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 02/25/2023

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

STATUS:  Varies. Some policies are permanent, others will end with PHE May 11, 2023, some active through 2023 and others will expire on Dec. 31, 2024.

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

STATUS: Varies. Allowance for home address of providers to be used ends Dec. 31, 2023.  Unclear when ability of hospitals to bill for telehealth services provided to patient’s home as if it occurred at the hospital will end.

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

STATUS:  Varies. Some policies are permanent, others will end with PHE May 11, 2023, and others will expire on Dec. 31, 2024.

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

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

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

STATUS: Varies. Payment rate policies active until Dec. 31, 2023. COVID flexibilities for FQHCS/RHCs to be distant sites was extended until Dec. 31 2024 by HR 2617.

CMS: COVID-19 Frequently Asked Questions

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

CMS: FAQs for Hospitals and Critical Access Hospitals regarding EMTALA

STATUS: Active

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 02/06/2023

Medicaid: Telemedicine Origination Site Facility Fee for Outpatient Clinic Services

STATUS: Listed as expiring August 31, 2020, however extended by Medicaid until the earlier of Feb. 28 2023 or any expiration date noticed by the Alabama Medicaid Agency through a subsequent ALERT.

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Alaska

Last updated 02/08/2023

Medicaid: Telehealth Coverage COVID-19 FAQs

STATUS: Active

Medicaid: Temporary Expansion

Arizona

Last updated 01/03/2023

No Reference Found

No Reference Found

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Arkansas

Last updated 01/02/2023

Medicaid: Behavioral Health FAQ’s

STATUS: Varies.  Some answers based on …

Medicaid: Behavioral Health FAQ’s

STATUS: Varies.  Some answers based on Executive Orders have expired.

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Colorado

Last updated 01/11/2023

Medicaid:  Telemedicine Provider Information

STATUS: Active

Department of Health: COVID-19

Medicaid:  Telemedicine Provider Information

STATUS: Active

Department of Health: COVID-19 Telehealth Regulation Changes

STATUS: Active

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Connecticut

Last updated 02/16/2023

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

STATUS: Active

Medicaid: …

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: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

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

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

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

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

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

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

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

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

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

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

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

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

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

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

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

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

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

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

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

STATUS: Active until DSS has notified providers in writing that the state has deemed COVID-19 to no longer be a PHE

Medicaid:  Bulletin on Telemedicine Services, Bulletin 20-9

STATUS: Active

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

STATUS: Enacted

STATUS: Enacted

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Delaware

Last updated 02/20/2023

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

STATUS: Active

Medicaid:  Telehealth and COVID FAQs

STATUS: Active, until further notice.

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District of Columbia

Last updated 02/10/2023

Medicaid: Telemedicine Guide

STATUS: Transmittal 23-11. Updated Billing Guides that go into effect March 1, 2023.

Medicaid: Reimbursable Telemedicine Services

STATUS: Permanent

Medicaid: Billing for Telemedicine Encounters

STATUS: Permanent

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 01/26/2023

No Reference Found

No Reference Found

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Georgia

Last updated 01/24/2023

Medicaid: Telehealth Guidance Clarification

STATUS: Active, during National State of …

Medicaid: Telehealth Guidance Clarification

STATUS: Active, during National State of Emergency

Medicaid: Telehealth Guidance for COVID-19

STATUS: Active, during National State of Emergency

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Hawaii

Last updated 01/25/2023

No reference found.

No reference found.

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Illinois

Last updated 02/12/2023

Medicaid: Provider Notice on Telehealth Service Expansion

STATUS: Active

Medicaid: …

Medicaid: Provider Notice on Telehealth Service Expansion

STATUS: Active

Medicaid: Emergency Rule on Telehealth Services

STATUS: Active

Medicaid: Adopted Amendments to Emergency Rule on Telehealth Services

STATUS: Active

Medicaid: Provider Notice re: Modifier 93 and Place of Service Code 10 Implementation April 1, 2022

STATUS: Effective April 1, 2022

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

STATUS: Extended until March 4, 2023.

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Indiana

Last updated 02/26/2023

Medicaid:  Telemedicine FAQs

STATUS: Active during COVID-19 public health emergency.…

Medicaid:  Telemedicine FAQs

STATUS: Active during COVID-19 public health emergency.

Medicaid: Updated Telemedicine FAQs

STATUS: Active, 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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Kansas

Last updated 02/14/2023

Medicaid: Telemedicine Updates in Response to COVID-19

STATUS: Active, exceptions …

Medicaid: Telemedicine Updates in Response to COVID-19

STATUS: Active, exceptions granted until rescinded

Medicaid: Telemedicine Response to COVID-10 Emergency

STATUS: Active, exceptions granted until rescinded.

Medicaid:  Expansion with Select Telemedicine Allowed Codes/Home Setting

STATUS: Active, exceptions granted until rescinded

Medicaid:  Additional Codes Added to Telemedicine

STATUS: Active, exceptions granted until rescinded

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

STATUS: Active, exceptions granted until rescinded

Medicaid: SED Waiver Codes Allowed via Telemedicine

STATUS: Active, exceptions granted until rescinded

Medicaid: Additional E/M Codes Allowed via Telemedicine

STATUS: Active, exceptions granted until rescinded

Medicaid:  Expansion of Telemedicine Services for Therapy Services

STATUS: Active, exceptions granted until rescinded

Medicaid:  Wheelchair Seating Assessment Codes Allowed by Telemedicine

STATUS: Active, exceptions granted until rescinded

Medicaid:  Allowance of Additional Mental Health Crisis Intervention Codes

STATUS: Active, exceptions granted until rescinded

Medicaid:  I/DD Telemedicine Services During COVID-19

STATUS: Active

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Kentucky

Last updated 02/18/2023

Medicaid: COVID-19 FAQs on Telehealth

STATUS: Active, until end of …

Medicaid: COVID-19 FAQs on Telehealth

STATUS: Active, until end of federal PHE. Document available through KY COVID-19 Actions and Guidance Related to Telehealth Word Document.

Medicaid: Kentucky COVID-19 Actions and Guidance Related to Telehealth

STATUS: Active. Still available on main COVID page.

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Louisiana

Last updated 01/17/2023

Medicaid: Overall Telehealth/Telemedicine Update

STATUS: Active

Medicaid: Outpatient SUD Treatment

STATUS: Active, until rescinded

Medicaid: Informational Bulletin on Telehealth Facilitation by Licensed Mental Health Practitioners

STATUS: Active, until rescinded

Medicaid: Response to COVID-19

STATUS: Active, until rescinded

Medicaid: Information Bulletin on Telehealth Facilitation of Mental Health Rehabilitation Services

STATUS: Active, until rescinded

Medicaid: Teledentistry

STATUS: Active.

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.

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Maryland

Last updated 01/24/2023

Medicaid: Hospital Provider Alert on Telehealth

STATUS: Varies, legislation temporarily

Medicaid: Hospital Provider Alert on Telehealth

STATUS: Varies, legislation temporarily extends some flexibilities

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
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Massachusetts

Last updated 11/18/2022

Medicaid: Access to Health Services Through Telehealth

STATUS: Permanent

Medicaid: …

Michigan

Last updated 11/22/2022

Medicaid:  General Telemedicine Policy

STATUS: Remain in effect until incorporated …

Medicaid:  General Telemedicine Policy

STATUS: Remain in effect until incorporated into the manual.

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

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services; COVID-19 Response: Temporary Waiver of Beneficiary Signature for Home- Delivered DMEPOS

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

Medicaid: Correction to Bulletin MSA 20-35, Medicaid Compliance with Interim Final Rule CMS-5531: Improving Care Planning for Medicaid Home Health Services;

STATUS: Active, time limited policy and MDHHS will notify providers of its termination

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

STATUS: Expired February 28, 2021; extended by Addendum

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

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

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 01/30/2023

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: Store-and-forward telemedicine IEP services

STATUS: Active, this policy change will continue. See the Telemedicine Services section of IEP in the MHCP Provider Manual.

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 03/04/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Missouri

Last updated 03/06/2023

Medicaid: Provider COVID-19 Tips

STATUS: Webpage archived. Likely expired

Medicaid …

Medicaid: Provider COVID-19 Tips

STATUS: Webpage archived. Likely expired

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 01/16/2023

MT Medicaid: Telehealth/Telemedicine FAQs

STATUS:  No specified expiration.  Notices based …

MT Medicaid: Telehealth/Telemedicine FAQs

STATUS:  No specified expiration.  Notices based on may have expired, however still listed on MT COVID website.

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

STATUS: Extended by Addendum listed below. Active until the end of Public Health Emergency.

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

STATUS: Active until the end of Public Health Emergency.

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Nebraska

Last updated 03/10/2023

Medicaid:  General Statewide Telehealth -COVID-19 FAQs

STATUS: Varies, some flexibilities …

Medicaid:  General Statewide Telehealth -COVID-19 FAQs

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

Medicaid:  Telehealth Behavioral Health Services

STATUS: May have expired due to end of state of emergency.

Medicaid: Telephone Reimbursement

STATUS:  May have expired due to end of state of emergency.

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Nevada

Last updated 02/21/2023

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

STATUS: Still accessible on COVID Informational webpage. PHE Unwinding will be implemented April 1, 2023.  Some telehealth flexibilities made permanent through SPA 22-0012.

Medicaid:  Telehealth Services

STATUS: Still accessible on COVID Informational webpage. PHE Unwinding will be implemented April 1, 2023.  Some telehealth flexibilities made permanent through SPA 22-0012.

Medicaid: Telehealth Resource Guide

STATUS: Still accessible on COVID Informational webpage. PHE Unwinding will be implemented April 1, 2023.  Some telehealth flexibilities made permanent through SPA 22-0012.

Medicaid:  Telehealth Billing Guidelines

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

Medicaid: Operational Unwinding Plan

STATUS: Active

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 02/27/2023

New Jersey

Last updated 12/05/2022

No Reference Found

No Reference Found

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New Mexico

Last updated 02/03/2023

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

Medicaid: COVID-19 Specialty Behavioral Health Service Guidance

STATUS: Active, until end of COVID-19 PHE

Medicaid: Special COVID-19 Guidance

STATUS: Varies.  Many active until end of COVID-19 PHE

Medicaid: COVID-19 FAQs for Providers #2

STATUS: Active

 

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New York

Last updated 01/31/2022

Medicaid: Comprehensive Guidance Regarding the Use of Telehealth including Telephonic Services During COVID-19

STATUS: Active, extended for remainder of federally declared PHE or until issuance of subsequent guidance.

Medicaid: FAQs on Telehealth and Telephonic Services

STATUS: Active, NY state of emergency ended but based on Comprehensive Guidance telehealth & telephonic policies extended for remainder of federally declared PHE or until issuance of subsequent guidance.

Medicaid: Factsheet for Consumers during COVID-19

STATUS: Active, NY state of emergency ended but based on Comprehensive Guidance telehealth & telephonic policies extended for remainder of federally declared PHE or until issuance of subsequent guidance.

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.

Medicaid: Final Rule Continuing Medicaid Telehealth Expansions

STATUS: Effective September 14, 2022 per Notice Of Adoption

Office of Mental Health: Final Rule Continuing Telehealth Expansions

STATUS: Effective September 13, 2022 per Notice Of Adoption

Office of Alcoholism and Substance Abuse Services: Final Rule Continuing Telehealth Flexibilities

STATUS: Active

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North Carolina

Last updated 02/21/2023

Medicaid: Bulletin on Telehealth for Maternal Support

STATUS: Varies. Maternal …

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.

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

STATUS: Varies. Some policies are permanent and others are in review for permanent policy placement. See bulletin #237

Medicaid:  Bulletin on Telehealth for ESRD Services

STATUS: Permanent, per pg. 33 Special Bulletin #237

Medicaid: Bulletin on Telehealth for Outpatient Respiratory Therapy

STATUS: Varies. Some policies expired and others are permanent. See pg. 44 of bulletin #237

Medicaid: Bulletin on Telehealth for Interim Perinatal Care

STATUS: Active, this is in review for permanent placement in policy. See pg. 40 of bulletin #237

Medicaid: Telehealth Definitions, Eligible Providers, Services and Codes

STATUS: Varies. Some policies expired and others are permanent. See pg. 25 of bulletin #237

Medicaid: Guidance for Perinatal Care Providers

STATUS: Varies. See bulletin #237

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 01/25/2023

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 03/02/2023

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).

Dept. of Mental Health & Addiction: COVID-19 Telehealth FAQs

STATUS:  Varies. Mix of temporary expired policies and permanent policies.

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 12/05/2022

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 03/01/2023

Medicaid: COVID-19 Provider Guide

STATUS: Active. OR State of Emergency …

Medicaid: COVID-19 Provider Guide

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

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 03/15/2023

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 03/01/2023

Ruling Letter CN – 2020-274-D

Status: Appears to be Active…

Ruling Letter CN – 2020-274-D

Status: Appears to be Active

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 01/05/2023

Medicaid:  COVID-19 Telehealth Guidance

STATUS: Active until further notice

Medicaid:  COVID-19 Telehealth Guidance

STATUS: Active until further notice

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South Carolina

Last updated 02/02/2023

Medicaid: Update on Telehealth Flexibilities Issued During the COVID-19 PHE

STATUS: Active

Medicaid: Healthy Connections Medicaid Member Update

STATUS: Active, until end of PHE

Medicaid: FAQ

STATUS: Active, until end of the PHE

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South Dakota

Last updated 03/03/2023

Medicaid: South Dakota Provider Manual

STATUS: Permanent, some sections only …

Medicaid: South Dakota Provider Manual

STATUS: Permanent, some sections only apply during PHE. SD Medicaid will notify providers when flexibilities no longer allowed.

Medicaid: COVID-19 FAQs

STATUS: Some policies permanent while others contingent on PHE.

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Tennessee

Last updated 12/06/2022

No Reference Found

No Reference Found

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Texas

Last updated 12/14/2022

Medicaid: Provider Information

STATUS: Active, various expiration dates.

Medicaid: COVID-19

Medicaid: Provider Information

STATUS: Active, various expiration dates.

Medicaid: COVID-19 Extension for multiple Flexibilities

STATUS: Active, various expiration dates.

 

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Utah

Last updated 02/01/2023

Pervious COVID-19 waivers expired.

Pervious COVID-19 waivers expired.

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Vermont

Last updated 02/10/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Virgin Islands

Last updated 03/02/2023

No reference found.

No reference found.

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Washington

Last updated 02/14/2023

Medicaid: Telehealth Guidance for Apple Health Clients – Available in 36 languages

STATUS: Active

Medicaid: Clinical Policy and Billing FAQ

STATUS: Effective August 1, 2022

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

STATUS: Effective July 22, 2022

Medicaid: Behavioral Health Policy and Billing FAQ

STATUS: Effective August 1, 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 02/05/2023

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 the end of the federal PHE declaration or 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 11/22/2022

Medicaid: Telehealth Expansion and Related Resources

STATUS: Active. Expires day …

Medicaid: Telehealth Expansion and Related Resources

STATUS: Active. Expires day after end of federal public health emergency (PHE). The federal PHE is currently set to expire Jan. 2023.

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

STATUS: Expired Dec. 31, 2021. Some policies may have been extended until end of federal public health emergency. See link above.

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

STATUS: ForwardHealth will publish additional guidance that includes a reasonable timeframe to allow providers to adjust to the expiration of the temporary policies addressed in this ForwardHealth Update.

Medicaid: Changes to ForwardHealth Telehealth Policies for Covered Services, Originating Sites, and Federally Qualified Health Centers

STATUS: Permanent

PERMANENT TELEHEALTH COVERAGE POLICY AND BILLING GUIDELINES

*Only synchronous (two-way, real-time, interactive communications) and remote physiological monitoring services identified under permanent policy may be reimbursed when provided via telehealth effective on the first day of the first month after the federal public health emergency related to the COVID-19 pandemic expires.

Temporary telehealth policy will remain in effect until the switch to permanent policy occurs when ForwardHealth will require providers to follow permanent billing guidelines for synchronous telehealth and remote physiological monitoring services. Telehealth-related updates to the ForwardHealth Online Handbook will be available following the implementation of permanent policy.

 

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Wyoming

Last updated 01/03/2023

Medicaid:  Home Health COVID-19

STATUS: According to the document titled …

Medicaid:  Home Health COVID-19

STATUS: According to the document titled Home Health & DME Prior Authorization Requirement Reinstatement – Corrected, WY Medicaid is still allowing telehealth services for home health care for state plan only Medicaid home health providers, not waiver providers at this time.

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COVID-19

Originating Site

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