephone, telefax, e-mail, internet, or videoconference.

SOURCE: NY Office of the Professions, Physical Therapy. Practice Guidelines, (Accessed Mar. 2024).

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North Carolina

Last updated 03/17/2024

Maternal and Child Health and Women’s Health

Telemedicine is the …

Maternal and Child Health and Women’s Health

Telemedicine is the use of audio and video between places of lesser and greater medical capability or expertise to provide and support health care when distance separates participants who are in different geographical locations.

SOURCE: NC General Statute 130A-125(b2)(1). (Accessed Mar. 2024).

Involuntary Commitments

“Telehealth” means the use of two-way, real-time interactive audio and video where the respondent and commitment examiner can hear and see each other.

SOURCE: NC General Statute Sec. 122C-263, (Accessed Mar. 2024).

Practice of teledentistry

The provision of dental services by use of any electronic or other digital means, as authorized in G.S. 90-29(b)(11) and provided for in subsection (b) of this section.

A person shall be deemed to be practicing dentistry in this State who does, undertakes or attempts to do, or claims the ability to do any one or more of the following acts or things which, for the purposes of this Article, constitute the practice of dentistry:

  • Administers an anesthetic of any kind in the treatment of dental or oral diseases or physical conditions, or in preparation for or incident to any operation within the oral cavity; provided, however, that this subsection shall not apply to a lawfully qualified nurse anesthetist who administers such anesthetic under the supervision and direction of a licensed dentist or physician; physician, or to a registered dental hygienist qualified to administer local anesthetics.
  • Owns, manages, supervises, controls or conducts, either himself or himself, by and through another person or other persons, or by use of any electronic or other digital means, any enterprise wherein any one or more of the acts or practices set forth in subdivisions (1) through (10) above are done, attempted to be done, or represented to be done.

SOURCE: NC General Statutes Sec. 90-29 & 90-30.2 (Accessed Mar. 2024).

Veterinary Telemedicine

“Veterinary Telemedicine” or “telemedicine” means the use of electronic or telecommunication technologies to remotely provide medical information regarding a patient’s clinical health status and to deliver veterinary medical services to a patient that resides in or is located in the State. The delivery of veterinary medical services through telemedicine is the practice of veterinary medicine.

SOURCE:  21 NCAC 66 .0211  & NC Veterinary Board of Medicine. (Accessed Mar. 2024).

Occupational Therapy Compact

Telehealth – The application of telecommunication technology to deliver occupational therapy services for assessment, intervention, or consultation.

SOURCE: NC General Statute Sec. 90-270.181, (Accessed Mar. 2024).

Interstate Compact For Audiology And Speech Pathology

Telehealth – The application of telecommunication technology to deliver audiology or speech-language pathology services at a distance for assessment, intervention, and/or consultation.

SOURCE: NC General Statute Sec. 90-312.2. (Accessed Mar. 2024).

Professional Counseling

Telehealth. – The application of telecommunication technology to deliver professional counseling services remotely to assess, diagnose, and treat behavioral health conditions.

SOURCE: NC General Statute Sec. 90-349.2, (Accessed Mar. 2024).

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North Dakota

Last updated 02/19/2024

“Telemedicine” means the practice of medicine using electronic communication, information …

“Telemedicine” means the practice of medicine using electronic communication, information technologies, or other means between a licensee in one location and a patient in another location, with or without an intervening health care provider. The term includes direct interactive patient encounters as well as asynchronous store-and-forward technologies and remote monitoring.

SOURCE: ND Admin Code Sec. 50-2-15-01 (Accessed Feb. 2024).

Stroke system of care task force

Telemedicine services means the use of interactive audio, video, and other electronic media used for the purpose of diagnosis, consultation, or treatment of acute stroke.  The stroke system of care task force shall recommend eligible essential health care services for acute stroke care provided through telemedicine services.

SOURCE: ND Century Code Sec. 23-43-05. (Accessed Feb. 2024).

North Dakota uses federal definitions for “internet” and “practice of telemedicine” set in the Ryan Haight Online Pharmacy Consumer Protection Act of 2008.

SOURCE: ND Century Code Sec. 19-02.1-15.1(1)(d). (Accessed Feb. 2024).

The term ‘practice of telemedicine’ means, for purposes of this title, the practice of medicine in accordance with applicable Federal and State laws by a practitioner (other than a pharmacist) who is at a location remote from the patient and is communicating with the patient, or health care professional who is treating the patient, using a telecommunications system referred to in section 1834(m) of the Social Security Act.  See statute for additional requirements.

SOURCE: Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Pub. L. 110-425; 21 U.S.C. 802-803]. (Accessed Feb. 2024).

Physical Therapy:

“Telehealth” is the use of electronic communications to provide and deliver health-related information and health care services, including physical therapy-related information and services, over any distance. Telehealth encompasses health care and health promotion activities, including education, advice, reminders, interventions, and the monitoring of interventions.

SOURCE: ND Admin. Code 61.5-01-02-01. (Accessed Feb. 2024).

Chiropractic Examiners

“Telehealth” means the use of electronic communications to provide and deliver chiropractic related information and chiropractic services, including chiropractic-related information and services, over any distance. Telehealth encompasses chiropractic care and chiropractic promotion activities, including education, advice, reminders, interventions, and the monitoring of interventions.

SOURCE: ND Century Code 43-06-01, (Accessed Feb. 2024).

Physicians

Telemedicine” means the practice of medicine using electronic communication, information technologies, or other means between a licensee in one location and a patient in another location, with or without an intervening health care provider. “Telemedicine” includes direct interactive patient encounters, asynchronous store-and-forward technologies, and remote monitoring.

SOURCE: ND Century Code 43-17-01, (Accessed Feb. 2024).

Medical Nutrition Therapy and Nutrition Care Services

“Telehealth” means the use of electronic information and telecommunications technologies to provide services under this chapter to support clinical health care, patient and professional health-related education, public health, and health administration between a licensee in one location and an individual in another location.

SOURCE: ND Century Code Ch. 43-44-01 (Accessed Feb. 2024).

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Ohio

Last updated 02/16/2024

“Telehealth services” means health care services provided through the use …

“Telehealth services” means health care services provided through the use of information and communication technology by a health care professional licensed in Ohio, within the professional’s scope of practice, who is located at a site other than the site where the patient is receiving the services or the site where another health care professional with whom the provider of the services is formally consulting regarding the patient is located.

SOURCE: OH Administrative Code 4731-37-01. (Accessed Feb. 2024).

Physical Therapy Practice

Telehealth” means the use of electronic communications to provide and deliver a host of health-related information and healthcare services, including, but not limited to physical therapy related information and services, over large and small distances.

Telehealth encompasses a variety of healthcare and health promotion activities, including, but not limited to, education, advice, reminders, interventions, and monitoring of interventions.

SOURCE: OH Admin. Code 4755-27-01(10). (Accessed Feb. 2024).

“Telehealth” means health care services provided through the use of information and communication technology by a health care professional, within the professional’s scope of practice, who is located at a site other than the site where either of the following is located:

  • The patient receiving the services;
  • Another health care professional with whom the provider of the services is consulting regarding the patient.

SOURCE: OH Admin Code 4755-27-09. (Accessed Feb. 2024).

Speech Language Pathology

“Telehealth” means the use of telecommunications and information technologies for the exchange of information from one site to another for the provision of audiology or speech-language pathology services to an individual from a provider through hardwire or internet connection.

“Telepractice” means the practice of telehealth.

SOURCE: OH Admin. Code 4753-2-01(A)(10) & (11). (Accessed Feb. 2024).

Counselor, Social Worker and Marriage and Family Therapists

Teletherapy means the use of real-time audio or audiovisual communications that permit accurate and meaningful interaction between at least two persons, one of whom is a licensee or registrant (“licensee”) as defined in Ohio Revised Code Chapter 4757. For the purposes of this rule, modalities, including but not limited to phone, video, text, email, instant messaging/chat, are considered teletherapy.

SOURCE: OH Admin. Code 4757-5-13  (Accessed Feb. 2024).

“Teletherapy” means counseling, social work or marriage and family therapy in any form offered, rendered, or supported by electronic or digitally-assisted approaches, to include when the counselor, social worker or marriage and family therapist and the client are not located in the same place during delivery of services or when electronic systems or digitally-assisted systems are used to support in-person face to face therapy.

SOURCE: OH Admin. Code 4757-3-01(GG). (Accessed Feb. 2024).

Vision Professionals

“Telehealth services” means health care services provided through the use of information and communication technology by a health care professional licensed in Ohio, within the professional’s scope of practice, who is located at a site other than the site where the patient is receiving the services or the site where another health care professional with whom the provider of the services is formally consulting regarding the patient is located.

SOURCE: Ohio Administrative Code 4725-25-01. (Accessed Feb. 2024).

Psychologist

“Telepsychology” means the practice of psychology, independent school psychology, or school psychology by distance communication technology, including telephone, electronic mail, internet-based communications, and video conferencing.

SOURCE: OH Revised Code Section 4732.01. (Accessed Feb. 2024).

“Telehealth services” means health care services provided through the use of information and communication technology by a health care professional, within the professional’s scope of practice, who is located at a site other than the site where either of the following is located:

  • The patient receiving the services;
  • Another health care professional with whom the provider of the services is consulting regarding the patient.

SOURCE: OH Revised Code Section 4743.09. (Accessed Feb. 2024).

Occupational Therapy

“Telehealth” means health care services provided through the use of information and communication technology by a health care professional, within the professional’s scope of practice, who is located at a site other than the site where either of the following is located:

  •  The patient receiving the services;
  • Another health care professional with whom the provider of the services is consulting regarding the patient.

SOURCE: OH Administrative Code 4755-7-05. (Accessed Feb. 2024).

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Oklahoma

Last updated 03/06/2024

“Telemedicine” means technology-enabled health and care management and delivery systems …

“Telemedicine” means technology-enabled health and care management and delivery systems that extend capacity and access, which includes:

  • Synchronous mechanisms, which may include live audiovisual interaction between a patient and a health care professional or real-time provider to provider consultation through live interactive audiovisual means,
  • Asynchronous mechanisms, which include store and forward transfers, online exchange of health information between a patient and a health care professional and online exchange of health information between health care professionals, but shall not include the use of automated text messages or automated mobile applications that serve as the sole interaction between a patient and a health care professional,
  • Remote patient monitoring, and
  • other electronic means that support clinical health care, professional consultation, patient and professional health-related education, public health and health administration.

SOURCE: OK Statute Title 43A-1-103 & OK Statute, Title 59, Sec. 478. (Accessed Mar. 2024).

“Telemedicine” means the practice of healthcare delivery, diagnosis, consultation, treatment, including but not limited to, the treatment and prevention of conditions appropriate to treatment by telemedicine management, transfer of medical data, or exchange of medical education information by means of audio, video, or data communications. Telemedicine is not a consultation provided by telephone or facsimile machine (Oklahoma Statutes, Title 36, Sec. 6802). This definition excludes phone or Internet contact or prescribing and other forms of communication, such as web-based video, that might occur between parties that does not meet the equipment requirements as specified in OAC 435:10-7-13 and therefore requires an actual face-to-face encounter. Telemedicine physicians who meet the requirements of OAC 435:10-7-13 do not require a face to face encounter.

SOURCE: OK Admin Code Sec. 435: 10-1-4. (Accessed Mar. 2024).

Occupational Therapy

“Telehealth” means, and shall have, the same meaning as it does under 59 O.S. § 888.3(8).

“Telemedicine” means, and includes, the practice of healthcare delivery, diagnosis, consultation, treatment, including but not limited to, the treatment and prevention of conditions appropriate to treatment by telehealth management, transfer of medical data, or exchange of medical education information by means of audio, video, or data communications. Telemedicine is not a consultation provided by telephone or facsimile machine.

SOURCE: OK Admin Code Sec. 435:30-1-2 (Accessed Mar. 2024).

Speech Language Pathology and Audiology

Telepractice means the use of audio, video or data communication to provide speech-language pathology and audiology services to clients who are not present at the same site as the licensee when the service is provided.

SOURCE: OK Admin Code Sec. 690: 10-3-9(a). (Accessed Mar. 2024).

Physician Assistants

“Telecommunication” means the use of electronic technologies to transmit words, sounds or images for interpersonal communication, clinical care (telemedicine) and review of electronic health records.

SOURCE: OK Statutes §59-519.2. (Accessed Mar. 2024).

Diagnostic X-Ray Systems

“Teleradiology” means the electronic transmission of radiological images from one location to another for the purposes of interpretation and/or consultation.

SOURCE: OK Admin Code Sec. 310:281-1-2 (Accessed Mar. 2024).

Veterinary Medicine

“Telemedicine” or “telehealth” means the practice of veterinary medicine including diagnosis, consultation, evaluation, treatment, transfer of medical data or exchange of information by means of a two-way, real-time interactive communication between a client or patient and a veterinarian with access to and reviewing the patient’s relevant information prior to the telemedicine visit.  Telemedicine or telehealth shall not include consultations provided by telephone audio-only communication. A veterinarian using telehealth technologies shall take appropriate steps to establish the veterinarian-client-patient relationship and conduct all appropriate evaluations and history of the patient consistent with traditional standards of care for the particular patient presentation. A veterinarian shall be licensed, or under the jurisdiction of, the veterinary board of the jurisdiction where the patient is located. The practice of medicine occurs where the patient is located at the time telehealth technologies are used.

SOURCE: OK Statute 59-698.2, (Accessed Mar. 2024).

Teledentistry

“Teledentistry” means the remote delivery of dental patient care via telecommunications and other technology for the exchange of clinical information and images for dental consultation, preliminary treatment planning and patient monitoring.

SOURCE: OK Statute 59-328.3, (Accessed Mar. 2024).

Physical Therapy

“Telehealth” means the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration.

SOURCE: OK Statute Title 59, Sec. 887.2. (Accessed Mar. 2024).

“Telehealth” means, and shall have, the same meaning as it does under 59 O.S. § 887.2(7).

“Telecommunication” means, and shall have, the same meaning as it does under 59 O.S. § 887.2(8).

SOURCE: OK Admin Code Sec. 435:20-1-1.1 (Accessed Mar. 2024).

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Oregon

Last updated 03/30/2024

“Telepharmacy” means the delivery of pharmacy services by a pharmacist, …

“Telepharmacy” means the delivery of pharmacy services by a pharmacist, through the use of a variety of electronic and telecommunications technologies, to a patient at a remote location staffed by a pharmacy technician.

The pharmacy services for which a pharmacist may use telepharmacy include the supervision of the dispensation of prescription drugs to a patient.

The remote location at which a patient receives pharmacy services through the use of telepharmacy must be affiliated with the pharmacy where the pharmacist providing the pharmacy services through telepharmacy regularly engages in the practice of pharmacy.

The State Board of Pharmacy shall adopt rules to carry out this section. The rules adopted under this section must include rules:
  • Regarding remote supervision of a pharmacy technician in order to facilitate the use of telepharmacy; and
  • Describing the pharmacy services that a pharmacist may provide through telepharmacy.

SOURCE: OR Revised Statutes 689.700, (Accessed Mar. 2024).

Health Care Provider Incentive Program

“Telehealth” means the provision of health services from a distance using electronic communications.

SOURCE: OR Admin. Rules 409-036-0010. (Accessed Mar. 2024).

Community Treatment and Support Services

Telehealth means a technological solution that provides two-way, video-like communication on a secure line.

SOURCE: OR Admin. Rules. 309-032-0860. (Accessed Mar. 2024).

Health Planning

“Telemedicine means the provision of health services to patients by physicians and health care practitioners from a distance using electronic communications.”

SOURCE: OR Revised Statutes 442.015(26). (Accessed Mar. 2024).

Board of Chiropractic Examiners

“‘Telehealth’ means a variety of methods, through the use of electronic and telecommunications technologies, for the distance delivery of health care services, including chiropractic services, excluding in-person services, and clinical information designed to improve the health status of a patient, and to enhance delivery of the health care services and clinical information.”

SOURCE: OR Admin. Rules 811-015-0066. (Accessed Mar. 2024).

Physical Therapy

“‘Telehealth service’ means a physical therapy intervention, including assessment or consultation that can be safely and effectively provided using synchronous two-way interactive video conferencing, or asynchronous video communication, in accordance with generally accepted healthcare practices and standards.  For purposes of these rules, ‘telehealth service’ also means, or may be referred to, as ‘telepractice, teletherapy, or telerehab’.”

SOURCE: OR Administrative Rule, Sec. 848-040-0100(13). (Accessed Mar. 2024).

Occupational Therapy

“Telehealth” is defined as the use of interactive audio and video, in real time telecommunication technology or store-and-forward technology, to deliver health care services when the occupational therapist and patient/client are not at the same physical location. Its uses include diagnosis, consultation, treatment, prevention, transfer of health or medical data, and continuing education.

SOURCE: OR Admin. Code 339-010-0006(1) (Accessed Mar. 2024).

Teleoptometry

“Telehealth” means the use of electronic and telecommunications technologies, including remote patient monitoring devices and store and forward technology, to support delivery of optometric clinical health care services. “Telehealth” does not include electronic mail communication, facsimile transmission or audio-only telephone communication between a licensed optometrist and a patient, or the use of an automated computer program or managed website to diagnose or treat ocular or refractive conditions.

“Telemedicine” means the delivery of optometric clinical health care services to a patient by a licensed optometrist through telehealth.

SOURCE: OR Revised Statutes 683.230. (Accessed Mar. 2024).

“Telehealth” is the electronic delivery of optometry care across state lines that complies with the requirements of ORS 683.010 through 683.990 and OAR Chapter 853. Telehealth may include phone applications, online systems, remote patient monitoring devices, 2 way audio, visual or other telecommunications or electronic communications.

SOURCE: OAR 852-001-0002. Board of Optometry, Procedural Rules, Definitions. (Accessed Mar. 2024).

As used in this section, “telemedicine” means the practice of medicine and provision of health care services to a patient by a physician or physician assistant from a distance using electronic communications, including synchronous technologies to facilitate an exchange of information between a patient and physician or physician assistant in real time or asynchronous technologies to facilitate an exchange of information between a patient and a physician or physician assistant in other than real time.

SOURCE: OR Revised Statutes Chapter 677.494, (Accessed Mar. 2024).

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Pennsylvania

Last updated 05/07/2024

Telemedicine is a way to provide health services virtually, such …

Telemedicine is a way to provide health services virtually, such as through video conferencing or over the phone. In Pennsylvania, Medical Assistance (MA) enrolled providers have been permitted to provide certain physical health and behavioral health services virtually since 2007 and 2011, respectively, but the option was not widely used until many providers shifted to deliver services via telemedicine during the COVID-19 pandemic. Similarly, commercial health insurance plans may have had individual policies allowing for reimbursement for services provided via telemedicine but there is no statute in Pennsylvania that explicitly authorizes or prohibits the use or disallowance of telemedicine in Pennsylvania.

SOURCE: PA Dept. of State, Professional Licensing, Telemedicine FAQs. (Accessed May 2024).

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Puerto Rico

Last updated 03/22/2024

Telemedicine.— Means any examination, diagnosis, treatment, operation or prescription  for

Telemedicine.— Means any examination, diagnosis, treatment, operation or prescription  for any disease, pain, injury, deformity or physical and/or mental condition performed on a patient where the surgeon or osteologist performs such activity through the use of advanced telecommunications technologies to exchange information and provide the aforementioned health services in geographically distant areas.

SOURCE: 20 LPRA Section 6001(b) (Accessed Mar. 2024).

 Telemedicine.—  It is the practice of medicine at a distance incorporating both diagnosis, treatment and medical education through the use of technological resources to optimize health care services . They must include, but are not limited to, complementary and instant services to the attention of a specialist; immediate diagnoses by a specialist doctor in a given area or region; remote education of students from nursing schools, health professionals and medicine; digital archiving services for radiological examinations, ultrasounds, medical emergencies and others. In the case of rehabilitation centers,   physical therapists, occupational therapists and speech therapists will be included for telemedicine purposes.

Telehealth.—  Means remote care that health professionals, beyond doctors, offer their patients through the use of technologies, electronic and telecommunications services.

SOURCE: 20 LPRA Section 6011(a)(e) & (f) (Accessed Mar. 2024).

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Rhode Island

Last updated 02/01/2024

Telemedicine is defined very generally as the delivery of healthcare …

Telemedicine is defined very generally as the delivery of healthcare where there is no in-person exchange. Telemedicine, more specifically, is a mode of delivering healthcare services and public health utilizing information and communication technologies to enable the diagnosis, consultation, treatment, education, care management, and self-management of patients at a distance from health care providers.

SOURCE: RI Department of Health. Telemedicine. (Accessed Feb. 2024).

“Telemedicine” means, as defined in R.I. Gen. Laws § 27-81-3, the delivery of clinical healthcare services by use of real time, two (2) way synchronous audio, video, telephone-audio-only communications or electronic media or other telecommunications technology including but not limited to: online adaptive interviews, remote patient monitoring devises, audiovisual communications, including the application of secure video conferencing or store-and-forward technology to provide or support healthcare deliver, which facilitate the assessment, diagnosis, counseling an prescribing treatment and care management of a patient’s healthcare while such patient is at an originating site and the healthcare provider is at a distant site, consistent with applicable Federal laws and Regulation. Telemedicine does not include an email message or facsimile transmission between the provider and patient, or an automated computer program used to diagnose and/or treat ocular or refractive conditions.

SOURCE: Code of RI Rules, 216-40-05-1 & Rhode Island General Laws Sec. 27-81-3, (Accessed Feb. 2024).

Telemedicine is defined very generally as the delivery of health care where there is no in-person exchange. Telemedicine, more specifically, is a mode of delivering health care services and public health utilizing information and communication technologies to enable the diagnosis, consultation, treatment, education, care management, and self-management of patients at a distance from health care providers.

SOURCE: Rhode Island Board of Medical Licensure and Discipline, Guidelines for the Appropriate Use of Telemedicine and the Internet in Medical Practice, (Accessed Feb. 2024).

Speech Language Pathologists

“Telepractice” means the use of telecommunication technology to deliver speech language pathology and audiology services remotely. Other terms such as teleaudiology, telespeech and speech teletherapy are also used in addition to telepractice. Use of telepractice should be of equal quality to services provided in person and consistent with adherence to ASHA’s Code of Ethics (ASHA, 2016a), Scope of Practice in Audiology (ASHA, 2018), Scope of Practice in Speech-Language Pathology (ASHA, 2016b), and Assistants Code of Conduct (ASHA, 2020).

SOURCE: Rhode Island Gen. Laws Sec. 5-48.2-3, (Access Feb. 2024).

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South Carolina

Last updated 05/07/2024

Telemedicine means the practice of medicine using electronic communications, information

Telemedicine means the practice of medicine using electronic communications, information technology, or other means between a licensee in one location and a patient in another location with or without an intervening practitioner.

Telehealth means the use of electronic communications, information technology, or other means to deliver health care, patient and professional health-related education, public health, and health administration between a licensee in one location and a patient in another location with or without an intervening practitioner.

SOURCE: SC Code Annotated Sec. 40-47-20 (52-53) & SC Code Annotated Sec. 40-42-10 as proposed to be amended and added by H 4159 (2024 Session). (Accessed May 2024).

South Carolina law addresses telemedicine under veterinary services, stating, “telemedicine is an audio, video, or data communication of medical information.”

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South Dakota

Last updated 04/02/2024

“Telehealth,” the use of secure electronic information, imaging, and communication …

“Telehealth,” the use of secure electronic information, imaging, and communication technologies by a health care professional to deliver health care services to a patient, including interactive audio-video, interactive audio with store and forward, store-and-forward technology, and remote patient monitoring. Telehealth does not include the delivery of health care services through electronic means under the provisions of chapter 27A-10.

SOURCE: SD Codified Laws Sec. 34-52-1  (Accessed Apr. 2024).

“Telehealth services” is a home-based health monitoring system used to collect and transmit an individual’s clinical data for monitoring and interpretation.

SOURCE: SD Regulation 67:40:19:01(21) (Accessed Apr. 2024).

Mental Health Procedures in Criminal Justice

“Telehealth,” a mode of delivering healthcare services that utilizes information and communication technologies to enable the diagnosis, consultation, treatment, education, care management, and self-management of patients at a distance from health care providers.

SOURCE: SD Codified Laws Ann. § 23A-50-1 (Accessed Apr. 2024).

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Tennessee

Last updated 05/03/2024

“Telehealth,” “telemedicine,” and “provider-based telemedicine” mean: The use of real …

“Telehealth,” “telemedicine,” and “provider-based telemedicine” mean: The use of real time audio, video, or other electronic media and telecommunication technology that enables interaction between a healthcare provider and a patient for the purpose of diagnosis, consultation, or treatment of a patient at a distant site where there may be no in-person exchange between a healthcare provider and a patient; or Store-and-forward telemedicine services.

“Store-and-forward telemedicine services” means the use of asynchronous computer-based communications, which may include the transfer of medical data in an image captured or created by a camera or similar device, between a healthcare provider and patient for the purpose of diagnosis, consultation, or treatment of the patient at a distant site where there may be no in-person exchange between the healthcare provider and the patient.

SOURCE:  TN Code Sec. 63-1-155. (Accessed May 2024).

Telemedicine is the practice of medicine using electronic communication, information technology or other means, between a licensee in one location and a patient in another location. Telemedicine is not an audio only telephone conversation, email/instant messaging conversation or fax. It typically involves the application of secure video conferencing or store-and-forward to provide or support healthcare delivery by replicating the interaction of a traditional encounter between a provider and a patient.

SOURCE: TN Rule Annotated, 0880-02.-16(1)(g). (Accessed May 2024).

All behavioral health professional licensure requirements are the same for telehealth as for on-site face-to- face services. However, licensing requirements vary from state to state thus if a professional is providing direct care services across state lines, the behavioral health professional must adhere to the requirements of each state’s licensing authority.

SOURCE: TN Dept. of Mental Health and Substance Abuse Services. Office of Crisis Services Minimum Standards of Care, p. 50, (2017) (Accessed May 2024).

Optometry

The definition of telehealth shall be defined as provided in T.C.A. § 63-1- 155(a)(2).

SOURCE: TN Rule annotated 1045-02-.18, (Accessed May 2024).

Dentistry

“Teledentistry” which, as used in this section, means the delivery of dental health care and patient consultation through the use of telehealth systems and technologies, including live, two-way interactions between a patient and a dentist licensed in this state using audiovisual telecommunications technology, or the secure transmission of electronic health records and medical data to a dentist licensed in this state to facilitate evaluation and treatment of the patient outside of a real-time or in-person interaction.

SOURCE: TN Code Annotated 63-5-108, (Accessed May 2024).

A teledentistry encounter entails the rendering of a documented dental opinion concerning evaluation, diagnosis, and/or treatment of a patient whether the dentist is physically present in the same room or in a remote location within the state or across state lines.

Teledentistry as practiced under T.C.A § 63-5-108(b)(16) is not an audio-only telephone conversation, email/instant messaging conversation or fax. At a minimum it shall include the application of secure video conferencing or store-and-forward technology to provide or support dental care delivery by replicating the interaction of a traditional encounter between a provider and a patient.

If the information transmitted through electronic or other means as part of a patient’s encounter is not of sufficient quality or does not contain adequate information for the dentist to form an opinion, the dentist must declare they cannot form an opinion to make an adequate diagnosis and must request direct referral for inspection and actual physical examination, request additional data or recommend the patient be evaluated by the patient’s primary dentist or other local oral health care provider.

Store-and-forward technology as used in (1)(b) above is the use of asynchronous electronic communications between a patient and dentist at a distant site for the purpose of diagnostic and therapeutic assistance in the care of patients, including the transferring of dental data from one site to another through the use of a device that records or stores images that are sent or forwarded via electronic communication to another site for consultation.

SOURCE: TN Rule Annotated, Rule 0460-01-.19 (Accessed May 2024).

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Texas

Last updated 04/25/2024

Telehealth service means a health service, other than a telemedicine …

Telehealth service means a health service, other than a telemedicine medical service or a teledentistry dental service, delivered by a health professional licensed, certified, or otherwise entitled to practice in this state and acting within the scope of the health professional’s license, certification, or entitlement to a patient at a different physical location than the health professional using telecommunications or information technology.

“Telemedicine medical service” means a health care service delivered by a physician licensed in this state, or a health professional acting under the delegation and supervision of a physician licensed in this state, and acting within the scope of the physician’s or health professional’s license to a patient at a different physical location than the physician or health professional using telecommunications or information technology.

“Teledentistry dental service” means a health care service delivered by a dentist, or a health professional acting under the delegation and supervision of a dentist, acting within the scope of the dentist’s or health professional’s license or certification to a patient at a different physical location than the dentist or health professional using telecommunications or information technology.

SOURCE: TX Occupations Code 111.001. (Accessed Apr. 2024).

Speech-Language Pathology and Audiology

Telehealth is the use of telecommunications and information technologies for the exchange of information from one site to another for the provision of speech-language pathology or audiology services to a client from a provider, including for assessments, interventions, or consultations regarding a speech-language pathology or audiology client. For a provider who is an audiologist or an audiology intern, telehealth includes the use of telecommunications technology for the fitting and dispensing of hearing instruments. Telehealth is also referred to as telepractice.

Telehealth services is the application of telecommunication technology to deliver speech-language pathology and/or audiology services at a distance for assessment, intervention, and/or consultation including the rendering of audiology and/or speech-language pathology services through telehealth to a client who is physically located at a site other than the site where the provider is located. For a provider who is an audiologist or an audiology intern, telehealth services includes the fitting and dispensing of hearing instruments through telehealth to a client who is physically located at a site other than the site where the provider is located. Telehealth services are also referred to as telepractice services.

SOURCE: TX Admin. Code, Title 16 Sec. 111.210. (Accessed Apr. 2024).

Occupational Therapy

Telehealth is “a mode of service delivery for the provision of occupational therapy services delivered by an occupational therapy practitioner to a client at a different physical location using telecommunications or information technology. Telehealth refers only to the practice of occupational therapy by occupational therapy practitioners who are licensed by this board with clients who are located in Texas at the time of the provision of occupational therapy services. Also may be known as other terms including but not limited to telepractice, telecare, telerehabilitation, and e-health services.”

SOURCE: TX Admin. Code, Title 40 Sec. 362.1(36). (Accessed Apr. 2024).

Physical Therapy

Telehealth is a mode for providing one-on-one physical therapy services to a patient/client and is not a means for supervision of physical therapy aides.

SOURCE:  TX Admin. Code, Title 22, Sec. 322.5. (Accessed Apr. 2024).

Veterinary Medical Examiners

“Telemedicine” means veterinary medicine offered or provided by a person to a patient at a different physical location than the person using telecommunications or information technology.

SOURCE:  TX Admin. Code, Title 22, Sec. 573.68. (Accessed Apr. 2024).

Hearing Instrument Fitters and Dispensers

Telehealth–The use of telecommunications and information technologies for the exchange of information from one site to another for the provision of services to a client from a provider, including for assessments, interventions, or consultations regarding a client or for the fitting and dispensing of hearing instruments. Telehealth is also referred to as telepractice.

Telehealth services–The assessment, intervention, and/or consultation including the fitting and dispensing of hearing instruments through telehealth to a client who is physically located at a site other than the site where the provider is located. Telehealth services is also referred to as telepractice services.

SOURCE: TX Admin. Code Title 16, Sec. 112.130, (Accessed Apr. 2024).

Teledentistry 

“Teledentistry dental service” is defined in Texas Occupations Code §111.001(2-a).

SOURCE: TX Administrative Code Title 22, Part 5, Ch. 108, Rule 108.16. (Accessed Apr. 2024).

Hospital Level of Care Designation for Maternal Care

Telehealth service–A health service, other than a telemedicine medical service, delivered by a health professional licensed, certified, or otherwise entitled to practice in this state and acting within the scope of health professional’s license, certification, or entitlement, to a patient at a different physical location than the health professional using telecommunications or information technology as defined in Texas Occupations Code §111.001.

Telemedicine medical service–A health care service delivered by a physician licensed in this state, or health professional acting under the delegation and supervision of a physician licensed in this state and acting within the scope of the physician’s or health professional’s license to a patient at a different physical location than the physician or health professional using telecommunications or technology as defined in Texas Occupations Code §111.001.

SOURCE: TX Admin. Code, Title 25, Part 1, Sec. 133.202. (Accessed Apr. 2024).

Behavioral Analysts

Telehealth–The use of telecommunications or telecommunications technology for the exchange of information from one site to another for the provision of behavior analysis services to a client from a provider.

Telehealth services–The application of telecommunications technology to deliver behavior analysis services to a client who is physically located at a site other than the site where the provider is located.

SOURCE: TX Admin Code Title 16, Part 4, Ch. 121, Sec. E, Sec. 121. 76 (Accessed Apr. 2024).

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Utah

Last updated 02/28/2024

“Telehealth services” means the transmission of health-related services or information …

“Telehealth services” means the transmission of health-related services or information through the use of electronic communication or information technology.

“Telemedicine services” means telehealth services including:

  • clinical care;
  • health education;
  • health administration;
  • home health;
  • facilitation of self-managed care and caregiver support; or
  • remote patient monitoring occurring incidentally to general supervision; and

provided by a provider to a patient through a method of communication that:

  • uses asynchronous store and forward transfer or synchronous interaction; and
  • meets industry security and privacy standards, including compliance with the federal Health Insurance Portability and Accountability Act of 1996 and the federal Health Information Technology for Economic and Clinical Health Act.

SOURCE: UT Code Sec. 26B-4-704 (Accessed Feb. 2024).

“Teledentistry” means the practice of dentistry using synchronous or asynchronous technology.

SOURCE: UT Code, 58-69-102 (12), (Accessed Feb. 2024).

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Vermont

Last updated 03/05/2024

“Telemedicine” means the delivery of health care services, including dental …

“Telemedicine” means the delivery of health care services, including dental services, such as diagnosis, consultation, or treatment through the use of live interactive audio and video over a secure connection that complies with the requirements of the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191.

SOURCE: VT Statutes Annotated, Title 8 Sec. 4100k(h)(7) (Accessed Mar. 2024).

“Telehealth” means health care services delivered by telemedicine, store and forward, or audio-only telephone.

“Telemedicine” means the delivery of health care services, such as diagnosis, consultation, or treatment, through the use of live interactive audio and video over a secure connection that complies with the requirements of the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191.

SOURCE: VT Statutes Annotated, Title 26, Ch. 56, Sec. 3052, (Accessed Mar. 2024).

“Telemedicine” means the delivery of health care services such as diagnosis, consultation, or treatment through the use of live interactive audio and video over a secure connection that complies with the requirements of the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191.

SOURCE: VT Statutes Annotated, Title 18 Sec. Ch. 113, Sec. 5281, (Accessed Mar. 2024).

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Virgin Islands

Last updated 03/25/2024

For Medicine, Surgery, Dentistry, Pharmacy, Nursing and Nurse-Midwifery

Telemedicine means …

For Medicine, Surgery, Dentistry, Pharmacy, Nursing and Nurse-Midwifery

Telemedicine means the use of medical information exchanged from one distant site to another via electronic communications to improve, maintain, or assist patients’ health status. Videoconferencing, transmission of still images, and e-health including patient centers are all considered part of telemedicine and telehealth.

Telemedicine services means specialist referral services, patient consultations, remote patient monitoring, medical education, and consumer medical and health information, that are performed as part of a telemedicine procedure.

Telemedicine services agreement” means a cooperative agreement within the Territory or between a hospital or licensed physician in the Territory and one outside the Territory for improved health care delivery, including but not limited to tele-stroke/neurology and tele-radiology, in order to decrease patient and physician travel and enhance inter-facility cooperation.

Source: V.I. Code Title 27, § 45a (2019).  (Accessed Mar 2024).

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Virginia

Last updated 04/22/2024

For the purpose of prescribing Schedule VI controlled substances, “telemedicine …

For the purpose of prescribing Schedule VI controlled substances, “telemedicine services” is defined as it is in § 38.2-3418.16 of the Code of Virginia. Under that definition, “telemedicine services,” as it pertains to the delivery of health care services, means the use of electronic technology or media, including interactive audio or video, for the purpose of diagnosing or treating a patient or consulting with other health care providers regarding a patient’s diagnosis or treatment. “Telemedicine services” does not include an audio-only telephone, electronic mail message, facsimile transmission, or online questionnaire.

SOURCE: Telemedicine Guidance. Doc. # 85-12. VA Board of Medicine. P. 4 (Aug. 19, 2021). (Accessed Apr. 2024).

“Teledentistry” means the delivery of dentistry between a patient and a dentist who holds a license to practice dentistry issued by the board through the use of telehealth systems and electronic technologies or media, including interactive, two-way audio or video.

SOURCE: VA Code Annotated Sec. 54.1-2700 (Accessed Apr. 2024).

Statewide Telehealth Plan

“Telehealth services” means the use of telecommunications and information technology to provide access to health assessments, diagnosis, intervention, consultation, supervision, and information across distance. “Telehealth services” includes the use of such technologies as telephones, facsimile machines, electronic mail systems, store-and-forward technologies, and remote patient monitoring devices that are used to collect and transmit patient data for monitoring and interpretation.

SOURCE: VA Statute 32.1-122.03:1. (Accessed Apr. 2024).

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Washington

Last updated 03/30/2024

“Telemedicine means the delivery of health care (or behavioral health) …

“Telemedicine means the delivery of health care (or behavioral health) services through the use of interactive audio and video technology, permitting real-time communication between the patient at the originating site and the provider, for the purpose of diagnosis, consultation, or treatment.   ‘Telemedicine’ includes audio-only telemedicine, but does not include facsimile, or email.”

“Audio-only telemedicine” means the delivery of health care services through the use of audio-only technology, permitting real-time communication between the patient at the originating site and the provider, for the purpose of diagnosis, consultation, or treatment.

“Audio-only telemedicine” does not include:

  • The use of facsimile or email; or
  • The delivery of health care services that are customarily delivered by audio-only technology and customarily not billed as separate services by the provider, such as the sharing of laboratory results.

SOURCE: RCW 70.41.020, (Accessed Mar. 2024).

“Telehealth” includes telemedicine and means the use of synchronous or asynchronous telecommunication technology by a practitioner to provide health care to a patient at a different  physical location than the practitioner. “Telehealth” does not include the use, in isolation, of email, instant messaging, text messaging, or fax.

“Telehealth services” means health care provided through telehealth.

“Telecommunication technology” means technology that supports communication through electronic means. The term is not limited to regulated technology or technology associated with a regulated industry.

SOURCE: RCW New Title 18 Chapter, as added by SB 5481 (2024 Legislative Session). (Accessed Mar. 2024).

Hospice and Home Health

“Telehealth” means a collection of means or methods for enhancing health care, public health, and health education delivery and support using telecommunications technology. Telehealth encompasses a broad variety of technologies and tactics to deliver virtual medical, health, and education services.

“Telemedicine” means the delivery of health care services through the use of HIPAA-compliant interactive audio and video technology, permitting real-time communication between the patient and the agency provider for the purpose of consultation, education, supervision, diagnosis, or treatment, as appropriate per scope of practice. “Telemedicine” also includes supervision of home health aide services to evaluate compliance with the plan of care and patient satisfaction with care. “Telemedicine” does not include the use of audio-only telephone, facsimile, electronic mail, or text messages.

SOURCE: WAC 246-335-610 (20) & (21).. WAC 246-335-510 (23) & (24). (Accessed Mar. 2024).

Audio-only telemedicine” means the delivery of health care services through the use of HIPAA-compliant audio-only technology (including web-based applications), permitting real-time communication between the patient and the agency provider for the purpose of consultation, education, diagnosis, or treatment, as appropriate per scope of practice. “Audio-only telemedicine” also includes supervision of home health aide services to evaluate compliance with the plan of care and patient satisfaction with care. “Audio-only telemedicine” does not include the use of facsimile, electronic mail, or text messages.

SOURCE: WAC 246-335-510 (3)WAC 246-335-610. (Accessed Mar. 2024).

Physical and Occupational Therapy

“Telehealth means providing physical therapy [or occupational therapy] via electronic communication where the physical [occupational] therapist or physical [or occupational] therapist assistant and the patient are not at the same physical location.”

SOURCE: WAC 246-915-187(3(a)) & 246-847-176.(1) (Accessed Mar. 2024).

Washington Medical Commission

Telemedicine as a mode of delivering healthcare services using telecommunications technologies by a practitioner to a patient or to consult with another health care provider at a different physical location than the practitioner. Telemedicine includes real-time interactive services, store-and-forward technologies, and remote monitoring.

Source: WA Medical Commission Updated Telehealth Policy (July 2022).  (Accessed Mar. 2024).

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West Virginia

Last updated 05/18/2024

“Telehealth services” means the use of synchronous or asynchronous telecommunications …

“Telehealth services” means the use of synchronous or asynchronous telecommunications technology or audio only telephone calls by a health care practitioner to provide health care services, including, but not limited to, assessment, diagnosis, consultation, treatment, and monitoring of a patient; transfer of medical data; patient and professional health-related education; public health services; and health administration. The term does not include internet questionnaires, e-mail messages, or facsimile transmissions.

SOURCE: WV Statute Sec. 30-1-26. (Accessed May 2024).

“Practice of telemedicine means the practice of medicine using communication tools such as electronic communication, information technology or other means of interaction between a licensed health care professional in one location and a patient in another location, with or without an intervening health care provider, and typically involves secure real time audio/video conferencing or similar secure audio/video services, remote monitoring, interactive video and store and forward digital image or health data technology to provide or support health care delivery by replicating the interaction of a traditional in person encounter between a provider and a patient.  The practice of telemedicine occurs in this state when the patient receiving health care services through a telemedicine encounter is physically located in this state.”

SOURCE: WV Code Sec. 30-3-13.(b). (Accessed May 2024).

“Telemedicine” means the practice of medicine using tools such as electronic communication, information technology, store and forward telecommunication, audio only telephone calls, or other means of interaction between a physician or podiatrist in one location and a patient in another location, with or without an intervening health care provider.

“Telemedicine technologies” means technologies and devices which enable secure communications and information exchange in the practice of telemedicine, and typically involve the application of secure real-time audio/video conferencing or similar secure video services, remote monitoring or store and forward digital image technology, or audio only telephone calls to provide or support health care delivery by replicating the interaction of a traditional in-person encounter between a physician or podiatrist and a patient.

SOURCE: WV Statute Sec. 30-3-13a & 30-14-12d. (Accessed May 2024).

Veterinarians

“Telehealth services” means the use of synchronous or asynchronous telecommunications technology or audio only telephone calls by a veterinary care professional to provide veterinary care services, including, but not limited to, assessment, diagnosis, consultation, treatment, and monitoring of a patient; maintenance of medical data; patient and professional health-related education; public health services; and health administration. The term does not include internet questionnaires, email messages, or facsimile transmissions. 

SOURCE: WV Statute Sec. 30-10-24. (Accessed May 2024).

Speech-Language Pathologists and Audiologists Compact

“Telehealth” means the application of telecommunication, audio-visual, or other technologies that meets the applicable standard of care to deliver audiology or speech-language pathology services at a distance for assessment, intervention, or consultation.

SOURCE: WV Code Sec. 30-32A-2. (Accessed May 2024).

Dentistry (Final Rule, Expires August 1, 2027)

“Teledentistry” or “Teledentistry services” means the use of synchronous or asynchronous telecommunications technology or audio only telephone calls by a dentist or dental hygienist to provide health care services, within their scope of practice, including, but not limited to, assessment, diagnosis, consultation, treatment, and monitoring of a patient; transfer of medical data; patient and professional health-related education: public health services: and health administration. The term does not include internet questionnaires, e-mail messages, or facsimile transmissions.

SOURCE: WV Admin Law 5-16-2. (Accessed May 2024).

Board of Nursing (Final Rule, Expires Aug. 1, 2033), Board of Osteopathic Medicine (Final Rule, Expires Aug. 1, 2027), Board of Medicine (Final Rule, Expires Aug. 1, 2027)

“Telehealth services” means the use of synchronous or asynchronous telecommunications technology or audio only telephone calls by (profession) to provide health care services, including, but not limited to, assessment, diagnosis, consultation, treatment, and monitoring of a patient; transfer of medical data; patient and professional health-related education; public health services; and health administration. The term does not include internet questionnaires, e-mail messages, or facsimile transmissions.

“Telemedicine technologies” means technologies and devices which enable secure communications and information exchange in the practice of telemedicine, and typically involve the application of secure real-time audio/video conferencing or similar secure video services, remote monitoring or store and forward digital image technology, or audio only telephone calls to provide or support health care delivery by replicating the interaction of a traditional in-person provider and a patient.

SOURCE: WV Admin Law 19-16-2. (Nursing), WV Admin Law 24-10-2. (Osteopathic Medicine), WV Admin Law 11-15-2. (Medicine). (Accessed May 2024).

Board of Social Work (Final Rule, Expires August 1, 2030) and Board of Optometry (Final Rule, Expires August 1, 2028)

“Telehealth services” means the use of synchronous or asynchronous telecommunications technology or audio only telephone calls by a health care practitioner to provide health care services, including, but not limited to, assessment, diagnosis, consultation, treatment, and monitoring of a patient; transfer of medical data; patient and professional health-related education; public health services; and health administration. The term does not include internet questionnaires, e-mail messages, or facsimile transmissions.

SOURCE: WV Admin Law 25-1-2 (Social Workers), WV Admin Law 14-12-2 (Optometrists). (Accessed May 2024).

Board of Counseling Examiners (Emergency Rule, Expires Aug. 1, 2029)

“Telehealth services” means the use of synchronous or asynchronous telecommunications technology or audio only telephone calls that are compliant with Federal and State privacy and confidentiality requirements by a licensed professional counselor or licensed marriage and family therapist to provide services, including, but not limited to, assessment, diagnosis, and treatment. The term does not include internet questionnaires, email messages, or facsimile transmissions.

“Telemedicine technologies” means technologies and devices which enable secure communications and information exchange in the practice of telemedicine, and typically involve the application of secure real-time audio/video conferencing or similar secure video services, remote monitoring or store and forward digital image technology, or audio only telephone calls to provide or support health care delivery by replicating the interaction of a traditional in-person counseling session.

SOURCE: WV Admin Law 27-14-2. (Accessed May 2024).

Board of Nursing (Final Rule, Expires Aug. 1, 2033)

“Virtual telehealth” means a new patient or follow-up patient for acute care that does not require chronic management or scheduled medications.

SOURCE: WV Admin Law 19-16-2. (Accessed May 2024).

Board of Chiropractic Examiners (Final Rule, Expires Aug. 1, 2027)

“Telehealth services” means the use of synchronous or asynchronous telecommunications technology or audio only telephone calls by a health care practitioner to provide chiropractic services for assessment, intervention and/or consultation.  The term does not include internet questionnaires, email messages, or facsimile transmissions, nor does it include promoting or soliciting patients.

SOURCE: WV Admin Law 4-9-2. (Accessed May 2024).

Speech Language Pathology and Audiology (Final Rule, Expires August 1, 2030)

“Telepractice Services” is defined as the application of telecommunication technology to deliver speech-language pathology and/or audiology services at a distance for assessment, intervention and/or consultation.

SOURCE: WV Rule 29-01-2. (Accessed May 2024).

Dietitians (Final Rule, Expires August 1, 2029)

“Telehealth” is the application of evaluative, consultative, preventative, and therapeutic services delivered through telecommunication and information technologies. Medical nutrition therapy or nutrition therapy services provided by means of a telehealth service delivery model can be synchronous, that is, delivered through interactive technologies in real time, or asynchronous, using store-and-forward technologies. Telehealth is considered the same as teletherapy, telerehabilitation, and telepractice in various settings and for the purpose of this rule.

“Telehealth technologies” means technologies and devices which enable secure electronic communications and information exchange in the practice of telehealth, and typically involve the application of secure real-time audio/video conferencing or similar secure video services or store and forward digital image technology to provide medical nutrition therapy or nutrition therapy services by replicating the interaction of a traditional in-person encounter between a licensed dietitian and a patient.

SOURCE: WV Rule 31-7-2. (Accessed May 2024).

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Wisconsin

Last updated 04/19/2024

Telemedicine means the practice of medicine when patient care, treatment, …

Telemedicine means the practice of medicine when patient care, treatment, or services are provided through the use of medical information exchanged from one site to another via electronic communications. Telemedicine does not include the provision of health care services only through an audio-only telephone, email messages, text messages, facsimile transmission, mail or parcel service, or any combination thereof.

SOURCE: WI Admin. Code MED Ch. 24.02 (Accessed Apr. 2024).

“Telehealth” means a practice of health care delivery, diagnosis, consultation, treatment, or transfer of medically relevant data by means of audio, video, or data communications that are used either during a patient visit or a consultation or are used to transfer medically relevant data about a patient. “Telehealth” includes asynchronous telehealth services, interactive telehealth, and remote patient monitoring.

SOURCE: WI Statutes 440.01. (Accessed Apr. 2024).

Veterinary Telemedicine 

“Telemedicine” means the remote delivery of veterinary healthcare services, such as health assessments or consultations, over the telecommunications infrastructure, allowing a veterinarian to evaluate, diagnose and treat patients without the need for an in-person visit.

SOURCE: WI Admin. Code Ch. VE 1.50 (Accessed Apr. 2024).

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Wyoming

Last updated 01/31/2024

Physicians and Surgeons

“Telemedicine” means the practice of medicine by …

Physicians and Surgeons

“Telemedicine” means the practice of medicine by electronic communication or other means from a physician in a location to a patient in another location, with or without an intervening health care provider.

SOURCE: WY Statutes Sec. 33-26-102.(a(xxix)). (Accessed Jan. 2024).

Occupational Therapy

“Occupational therapy telehealth” means the provision of occupational therapy services across a distance, using telecommunications technology for the evaluation, intervention or consultation without requiring the occupational therapist and recipient to be physically located in the same place.

SOURCE: WY Statutes Sec. 33-40-102.(a(v)). (Accessed Jan. 2024).

Physical Therapy

“Telehealth” means the use of electronic communications to provide and deliver a host of health-related information and health care services including, but not limited to, physical therapy related information and services across any distance. Telehealth further includes health care and promotion activities including, but not limited to, education, advice, reminders, interventions, and monitoring interventions.

SOURCE: WY Admin Rules. Board of Physical Therapy. Ch. 7 Sec. 9. (Accessed Jan. 2024).

Audiology and Speech-Language Pathology Interstate Compact

“Telehealth” means the application of telecommunication technology to deliver audiology or speech-language pathology services at a distance for assessment, intervention, and/or consultation.

SOURCE: WY Statutes Annotated Sec. 33-33-402, Sec. 2(y). (Accessed Jan. 2024).

“Telepractice” means the practice of speech-language pathology or audiology by electronic or other means by a speech-language pathologist or audiologist in one (1) location to a patient in another location, with or without an intervening health care provider.

SOURCE: WY Statutes Annotated Sec. 33-33-102, (Accessed Jan. 2024).

Speech Language Pathology

“Telehealth” means the delivery of speech-language pathology or audiology services using electronic communications, information technology, or other means between a Licensee in one location and a patient in another location.

SOURCE: WY Admin Rules. Board of Examiners of Speech-Language Pathology and Audiology Ch. 13, Sec. 2(b). (Accessed Jan 2024).

Athletic Trainers

“Telehealth” means the delivery of athletic training services using electronic communications, information technology, or other means between a Licensee in one location and a patient in another location. Telehealth does not include the use, in isolation, of audio-only telephone conversation, electronic mail, instant messaging, phone text, or facsimile transmission.

SOURCE: WY Admin Rules, Board of Athletic Trainers, Ch. 10, (Accessed Jan. 2024).

Chiropractic Examiners

“Telehealth” means the delivery of healthcare services using electronic communications, information technology, or other means between a licensee in one location and a patient in another location with or without an intervening healthcare provider.

“Telehealth Technologies” means technologies and devices enabling secure electronic communications and information exchange between a licensee in one location and a patient in another location with or without an intervening healthcare provider.

SOURCE: WY Admin Rules. Board of Chiropractic Examiners. Ch. 1 Sec. 2. (Accessed Jan. 2024).

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Professional Requirements

Definitions

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