COVID-19

Originating Site

Originating site refers to the physical location of the patient. During the COVID-19 public health emergency (PHE), Medicare and many Medicaid programs expanded the types of originating sites that a patient could be at while receiving services via telehealth, to include the home and other locations.  These policies are temporary and most will expire at the end of the PHE.

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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 06/30/2023

CMS: Frequently Asked Questions: CMS Waivers, Flexibilities and the End of the COVID-19 Public health Emergency

STATUS:  Varies. Some telehealth flexibilities extended until Dec. 31, 2024. Others have varying expiration dates.

HHS: Telehealth, For Providers, Telehealth Policy: Telehealth policy changes after the COVID-19 public health emergency

STATUS: Lists Permanent Telehealth Policies and those Temporary until Dec. 31, 2023

HHS: Telehealth, For Providers, Telehealth Policy: Telehealth policy updates

STATUS: Policies listed on page extended until Dec. 31, 2024.

CMS: Physicians and Other Clinicians: CMS Flexibilities to Fight COVID-19

STATUS:  Varies. Some telehealth flexibilities extended until Dec. 31, 2024. Others have varying expiration dates.

CMS: Hospitals and CAHs (including Swing Beds, DPUs), ASCs and CMHCs: CMS Flexibilities to Fight COVID-19

STATUS: Varies. Allowance for home as expansion site expired with PHE.  Allowance for hospital and therapy providers to furnish  services remotely in same way they did during PHE expires at end of CY 2023.

CMS: Home Health Agencies: CMS Flexibilities to Fight COVID-19

STATUS:  Varies. Allowance for telecommunications technology provided within 30-day period of care for HHAs made permanent.  Allowance for telehealth to conduct face-to-face encounter ends Dec. 31, 2024.

CMS: COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers

STATUS: Document not updated since PHE expired. Refer to CMS Factsheets by provider type for updated information.

CMS: New and Expanded Flexibilities for RHCs and FQHCs during the COVID-19 PHE

STATUS: Varies. COVID flexibilities for FQHCS/RHCs to be distant sites was extended until Dec. 31 2024.

CMS: COVID-19 Frequently Asked Questions

STATUS: Although document itself was updated in April, telehealth questions not updated since PHE expired. Refer to more recent FAQ document for updated information.

CMS: FAQs for Hospitals and Critical Access Hospitals regarding EMTALA

STATUS: Varies. However factsheet not updated since PHE expired so many of the FAQs may be outdated.

CMS: Interim Final Rule on COVID-19 PHE (additional allowances)

STATUS: Active, Expires at end of PHE.  Some telehealth flexibilities extended until Dec. 31 2024 by HR 2617.

CMS: Interim Final Rule on COVID-19 PHE (original rule)

STATUS: Active, Expires at end of PHE.  Some telehealth flexibilities extended until Dec. 31 2024 by HR 2617.

HR 2617: Consolidated Appropriations Act, 2023 – Extends Some Telehealth Medicare Flexibilities.

STATUS: Extended flexibilities until Dec. 31, 2024.

HR 6074: Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020

STATUS: Enacted

HR 748: CARES Act

STATUS: Enacted

HR 133: Consolidated Appropriations Act, 2021

STATUS: Enacted

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Alabama

Last updated 06/19/2023

Medicaid: Telehealth Services after PHE

STATUS: Announces end of telehealth …

Medicaid: Telehealth Services after PHE

STATUS: Announces end of telehealth services approved during COVID-19 PHE May 31, 2023. Afterward, a new permanent policy took effect.

Medicaid: Telemedicine Origination Site Facility Fee for Outpatient Clinic Services

STATUS: Expired.  Telehealth PHE allowances ended according to public notice, but a permanent policy began June 1, 2023.

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Alaska

Last updated 06/19/2023

Medicaid: Telehealth Flexibilities Extended

STATUS: Extended beyond May 11, 2023 …

Medicaid: Telehealth Flexibilities Extended

STATUS: Extended beyond May 11, 2023 until proposed regulations are effective.

Medicaid: Telehealth Coverage COVID-19 FAQs

STATUS: Website hosting FAQs still active. Likely still effective given notice of telehealth flexibility extension until proposed regulations are effective.

Medicaid: Temporary Expansion of Medicaid Telehealth Services

STATUS: Older version still accessible on AK COVID website. Likely still effective given notice of telehealth flexibility extension until proposed regulations are effective.

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Arizona

Last updated 05/31/2023

Medicaid:  Telehealth Delivery and Billing FAQs

STATUS: Page Active. Updated …

Medicaid:  Telehealth Delivery and Billing FAQs

STATUS: Page Active. Updated 6/1/23.  Expiration of telehealth flexibilities vary. Some are permanent and some expired at end of the COVID-19 emergency declaration.

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Arkansas

Last updated 05/31/2023

Medicaid: Behavioral Health FAQ’s

STATUS: Not updated since end of …

Medicaid: Behavioral Health FAQ’s

STATUS: Not updated since end of PHE. Policies likely expired.

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California

Last updated 06/28/2023

Medicaid: Telehealth Flexibilities and Revisions to the Telehealth Provider Manual

STATUS: Active

Medicaid: Medi-Cal Payment for Telehealth and Virtual/Telephonic Communications Relative to the 2019-Novel Coronavirus

STATUS: Active only during COVID-19 PHE, which has since expired. However, many flexibilities were made permanent. Providers directed to rely on Medi-Cal Telehealth provider manual post-PHE.

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Colorado

Last updated 08/04/2023

Medicaid: Provider Bulletin – Changes to Telemedicine Post-Public Health Emergency (PHE)

STATUS: Active. Bulletin lists emergency telehealth policies that have been made permanent and those that have expired.

Medicaid: End of the Public Health Emergency Page

STATUS: Active. Includes Emergency Telehealth Policy Flexibilities Made Permanent; Emergency Telehealth Policy Flexibilities Ending November 11, 2023; and Emergency Telehealth Policy Flexibilities Ending September 30, 2024.

Medicaid: Telemedicine Provider Information

STATUS: Active. Website refers providers to the Telemedicine Billing Manual for Post-Public Health Emergency Policy.

Department of Health: COVID-19 Telehealth Regulation Changes

STATUS: Active.

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Connecticut

Last updated 07/14/2023

Medicaid: Sunsetting Provider Bulletins Issued in Response to the COVID-19 Public Health Emergency – UPDATED – Bulletin 2023-31

STATUS: Effective May 12, 2023

Medicaid: Sunsetting Home and Community Based Waiver Program Provider Bulletins Issued in Response to the COVID-19 Public Health Emergency – Bulletin 2023-25

STATUS: Effective Nov. 12, 2023

Medicaid: REVISED Guidance for Services Rendered via Telehealth – Bulletin 2023-38

STATUS: Effective May 12, 2023

Medicaid: FAQs About CMAP’s Response to COVID-19

STATUS: Active

Medicaid: Important information for HUSKY Health Providers

STATUS: Active

Medicaid: Updated Telemedicine Guidance for Physical Therapy and Occupational Therapy Services, Bulletin 20-87

STATUS: Sunset effective May 12, 2023 per Bulletin 2023-31

Medicaid: Emergency Temporary Telemedicine Coverage for Physical Therapy, Occupational Therapy & Speech Therapy Services, Bulletin 20-23

STATUS: Sunset effective May 12, 2023 per Bulletin 2023-31

Medicaid: Provider Bulletin on Telemedicine Coverage for Home Health Services and Hospice Services, Bulletin 20-28

STATUS: Sunset effective May 12, 2023 per Bulletin 2023-31

Medicaid: Updates to Telemedicine Coverage for Home Health/Access Agencies, Bulletin 20-85

STATUS: Sunset effective May 12, 2023 per Bulletin 2023-31

Medicaid: Emergency Temporary Telehealth Coverage for Specified Dental Services, Bulletin 20-21

STATUS: Sunset April 1, 2023 per DSS June 2023 Provider Newsletter

Medicaid: Clarifying Guidance for Speech and Language Pathology Telemedicine Services (clarifies allowed services for SLP), Bulletin 20-84

STATUS: Sunset effective May 12, 2023 per Bulletin 2023-31

Medicaid: Provider Bulletin on Therapy Services Rendered at Rehabilitation Clinics, Bulletin 20-24

STATUS: Sunset effective May 12, 2023 per Bulletin 2023-31

Medicaid: Provider Bulletin on Synchronized Telemedicine for Behavioral Health and Autism Spectrum Disorder, Bulletin 20-25

STATUS: Sunset effective May 12, 2023 per Bulletin 2023-31

Medicaid:  Updated Synchronized Telemedicine for Autism Spectrum Disorder Providers, Bulletin 20-47

STATUS: Sunset effective May 12, 2023 per Bulletin 2023-31

Medicaid: Bulletin on Emergency Temporary Telemedicine Coverage, Bulletin 20-10

STATUS: Sunset effective May 12, 2023 per Bulletin 2023-31

Medicaid: Telemedicine Guidance for Respiratory Care Services, Bulletin 21-12

STATUS: Sunset effective May 12, 2023 per Bulletin 2023-31

Medicaid:  Bulletin on Telemedicine Services, Bulletin 20-9

STATUS: See revised Bulletin 2023-38

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

STATUS: Enacted

STATUS: Enacted

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Delaware

Last updated 07/21/2023

Medicaid: Changes to DMMA Telehealth Policies to Respond to COVID-19

STATUS: Still accessible on main COVID page, unclear if still active.

Medicaid:  Telehealth and COVID FAQs

STATUS: Still accessible on main COVID page, unclear if still active.

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District of Columbia

Last updated 06/12/2023

Medicaid: Transmittal 23-11 – Updated Telemedicine Provider Guidance with Revised Billing Requirements

STATUS: Effective March 1, 2023

Medicaid: Operational Plan for Unwinding Continuous Coverage and The COVID-19 Public Health Emergency

STATUS: Active

Medicaid 1915(c) Waiver: Appendix K – Elderly and Persons with Physical Disabilities (EPD Waiver); Individuals with Intellectual and Developmental Disabilities (IDD Waiver)

STATUS: Active, expires six (6) months after the conclusion of the public health emergency (see below for extension).

Medicaid 1915(c) Waiver: Appendix K Addendum – Elderly and Persons with Physical Disabilities (EPD Waiver); Individuals with Intellectual and Developmental Disabilities (IDD Waiver)

STATUS: Active, expires six (6) months after the conclusion of the public health emergency.

Medicaid: Coding for Telemedicine and COVID-19

STATUS: Varies, some sections only active during DC Public Health Emergency.

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Florida

Last updated 06/13/2023

No Reference Found

No Reference Found

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Georgia

Last updated 05/31/2023

Medicaid: Telehealth Guidance Clarification

STATUS: Remains in place until further …

Hawaii

Last updated 06/09/2023

No reference found.

No reference found.

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Indiana

Last updated 06/23/2023

Medicaid:  Telemedicine FAQs

STATUS: Expired

Medicaid: Updated Telemedicine FAQs

STATUS: …

Medicaid:  Telemedicine FAQs

STATUS: Expired

Medicaid: Updated Telemedicine FAQs

STATUS: Expired, some policies updated by BT 202142 and BT202145.

Medicaid: IHCP rescinds certain COVID-19 policy changes

STATUS: Active, although end dates for directives vary.

Medicaid: IHCP clarifies rescinded COVID-19 policies

STATUS: Active

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Iowa

Last updated 08/15/2023

Medicaid: 2457-MC-FFS: Telehealth Flexibilities Following the Public Health Emergency (PHE) 

STATUS: Announces some policies extended after PHE, while others are ending.

Medicaid: COVID Flexibilities Start and End Date

STATUS: Telehealth location flexibility ends on Dec. 31, 2023.

Medicaid: Telehealth Presentation

STATUS: Reviews policies continuing after PHE and those expiring.

Medicaid: 2119-MC-FFS-CVD: Update to Billing Services Provided via Telehealth related to COVID-19

STATUS: Expired. See above.

Medicaid: Approved Code List

STATUS: Lists codes that are permanent, and others that are available through Dec. 31, 2023.

Medicaid: Covered Codes

STATUS: Likely replaced by approved code list above.

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Kansas

Last updated 07/02/2023

Medicaid: Telemedicine Updates in Response to COVID-19

STATUS: Active, until …

Medicaid: Telemedicine Updates in Response to COVID-19

STATUS: Active, until further notice. Still listed on COVID-19 KMAP Providers Information Page updated 5/23/2023, though telemedicine links on page are broken.

Medicaid: Telemedicine Response to COVID-19 Emergency

STATUS: Active, until further notice. Still listed on COVID-19 KMAP Providers Information Page updated 5/23/2023, though telemedicine links on page are broken.

Medicaid:  Expansion with Select Telemedicine Allowed Codes/Home Setting

STATUS: Active, until further notice. Still listed on COVID-19 KMAP Providers Information Page updated 5/23/2023, though telemedicine links on page are broken.

Medicaid:  Additional Codes Added to Telemedicine

STATUS: Active, until further notice. Still listed on COVID-19 KMAP Providers Information Page updated 5/23/2023, though telemedicine links on page are broken.

Medicaid: Additional Telemedicine Coverage for BI Waiver Services During COVID-19

STATUS: Active, until further notice. Still listed on COVID-19 KMAP Providers Information Page updated 5/23/2023, though telemedicine links on page are broken.

Medicaid: SED Waiver Codes Allowed via Telemedicine

STATUS: Active, until further notice. Still listed on COVID-19 KMAP Providers Information Page updated 5/23/2023, though telemedicine links on page are broken.

Medicaid: Additional E/M Codes Allowed via Telemedicine

STATUS: Active, until further notice. Still listed on COVID-19 KMAP Providers Information Page updated 5/23/2023, though telemedicine links on page are broken.

Medicaid:  Expansion of Telemedicine Services for Therapy Services

STATUS: Select Speech Therapy Codes telehealth coverage discontinued.  Other allowances appear to still be listed on COVID-19 KMAP Providers Information Page updated 5/23/2023, though telemedicine links on page are broken.

Medicaid:  Wheelchair Seating Assessment Codes Allowed by Telemedicine

STATUS: Active, until further notice. Still listed on COVID-19 KMAP Providers Information Page updated 5/23/2023, though telemedicine links on page are broken.

Medicaid:  Allowance of Additional Mental Health Crisis Intervention Codes

STATUS: Active, until further notice. Still listed on COVID-19 KMAP Providers Information Page updated 5/23/2023, though telemedicine links on page are broken.

Medicaid:  I/DD Telemedicine Services During COVID-19

STATUS: Active, until further notice. Still listed on COVID-19 KMAP Providers Information Page updated 5/23/2023, though telemedicine links on page are broken.

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Kentucky

Last updated 07/12/2023

Medicaid: COVID-19 FAQs on Telehealth

STATUS: Still accessible on main

Medicaid: COVID-19 FAQs on Telehealth

STATUS: Still accessible on main COVID page.  Many flexibilities expired, while others were made permanent.  FAQ updated 3/11/23.

Medicaid:  1915(c) Home and Community Based Services Waiver – COVID-19 and Appendix K FAQs

STATUS: Active.  Updated 6/28/23.

Medicaid: Participants Visits and COVID-19

STATUS: Active until six months after PHE expiration.

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Louisiana

Last updated 06/05/2023

Medicaid: Outpatient SUD Treatment (20-7) & Health Plan Advisory 20-9

STATUS: In-person requirement for mental health rehabilitation services effective May 12, 2023. Assessments by LMHPs through synchronous audio/visual telehealth allowed after May 12, 2023 with member consent.

Medicaid: Informational Bulletin on Telehealth Facilitation by Licensed Mental Health Practitioners (20-6) & Health Plan Advisory 20-8

STATUS: In-person requirement for mental health rehabilitation services effective May 12, 2023. Assessments by LMHPs through synchronous audio/visual telehealth allowed after May 12, 2023 with member consent.

Medicaid: Information Bulletin on Telehealth Facilitation of Mental Health Rehabilitation Services  & Health Plan Advisory 20-7

STATUS: In-person requirement for mental health rehabilitation services effective May 12, 2023. Assessments by LMHPs through synchronous audio/visual telehealth allowed after May 12, 2023 with member consent.

Medicaid: Overall Telehealth/Telemedicine Update (20-5)

STATUS: Bulletin retired.

Medicaid: Response to COVID-19

STATUS: Bulletin retired.

Medicaid: Teledentistry

STATUS: Bulletin retired.

Medicaid: Home and Community-Based Services Waivers Community Choices Waiver (LAC 50:XXI.Subpart 7)

STATUS: Active during COVID-19 public health emergency (PHE).  Unclear if it’s referring to the federal or state PHE.

Medicaid: Physician Directed Treatment-in-Place

STATUS:   Effective May 12, 2023

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Maryland

Last updated 05/24/2023

Medicaid: Provider Guidance Post-Emergency Memo/BHA Telehealth Post Emergency – Revised Guidance 

STATUS: Active

Maryland Health Care Commission: Payer Telehealth Policies

STATUS: Active

Medicaid: FAQs for Behavioral Health Administration Partners

STATUS: Varies, legislation extends some flexibilities

Medicaid: Behavioral Health Administration Hospital Based Outpatient Programs Telehealth Guidance

STATUS: Varies, legislation extends some flexibilities

Medicaid: Telehealth Guidance for School-Based Health Centers during the COVID-19 Public Health Emergency

STATUS: Guidance in effect until further notice

HB 123/SB 3 – Extends many telehealth flexibilities including relaxed originating site restrictions, as well as audio-only and parity until June 30, 2023

STATUS: Enacted

HB 1148/SB 582/SB 534 – Effective June 1, 2023, extends audio-only and parity until June 30, 2025

STATUS: Enacted

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Michigan

Last updated 09/05/2023

Medicaid:  Telemedicine Policy Post-COVID-19 Public Health Emergency

STATUS:  Details permanent …

Medicaid:  Telemedicine Policy Post-COVID-19 Public Health Emergency

STATUS:  Details permanent policy after PHE, as well as some policies that are now expired.

Medicaid:  General Telemedicine Policy

STATUS: Status of each allowance post-PHE is detailed in Mar. 12, 2023 Telemedicine Update bulletin.

Medicaid: Telemedicine Reimbursement for FQHCs, RHCs, Tribal Health Centers

STATUS: Rescinded. See telemedicine update bulletin.

Medicaid 1915(c) Waiver: Appendix K -MI Health Link Home and Community Based Services Waiver

STATUS: According to Bulletin 23-23, some policies already expired, some will expire Nov 11, 2023, and others are permanent.

Medicaid 1915(c) Waiver: Appendix K – MI Choice

STATUS: Expired February 28, 2021; extended by Addendum

Medicaid 1915(c) Waiver: Appendix K- MI Choice

STATUS: Active until six months after the conclusion of the PHE

Medicaid 1915(c) Waiver: Appendix K – Habilitation Supports, Children’s Waiver Program (CWP) Waiver for Children with Serious Emotional Disturbances (SEDW)

STATUS: Expired February 28, 2021; extended by Addendum

Medicaid 1915(c) Waiver: Appendix K – Habilitation Supports, Children’s Waiver Program (CWP) Waiver for Children with Serious Emotional Disturbances (SEDW)

STATUS: Active until no later than six months after the expiration of the PHE

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Minnesota

Last updated 06/27/2023

Medicaid: COVID-19 and Telemedicine

STATUS: Active, various expiration dates. See …

Medicaid: COVID-19 and Telemedicine

STATUS: Active, various expiration dates. See page for further guidance.

Medicaid 1915(c) Waiver: Appendix K – Brain Injury (BI) Waiver, Community Alternative Care (CAC) Waiver, Community Access for Disability Inclusion (CADI), Developmental Disabilities (DD) Waiver, and Elderly Waiver (EW)

STATUS: Active, until six months after the end of the Federal PHE for COVID-19

Medicaid 1915(c) Waiver: Appendix K – Brain Injury (BI) Waiver, Community Alternative Care (CAC) Waiver, Community Access for Disability Inclusion (CADI), Developmental Disabilities (DD) Waiver, and Elderly Waiver (EW)

STATUS: Active, extends current waivers until six months after the end of the Federal PHE for COVID-19

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Mississippi

Last updated 08/08/2023

Medicaid:  Procedure during state of emergency

STATUS: Permanent procedure to …

Medicaid:  Procedure during state of emergency

STATUS: Permanent procedure to follow during state of emergency.

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Missouri

Last updated 09/05/2023

Medicaid: Provider COVID-19 Tips

STATUS: Webpage archived. Likely expired.  However …

Medicaid: Provider COVID-19 Tips

STATUS: Webpage archived. Likely expired.  However 2023 Provider Tips indicates telemedicine services will continue after PHE.

Medicaid 1915(c) Waiver: Appendix K – Comprehensive Waiver, Community Support Waiver, Partnership for Hope Waiver, Missouri Children with Developmental Disabilities Waiver

STATUS: Active, expires no later than 6 months after the expiration of the PHE (see extension below)

Medicaid 1915(c) Waiver: Appendix K Addendum – Comprehensive Waiver, Community Support Waiver, Partnership for Hope Waiver, Missouri Children with Developmental Disabilities Waiver

STATUS: Active, Addendum extending current waivers no later than 6 months after the expiration of the PHE

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Montana

Last updated 06/05/2023

MT Medicaid: Resumption of Face-to-face services of certain programs

STATUS: Updates to face-to-face requirements effective May 12, 2023

MT Medicaid: Coverage and Reimbursement Policy for Telemedicine/Telehealth Services

STATUS: Policies made permanent

MT Medicaid: Comprehensive Waiver, Applied Behavior Analysis, and Targeted Case Management

STATUS: Telehealth flexibilities continue after May 11, 2023

MT Medicaid: Telehealth/Telemedicine FAQs

STATUS:  No specified expiration.  Most telehealth policies made permanent.  Notice still listed on MT COVID website.

Medicaid 1915(c) Waiver:  Appendix K – Big Sky Home and Community Based Waiver Combined

STATUS: Expired

Medicaid 1915(c) Waiver:  Appendix K Addendum – Big Sky Home and Community Based Waiver Combined

STATUS: Expired

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Nebraska

Last updated 08/08/2023

Medicaid: Telehealth Guidance Document

STATUS: Some policies expired with PHE, …

Medicaid: Telehealth Guidance Document

STATUS: Some policies expired with PHE, others made permanent.

Medicaid: End of the Public Health Emergency

STATUS: Lists policies made permanent and expired.

Medicaid:  General Statewide Telehealth -COVID-19 FAQs

STATUS: Expired, see Telehealth Guidance Document and Medicaid PHE webpage for policies made permanent.

Medicaid:  Telehealth Behavioral Health Services

STATUS: Expired, see Telehealth Guidance Document and Medicaid PHE webpage for policies made permanent.

Medicaid: Telephone Reimbursement

STATUS: Expired, see Telehealth Guidance Document and Medicaid PHE webpage for policies made permanent.

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Nevada

Last updated 07/17/2023

Medicaid: NV COVID-19 PHE Operational Unwinding Plan

STATUS: Notes telehealth …

Medicaid: NV COVID-19 PHE Operational Unwinding Plan

STATUS: Notes telehealth flexibilities allowed to continue due to approval of SPA 22-0012.

Medicaid: Update to Telehealth Services for Home Health and Hospice Agencies

STATUS: Still accessible on COVID Informational webpage (right sidebar). PHE Unwinding was implemented April 1, 2023.  Some telehealth flexibilities made permanent through SPA 22-0012. Also see PHE Unwinding Plan.

Medicaid:  Telehealth Services

STATUS: Still accessible on COVID Informational webpage (right sidebar). PHE Unwinding was implemented April 1, 2023.  Some telehealth flexibilities made permanent through SPA 22-0012. Also see PHE Unwinding Plan.

Medicaid: Telehealth Resource Guide

STATUS: Still accessible on COVID Informational webpage (right sidebar). PHE Unwinding was implemented April 1, 2023.  Some telehealth flexibilities made permanent through SPA 22-0012. Also see PHE Unwinding Plan.

Medicaid:  Telehealth Billing Guidelines

STATUS: Still accessible on NV DHCFP Announcements & Newsletters webpage. PHE Unwinding was implemented April 1, 2023.  Some telehealth flexibilities made permanent through SPA 22-0012. Also see PHE Unwinding Plan.

Medicaid 1915(c) Waiver: Appendix K – Individuals with Intellectual and Developmental Disabilities; Frail Elderly; Persons with Physical Disabilities Combined

STATUS: Active, expires Six (6) months after the end of the Public Health Emergency (PHE)

Medicaid 1915(c) Waiver: Appendix K Addendum – Individuals with Intellectual and Developmental Disabilities; Frail Elderly; Persons with Physical Disabilities Combined

STATUS: Active, expires Six (6) months after the end of the Public Health Emergency (PHE)

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New Hampshire

Last updated 07/13/2023

New Hampshire Medicaid:  Telehealth Informational Bulletin

STATUS: Still accessible on …

New Hampshire Medicaid:  Telehealth Informational Bulletin

STATUS: Still accessible on Messages and Announcement Page, however some policies referenced may have expired with the COVID-19 state of emergency.

New Hampshire Medicaid: Telehealth Update

STATUS: Likely replaced by bulletin above.

Medicaid 1915(c) Waiver: Appendix K – In Home Support; Developmental Disabilities; Acquired Brain Disorder; Choices for Independence Waiver for Elderly and Chronically Ill Combined

STATUS: Active, expires no later than 6 months after the expiration of the PHE

Medicaid 1915(c) Waiver: Appendix K Addendum – In Home Support; Developmental Disabilities; Acquired Brain Disorder; Choices for Independence Waiver for Elderly and Chronically Ill Combined

STATUS: Active, expires no later than 6 months after the expiration of the PHE

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New Jersey

Last updated 08/10/2023

No Reference Found

No Reference Found

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New Mexico

Last updated 06/19/2023

Medicaid: COVID-19 Specialty Behavioral Health Service Guidance

STATUS: Unclear status of policies. NM ended COVID public health order March 31, 2023.

Medicaid: Special COVID-19 Guidance

STATUS: Unclear status of policies. NM ended COVID public health order March 31, 2023.

Medicaid: COVID-19 FAQs for Providers #2

STATUS: Active

Medicaid 1915(c) Waiver: Appendix K – Supports Waiver, Developmental Disabilities Waiver

STATUS: Active, expires 6 months after the conclusion of the PHE

Medicaid 1915(c) Waiver: Appendix K – Developmental Disabilities Waiver, Mi Via ICF/IDD Waiver, Medically Fragile Waiver

STATUS: Active, expires 6 months after the conclusion of the PHE

Medicaid 1915(c) Waiver: Appendix K Addendum – Developmental Disabilities Waiver, Medically Fragile Waiver, Mi Via Waiver, Supports Waiver Combined

STATUS: Active, Addendum to current waiver and extends it until 6 months after the conclusion of the PHE

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New York

Last updated 06/01/2023

Most NY COVID policies have since expired but many have …

Most NY COVID policies have since expired but many have been made permanent – see below documents for more information:

Medicaid: Comprehensive Guidance Regarding Use of Telehealth including Telephonic Services After the Coronavirus Disease 2019 Public Health Emergency

STATUS: Effective May 11, 2023

Medicaid: Telehealth General Information and FAQs

STATUS: Active

Office of Mental Health: Impact of the end of the Federal Public Health Emergency on the OMH System

STATUS: Effective May 12, 2023

Medicaid 1915(c) Waiver: Appendix K – OPWDD/Home and Community Based Services Waiver

STATUS: Active expires six months after the end of the federal PHE.

Medicaid 1915(c) Waiver: Appendix K – Nursing Home Transition and Diversion (NHTD) and Traumatic Brain Injury (TBI)

STATUS: Active, expires six months after the end of the federal PHE.

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North Carolina

Last updated 07/17/2023

Medicaid:  Ending Clinical Policy Flexibilities Associated with the Federal Public Health Emergency

STATUS:  Lists all policies and whether they were made permanent, sunset 5/11/23, or will sunset 11/11/23.

Medicaid: Extension of NC State of Emergency Temporary Flexibilities

STATUS: Lists status of all COVID policies as of March 21, 2022. Some were made permanent, while others expired Jun 30, 2022.

Medicaid: Bulletin on Telehealth for Maternal Support

STATUS: Varies. Maternal support services, including birthing classes and nonphysical provider, per session via telemedicine interactive audio-visual communication (HCPCS S9442) made permanent. Other policies sunset June 30, 2022 or are under review for permanent placement in policy. Also see Bulletin #237 and Bulletin #265 which lists status of all COVID related policies.

Medicaid: Bulletin on Telehealth for Hybrid Telemedicine with Supporting Home Visit

STATUS: Bulletin #265 lists this policy as made permanent.

Medicaid:  Bulletin on Telehealth for ESRD Services – Monthly/daily capitation services and training conducted via telemedicine.

STATUS: Bulletin #265 lists this policy as made permanent.

Medicaid: Bulletin on Telehealth for Outpatient Respiratory Therapy

STATUS: Some respiratory therapy codes made permanent, others expired Jun 30, 2022.  See Bulletin #265.

Medicaid: Bulletin on Telehealth for Interim Perinatal Care – Visits conducted via telemedicine

STATUS: Bulletin #265 lists this policy as made permanent.

Medicaid: Telehealth Definitions, Eligible Providers, Services and Codes

STATUS: Varies. Bulletin #265 lists all policies and whether they were made permanent, sunset 5/11/23, or will sunset 11/11/23.

Medicaid 1915(c) Waiver: Appendix K – NC Innovations

STATUS: Active, until six months following the end of the Public Health Emergency (see below)

Medicaid 1915(c) Waiver: Appendix K Addendum – NC Innovations

STATUS: Active, until six months following the end of the Public Health Emergency

Medicaid 1915(c) Waiver: Appendix K – CAP/DA

STATUS: Active, until six months following the end of the Public Health Emergency (see below)

Medicaid 1915(c) Waiver: Appendix K Addendum – CAP/DA

STATUS: Active, until six months following the end of the Public Health Emergency

Medicaid 1915(c) Waiver: Appendix K – Community Alternatives for Children

STATUS: Active, until six months following the end of the Public Health Emergency (see below)

Medicaid 1915(c) Waiver: Appendix K Addendum – Community Alternatives for Children

STATUS: Active, until six months following the end of the Public Health Emergency

Medicaid 1915(c) Waiver: Appendix K – NC TBI Waiver

STATUS: Active, until six months following the end of the Public Health Emergency (see below)

Medicaid 1915(c) Waiver: Appendix K Addendum – NC TBI Waiver

STATUS: Active, until six months following the end of the Public Health Emergency

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North Dakota

Last updated 06/13/2023

Medicaid 1915(c) Waiver: Appendix K – Developmental Disabilities Traditional IID/DD HCBS Waiver

STATUS: Active, until 6 Months after the Federal PHE. See extension below.

Medicaid 1915(c) Waiver: Appendix K – Medicaid Waiver for Home and Community Based Services

STATUS: Active, until 6 Months after the Federal PHE. See extension below.

Medicaid 1915(c) Waiver: Appendix K – Medically Fragile Children

STATUS: Active, until 6 Months after the Federal PHE. See extension below.

Medicaid 1915(c) Waiver: Appendix K – Children’s Hospice

STATUS: Active, until 6 Months after the Federal PHE. See extension below.

Medicaid 1915(c) Waiver: Appendix K – Autism Spectrum Disorder (ASD) birth through thirteen

STATUS: Active, until 6 Months after the Federal PHE. See extension below.

Medicaid 1915(c) Waiver: Appendix K Addendum – Developmental Disabilities Traditional IID/DD HCBS Waiver; Children’s Hospice; Medicaid Waiver for Home and Community Based Services; Autism Spectrum Disorder (ASD) birth through thirteen; Medically Fragile Children

STATUS: Active, until 6 Months after the Federal PHE

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Ohio

Last updated 06/07/2023

Medicaid Managed Care: Provider Resource Guide

STATUS: Still listed on …

Medicaid Managed Care: Provider Resource Guide

STATUS: Still listed on state website, however policies may have been superseded by permanent telehealth policy).

Medicaid Managed Care: State of Emergency Provider Guide Statement on Telehealth

STATUS: Still listed on state website, however policies may have been superseded by permanent telehealth policy).

Medicaid: Emergency Telehealth Rules

STATUS: Still listed on state website, however policies may have been superseded by permanent telehealth policy).

Medicaid: COVID-19 Emergency Telehealth Rules FAQs

STATUS: Still listed on state website, but policies vary and some may have been superseded by permanent telehealth policy).

Medicaid 1915(c) Waiver: Appendix K Addendum – Individual Options, Level One, and Self-Empowered Life Funding Waiver (SELF)

STATUS:  Active, until 6 months after the conclusion of the PHE

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Oklahoma

Last updated 07/02/2023

Medicaid: 2023 Provider Updates

STATUS: PHE allowances expired. OHCA will …

Medicaid: 2023 Provider Updates

STATUS: PHE allowances expired. OHCA will continue to allow select medical and behavioral health services via telehealth.

Medicaid 1915(c) Waiver: Appendix K – Community Waiver; Homeward Bound Waiver

STATUS: Expires six months after Public Health Emergency expiration.

Medicaid 1915(c) Waiver: Appendix K – Community Waiver; Homeward Bound Waiver

STATUS: Expires six months after Public Health Emergency expiration.

Medicaid 1915(c) Waiver: Appendix K – In Home Supports Waiver for Children

STATUS: Expires six months after Public Health Emergency expiration.

Medicaid 1915(c) Waiver: Appendix K – In Home Supports Waiver for Adults

STATUS: Expires six months after Public Health Emergency expiration.

Medicaid 1915(c) Waiver: Appendix K Addendum – Community Waiver; Homeward Bound Waiver; In Home Supports Waiver for Adults; In Home Supports Waiver for Children; Medically Fragile Waiver Combined

STATUS: Active, expires six months after Public Health Emergency expiration

 

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Oregon

Last updated 07/31/2023

Medicaid: PHE Authorities and Flexibilities Memo

STATUS: Lists requirements/flexibilities that …

Medicaid: PHE Authorities and Flexibilities Memo

STATUS: Lists requirements/flexibilities that will end on or before May 11, 2023 and others that extend after May 11, 2023.

Medicaid: COVID-19 Provider Guide

STATUS: Still accessible on COVID-19 webpage.  Many policies expired due to end of state emergency declaration and federal PHE.

Medicaid 1915(c) Waiver: Appendix K – Aging and People with Disabilities

STATUS: Active, expires six months beyond the end date of the federal Public Health Emergency (PHE)

Medicaid 1915(c) Waiver: Appendix K Addendum – Aging and People with Disabilities

STATUS: Active, expires six months beyond the end date of the federal Public Health Emergency (PHE)

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Pennsylvania

Last updated 09/10/2023

Medicaid 1915(c) Waiver: Appendix K – OBRA

STATUS: Active, expired …

Medicaid 1915(c) Waiver: Appendix K – OBRA

STATUS: Active, expired March 5, 2021; extended through Addendum

Medicaid 1915(c) Waiver: Appendix K – Community HealthChoices

STATUS: Active, expired March 5, 2021; extended through Addendum

Medicaid 1915(c) Waiver: Appendix K- Combined Waiver OBRA and Community HealthChoices

STATUS: Active, until six months after the end of the COVID-19 Public Health Emergency

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Puerto Rico

Last updated 07/12/2023

Ruling Letter CN – 2020-274-D

Status: Repealed

Admin Order 470

Status: Appears to be Active

Admin Order 449

Status: Appears to be Active

Admin Order 438

Status: Appears to be Active

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Rhode Island

Last updated 05/24/2023

Medicaid:  COVID-19 Telehealth Guidance

STATUS: Document only accessible through a …

Medicaid:  COVID-19 Telehealth Guidance

STATUS: Document only accessible through a site search of RI.gov website.  Uncertain if still active.  Document itself states that its active until further notice.

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South Dakota

Last updated 07/31/2023

Medicaid: PHE Unwinding Changes to Coverage

STATUS: Announces policies that …

Medicaid: PHE Unwinding Changes to Coverage

STATUS: Announces policies that will end with PHE (May 11, 2023) and others made permanent.

Medicaid: South Dakota Provider Manual

STATUS: COVID-19 flexibilities listed in manual discontinued (see page 7).

Medicaid: COVID-19 FAQs

STATUS: Some policies permanent while others expired with PHE.

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Tennessee

Last updated 08/30/2023

No Reference Found

No Reference Found

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Texas

Last updated 08/21/2023

Medicaid:  Medicaid and CHIP Services COVID-19 Information

STATUS: Document updated …

Medicaid:  Medicaid and CHIP Services COVID-19 Information

STATUS: Document updated May 2023. Most policies have expired.

Medicaid: COVID-19 Extension for multiple Flexibilities

STATUS: Expired

 

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Utah

Last updated 06/27/2023

UT Medicaid: COVID-19 and the PHE – Unwinding Policy Communication

STATUS: Varies. Some policies expire with the PHE while others will continue.

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Vermont

Last updated 07/12/2023

Department of Vermont Health Access: Telehealth, Informational Page

SOURCE: Most …

Department of Vermont Health Access: Telehealth, Informational Page

SOURCE: Most policies permanent.  Updates section reports policies that have expired.

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Virgin Islands

Last updated 07/25/2023

No reference found.

No reference found.

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Virginia

Last updated 08/15/2023

Medicaid:  Public Health Emergency Ends on May 11, 2023

STATUS: Some telehealth flexibilities continuing after PHE.

Medicaid: Update to Provider Flexibility Chart

STATUS:  Some behavioral health service policies made permanent.

Medicaid: Continuing COVID flexibilities based on federal authority

STATUS: Expired

Medicaid: Policies remaining in effect, updated in July 2023

STATUS: Lists policies still in effect.

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Washington

Last updated 06/21/2023

Medicaid: Clinical Policy for COVID-19 Billing Guide

STATUS: Effective May …

Medicaid: Clinical Policy for COVID-19 Billing Guide

STATUS: Effective May 12, 2023

Medicaid: Behavioral Health Policy and Billing FAQ

STATUS: Effective May 12, 2023

Medicaid: Apple Health (Medicaid) Applied Behavior Analysis (ABA) policy and billing during the COVID-19 pandemic

STATUS: Effective July 22, 2022

Medicaid: FAQ for Physical, Occupational and Speech Therapy

STATUS: Effective July 22, 2022

Medicaid: FAQ for Diabetes Education Providers

STATUS: Effective July 22, 2022

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West Virginia

Last updated 05/25/2023

Medicaid: Telehealth Educational Handout

STATUS: Active

Medicaid:  Non-emergent E&M for

Medicaid: Telehealth Educational Handout

STATUS: Active

Medicaid:  Non-emergent E&M for FQHCs/RHCs (revised)

STATUS: Active

Medicaid:  Non-Emergent E&M Services via Telehealth

STATUS: Active

Medicaid: Teledentistry

STATUS: Active until further notice

Medicaid: Telehealth Modality for Physical, Occupational or Speech Therapy

STATUS: Active

Medicaid: Telehealth Modality

STATUS: Active

Medicaid: Provider Newsletter with updated place of service code billing guidance

STATUS: Active

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Wisconsin

Last updated 08/30/2023

Medicaid: Telehealth COVID-19 and Unwinding Alerts and Updates Resources for Providers

STATUS: Lists policies made permanent and those that were temporary.

Medicaid: Telehealth Expansion and Related Resources

STATUS: COVID policies no longer listed on page. Refers to Telehealth chapter of manual for permanent policy.

Medicaid: FAQs about Telehealth Policy Changes

STATUS:  Varies. Some policies have expired, while others will continue.

Medicaid: Expanded Coverage for Permanent Telehealth Policy

STATUS: Policies made permanent.  See: Telehealth Unwinding Alert.

Medicaid: Transition from Temporary to Permanent Synchronous Telehealth Coverage Policy and Billing Guidelines

STATUS: Expired. Certain policies made permanent, while others were temporary and expired. See: Telehealth Unwinding Alert.

Medicaid: Temporary Changes to Telehealth Policy and Clarifications for Behavioral Health and Targeted Case Management Providers

STATUS: Expired. Certain policies made permanent, while others were temporary and expired. See: Telehealth Unwinding Alert.

 

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Wyoming

Last updated 05/24/2023

Medicaid:  Home Health COVID-19

STATUS: Possibly expired.  Webpage looks like …

Medicaid:  Home Health COVID-19

STATUS: Possibly expired.  Webpage looks like it hasn’t been updated in 2023.

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