COVID-19

Provider Type

Medicaid programs often restrict the type of providers that can be reimbursed when delivering services via telehealth.  During the COVID-19 public health emergency (PHE), the list of providers in Medicare and many state Medicaid programs expanded to include professionals such as occupational and physical therapists and speech-language pathologists.  FQHCs and RHCs were also allowed to provide services in some cases. 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: Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): CMS Flexibilities to Fight COVID-19

STATUS:  Varies. Allowance for FQHCs/RHCs to act as distant site providers and delay of mental health in-person visit requirement will expire on Dec. 31, 2024.

CMS: Long Term Care Facilities (Skilled Nursing Facilities and/or Nursing Facilities): CMS Flexibilities to Fight COVID-19

STATUS: Varies. Telehealth waivers terminated.

CMS: Teaching Hospitals, Teaching Physicians and Medical Residents: CMS Flexibilities to Fight COVID-19

STATUS: Varies.  Teaching physicians will be allowed to be located outside of MSAs to meet presence requirements through audio/video real-time communication until Dec. 31, 2023.  Allowance for home address of providers to be used ends Dec. 31, 2023. Other telehealth flexibilities have already expired.

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

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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: Speech Language and Occupational Therapy Providers

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

Medicaid: Temporary Telemedicine Extension for Optometrists

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

Medicaid: Telemedicine Coverage Extension

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

Medicaid: Temporarily Allowing Physical Therapy Services Through Telemedicine

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

Medicaid: Temporary Changes to allow Delivering Healthcare Professionals Reimbursement for Telephonic Postpartum Visits

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

Medicaid: Authorization of Telemedicine for Prenatal Visits During COVID-19 Emergency

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

Medicaid: Extension of Procedure Code Coverage For Physicians, CRNPs, PAs, FQHCs, RHCs, Optometrists, ADPH, and CRS

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

* This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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Alaska

Last updated 06/19/2023

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.

* This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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.

* This page was last updated in May 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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Arkansas

Last updated 05/31/2023

Previous COVID waivers expired.

* This page was last updated

Previous COVID waivers expired.

* This page was last updated in May 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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.

Medicaid: Family PACT Client Enrollment Policy Update

STATUS: Effective May 12, 2023

Medicaid: Telehealth for Family PACT

STATUS: Varies, see updated guidance for most active information.

Medicaid: Teledentistry Expansion

STATUS: Effective May 1, 2023

Medicaid: Teledentistry Guidance

STATUS: Varies, see updated guidance above for most active information.

Medicaid: Teledentistry FAQs for Medi-Cal Dental Providers During Novel Coronavirus (COVID-19) Restrictions

STATUS: Varies, see updated guidance above for most active information.

Medicaid:  Telehealth and Virtual Communication

STATUS: Varies, see updated guidance above for most active information.

Medicaid: Narcotic Treatment Program

STATUS: Varies depending on policy, many expired at end of PHE.

Medicaid: Telehealth Added as Permanent LEA BOP Billable Service

STATUS: Active

STATUS: Varies, see updated guidance above for most active information.

Medicaid: Behavioral Health Information Notice No: 21-046 – Supersedes BHIN No.: 20-009

STATUS: Varies, see updated guidance for most active information.

Medicaid: Behavioral Health Information Notice 20-055

STATUS: Appears active, but see updated guidance and DMC-ODS Requirements for additional information.

Medicaid: Virtual Telephonic Communication for FQHC, RHC and Tribal Health Programs Update

STATUS: Effective May 12, 2023

STATUS: Expired, see updated guidance for active information.

STATUS: Expired

Medicaid 1115 Waiver: Medi-Cal 2020

STATUS: Active

Department of Managed Health Care: Telehealth Services (APL 20-13)

STATUS: Varies, some policies expired at end of PHE

Department of Managed Health Care: All Plan Letter (20-032) Continuation of APL 20-013 & 20-009; FAQs

STATUS: Varies, some policies expired at end of PHE

SB 184: Permanent Medi-Cal Telehealth Policy Changes/Continues Certain COVID-19 Telehealth Expansions

STATUS: Enacted

AB 32: Exceptions to Certain Permanent Medi-Cal Telehealth Policies

Status: Enacted

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Connecticut

Last updated 07/14/2023

STATUS: Effective May 12, 2023

STATUS: Effective Nov. 12, 2023

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

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:  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 Telemedicine Services, Bulletin 20-9

STATUS: See revised Bulletin 2023-38

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

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

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

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: Telehealth and COVID FAQs

STATUS: Still accessible on main

Medicaid: Telehealth and COVID FAQs

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

Medicaid: Changes to Telehealth Policy

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

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District of Columbia

Last updated 06/12/2023

No Reference Found.

No Reference Found.

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Florida

Last updated 06/13/2023

FL Medicaid: Behavior Analysis Telemedicine Flexibilities Ending

STATUS: Flexibilities expired …

FL Medicaid: Behavior Analysis Telemedicine Flexibilities Ending

STATUS: Flexibilities expired May 11, 2023

* This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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Georgia

Last updated 05/31/2023

This page was last updated in May 2023. Updates will …

This page was last updated in May 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year (2023).

 

 

Medicaid: Telehealth Guidance Clarification

STATUS: Telehealth flexibilities remain in place until further notice. Provider Notice End of 1135 Waivers and Disaster Relief Flexibilities (May 23, 2023).

Medicaid:  COVID-19 FAQs

STATUS: Telehealth flexibilities remain in place until further notice. Provider Notice End of 1135 Waivers and Disaster Relief Flexibilities (May 23, 2023).

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Hawaii

Last updated 06/09/2023

This page was last updated in June 2023. Updates will …

This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year (2023).

 

 

Medicaid: Real-time Audio-only Interaction Policy After the Federal PHE…

STATUS: December 31, 2025

Medicaid: Memo on Telephonic Services and Qualified non-physician Health Care Professionals

STATUS: See Memo QI-2306/FFS-23-04/ CCS-2302.

Medicaid: COVID-19 Pandemic Action Plan for QI Health Plans

STATUS: See Memo QI-2317A & QI-2317. Various expiration dates on policies: May 11, 2023; November 11, 2023. and Sept. 30, 2024

Memo QI-2036: Telehealth Guidance During the PHE Related to EPSDT Visits

STATUS: See Memo QI-2317A & QI-2317. Various expiration dates on policies: May 11, 2023; November 11, 2023.

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Illinois

Last updated 06/21/2023

This page was last updated in June 2023. Updates will …

Indiana

Last updated 06/23/2023

This page was last updated in June 2023. Updates will …

This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year (2023).

 

Medicaid:  Telemedicine FAQs

STATUS: Expired

Medicaid: Updated Telemedicine FAQs

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

Medicaid 1915(c) Waiver: Appendix K – Aged & Disabled Waiver (A&D) and Traumatic Brain Injury Waiver (TBI) Waiver

STATUS: Active, extended for up to six months after the national PHE ends.

Medicaid 1915(c) Waiver: Appendix K – Family Supports Waiver (FSW)

STATUS: Active, extended for up to six months after the national PHE ends.

Medicaid 1915(c) Waiver: Appendix K – Community Integration and Habilitation (CIH)

STATUS: Active, extended for up to six months after the national PHE ends.

Medicaid 1915(c) Waiver: Appendix K Extension – Community Integration and Habilitation (CIH)

STATUS: Active, extended for up to six months after the national PHE ends.

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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: Telehealth Presentation

STATUS: Reviews policies continuing after PHE and those expiring.

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: Discontinued Telephonic Coverage of CCTS and IIS Codes

STATUS: Codes discontinued for telephonic delivery May 11, 2023.

Medicaid: Discontinued Telephonic Coverage of Select Speech Therapy Codes 

STATUS: Codes discontinued for audio-only May 11, 2023.

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: Expansion of Telemedicine Services Allowed by ECI and LEA Providers

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.

* This page was last updated in July 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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.

Medicaid: COVID-19 Guidance

STATUS: Policy waivers expired. Letter still accessible on main COVID page.

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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

STATUS: Bulletin retired.

Medicaid: Response to COVID-19

STATUS: Bulletin retired.

Medicaid 1915(c) Waiver: Appendix K – Communities Choices & Adult Day Health Care Waiver Combined

STATUS: Expired January 26, 2021; extended through Addendum

Medicaid 1915(c) Waiver: Appendix K Addendum – Communities Choices & Adult Day Health Care Waiver Combined

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

Medicaid: Physician Directed Treatment-in-Place

STATUS:   Effective May 12, 2023

* This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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Maine

Last updated 05/24/2023

Medicaid: End of PHE Guidance for Behavioral Health

STATUS: All flexibilities end May 11, 2023

Medicaid: Telehealth Guidance for Home and Community Based Waiver Service Providers

STATUS: Active. Document not yet archived on state COVID website.  However, some policies within document have expired.

Medicaid: COVID-19 Public Health Emergency Services Chapter.

STATUS: Active, until repealed. Has not been updated since end of PHE.

* This page was last updated in May 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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: Behavioral Health COVID FAQs

STATUS: Varies, legislation temporarily extends some flexibilities

Medicaid: Telehealth Guidance for SUD Residential Treatment Services During the COVID-19 Outbreak.

STATUS: Varies, legislation temporarily extends some flexibilities

Office of the Governor: Executive Order terminates emergency and previous orders, though many flexibilities extended by legislation

STATUS: Enacted

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

* This page was last updated in May 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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Massachusetts

Last updated 08/08/2023

Medicaid: Updated MassHealth Telehealth Policy

STATUS: Expired Sept. 30, 2023.  …

Medicaid: Updated MassHealth Telehealth Policy

STATUS: Expired Sept. 30, 2023.  Replaced by Bulletin 374.

Medicaid: Extended COVID-19 Related Administrative Flexibilities for Independent Nurses Including Telehealth and New Telehealth Documentation Requirement

STATUS: Expired.

Medicaid: Adult Foster Care – End of Federal PHE

STATUS: Some telehealth flexibilities continuing on May 12, 2023.

Medicaid: Continuous Skilled Nursing Agencies – End of Federal PHE

STATUS: Some telehealth flexibilities ending with PHE, and others continuing on May 12, 2023.

Medicaid: Home Health Agencies – End of Federal PHE

STATUS: Some telehealth flexibilities ending with PHE, and others continuing on May 12, 2023.

Medicaid: Hospice – End of Federal PHE

STATUS: Some telehealth flexibilities continuing on May 12, 2023.

Medicaid: Independent Nurse Providers – End of Federal PHE

STATUS: Telehealth flexibilities expired on May 11, 2023.

Medicaid: Durable Medical Equipment – End of Federal PHE

STATUS: Some telehealth flexibilities continuing on May 12, 2023.

Medicaid: Oxygen and Respiratory Therapy Equipment – End of Federal PHE

STATUS: Some telehealth flexibilities continuing on May 12, 2023.

Medicaid: Personal Care Attendant

STATUS: In person requirement resumed May 11, 2023.

Medicaid: Therapy Providers at Rehabilitation Centers – End of Federal PHE

STATUS: Some telehealth flexibilities continuing as permanent.

Medicaid: Speech and Hearing Center – End of PHE

STATUS: Some telehealth flexibilities continuing as permanent.

Medicaid: Therapy Providers – End of Federal PHE

STATUS: Some telehealth flexibilities continuing as permanent.

Medicaid: Guidance for Home and Community-Based Services (HCBS) Waiver Providers Delivering Telehealth/Remote Services During the COVID-19 Public Health Emergency

STATUS: Active, until six months after the end of the federal Public Health Emergency.

Medicaid: 1915(c) Waiver: Appendix K – Frail Elder Waiver; Traumatic Brain Injury Waiver; Community Living; Residential Supports; Acquired Brain Injury with Residential Habilitation; Acquired Brain Injury Non-residential Habilitation; Community Living Waiver; Intensive Supports; Adult Supports Waiver; Children’s Autism Spectrum Disorder

STATUS: Expired February 28, 2021; extended through Addendum

Medicaid: Frail Elder Waiver (FEW), Traumatic Brain Injury (TBI) Waiver, Community Living (MFP-CL) Waiver, Residential Supports (MFP-RS) Waiver, Acquired Brain Injury with Residential Habilitation (ABI-RH) Waiver Acquired Brain, Injury Non-residential Habilitation (ABI-N) Waiver Community Living Waiver (DDS-CL), Intensive Supports Waiver (DDS-IS), Adult Supports Waiver (DDS-AS), Children’s Autism Spectrum Disorder Waiver

STATUS: Active, until six months after the expirations of the COVID-19 PHE

Medicaid: Community Living (MFP-CL) Waiver, Residential Supports (MFP-RS) Waiver, Acquired Brain Injury with Residential Habilitation (ABI-RH) Waiver, Acquired Brain Injury Non-residential Habilitation (ABI-N) Waiver

STATUS: Active, until six months after the expirations of the COVID-19 PHE

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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 Policy Changes, Physical, Occupational and Speech Therapy

STATUS: Listed as ended in Telemedicine Update bulletin, though allowances continue permanently.

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

STATUS: Rescinded. See telemedicine update bulletin.

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 06/26/2023

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: COVID-19 Telemedicine FAQs: Behavioral Health Division

STATUS: Active

* This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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Mississippi

Last updated 08/08/2023

Medicaid: Emergency Telehealth FAQs

STATUS: Likely expired. Last question notes …

Medicaid: Emergency Telehealth FAQs

STATUS: Likely expired. Last question notes the Temporary telehealth Policy expires at end of PHE. Still listed on COVID website.

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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 – Medically Fragile Adult 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 – Medically Fragile Adult Waiver

STATUS: Active, additive waiver extending current waivers no later than 6 months after the expiration of the 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.

* This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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:  Long Term Care COVID—19 FAQs

STATUS: Expired, see Pandemic Flexibilities Ending May 11, 2023 Bulletin 23-10.

Medicaid: Telephone Reimbursement

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

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Nevada

Last updated 02/21/2023

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:  Update to Telehealth Services for Behavioral Health Outpatient Treatment Providers, Certified Community Behavioral Health Centers, and Behavioral Health Rehabilitative Treatment Providers

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: Memo on Therapy Services during via Telehealth

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 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 08/14/2023

Division of Mental Health and Addiction Services:  Guidance Regarding Telehealth

Division of Mental Health and Addiction Services:  Guidance Regarding Telehealth for Behavioral Health Provider Agencies

STATUS: Likely expired.

Division of Mental Health and Addiction Services:  Guidance Utilization of Telehealth by Psychiatric Emergency Screening Service Providers

STATUS: Active, until further notice from Department

Department of Consumer Affairs: Telehealth Services During the COVID-19 Pandemic Frequently Asked Questions (FAQs)

STATUS: Varies, some policies refer to permanent policies, policies tied to state of emergency, or state public health emergency policy. State PHE has ended, but State of Emergency continues.

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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: COVID-19 FAQs for MCOs

STATUS: Active

Medicaid: Telehealth Services during the COVID-19 emergency MCOs

STATUS: Expired.

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 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

* This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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, and the New York State Department of Health Announced Medicaid Telehealth Coverage Extended Beyond COVID-19 Public Health Emergency Through 2024 – 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: Telehealth Guidance Effective Dates

STATUS: Effective May 12, 2023

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

STATUS: Effective May 12, 2023

Office of Mental Health: Telehealth Services Guidance for OMH Providers

STATUS: Active

Office of Mental Health: Prescription of Controlled Substances after the Federal Public Health Emergency for COVID-19

STATUS: Active

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.

* This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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 Occupational and Physical Therapies

STATUS:  OT and PT codes expired June 30, 2022.  See Bulletin #265.

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 Well Child Visits

STATUS:  Well Child Visit provisions expired June 30, 2022.  See Bulletin #265.

Medicaid: Bulletin on Telehealth for Postpartum Depression Screening Conducted via telemedicine

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

Medicaid: Bulletin on Telehealth for Interim Perinatal Care

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

Medicaid:  Bulletin on Telehealth for Physiologic Monitoring Services

STATUS: Bulletin #265 lists reimbursement of CPT Codes 99457 and 99458 as made permanent.

Medicaid: Bulletin on Telehealth for Outpatient Specialized Therapies and Dental Services

STATUS: Varies. Some policies expired and others are permanent. See Bulletin #237 and Bulletin #265.

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

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North Dakota

Last updated 06/13/2023

Medicaid: COVID-19 Temporary Telehealth Policy

STATUS: Expired. Was active until …

Medicaid: COVID-19 Temporary Telehealth Policy

STATUS: Expired. Was active until the end of the National PHE which ended May 11, 2023.

* This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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Ohio

Last updated 06/07/2023

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).

Mental Health and Addiction Services: COVID-19 Guidance for Office Based Opioid Treatment

STATUS:  Review of permanent policies. Still accessible on state Telehealth webpage.

Mental Health and Addiction Services: Guidance for Behavioral Health

STATUS:  Review of permanent policies. Still accessible on state Telehealth webpage.

* This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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: 2020 Provider Updates

STATUS:  Expired. Many policies were effective until end of federal PHE. Allowance for telehealth extended multiple times in 2021 and 2022.

Medicaid: Expanded telehealth and telephonic services

STATUS: Listed on Telehealth Provider Webpage, however PHE policies have ended. See 2023 Provider Updates above.

* This page was last updated in July 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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 My 11, 2023 and others that extend after May 11, 2023.

Medicaid: Guidance for Public Education Providers

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

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.

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Pennsylvania

Last updated 09/10/2023

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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Puerto Rico

Last updated 07/12/2023

Ruling Letter CN – 2020-274-D

Status: Repealed

Ruling Letter CN – 2020-270-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

20 LPRA Section 6011/

Status: Expired

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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.

*This page was last updated in May 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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South Carolina

Last updated 08/16/2023

Medicaid: Policy Clarifications and Reminders Related to End of COVID-19 Federal PHE

STATUS: Active

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

STATUS: Active

Medicaid: Clarification on Telehealth Referring Site Flexibilities Issued During the COVID-19 Public Health Emergency

STATUS: Active

Medicaid: SCDHHS Announces Updates to Critical Telehealth Flexibilities to Continue Access to Care for Healthy Connections Medicaid Members

STATUS: Active; announced planned telehealth policy changes post-PHE

Medicaid: COVID-19 Resources

STATUS: Still available PHE-issued guidance, FAQ, and fee schedule, but view Update on Telehealth Flexibilities for currently in-effect policies

STATUS: Still available on COVID-19 Resources page, but view Update on Telehealth Flexibilities for currently in-effect policies

STATUS: Still available on COVID-19 Resources page, but view Update on Telehealth Flexibilities for currently in-effect policies

Medicaid: Telehealth and COVID-19 Clarification for IDEA, Part C Program

STATUS: Still available on COVID-19 Resources page, but view Update on Telehealth Flexibilities for currently in-effect policies

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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

Previous COVID-19 waivers expired.

Previous COVID-19 waivers expired.

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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.

Texas Health and Human Services Commission: Behavioral Health Services Providers FAQs

STATUS: Still accessible but unable to navigate to it. May be expired.

Medicaid: Interim Guidance for Behavioral Support, Cognitive Therapy, Dietary Services, Music Therapy and Recreational Therapy Delivered by Telehealth

STATUS: Interim guidance.  Updates made to manuals.

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.

* This page was last updated in June 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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.

Medicaid: Continuing Telemedicine Coverage for Dental Services & Telephonic Coverage

STATUS: Active. Listed on dental page.

* This page was last updated in July 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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:  Unwinding the COVID PHE – Redetermination Plan

STATUS: Some telehealth flexibilities made permanent.

Medicaid: Telehealth Questions and Answers

STATUS: Still listed on Telehealth Webpage, but some responses may be outdated.

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

STATUS: Effective May

STATUS: Effective May 12, 2023

STATUS: Effective May 12, 2023

STATUS: Effective July 22, 2022

Medicaid: Home Health FAQ

STATUS: Effective July 1, 2021

STATUS: Effective July 22, 2022

STATUS: Effective July 22, 2022

Medicaid: Long Term Care and Skilled Nursing Facilities

STATUS: Effective January 1, 2022

Medicaid: Family Planning

STATUS: Effective February 1, 2022

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West Virginia

Last updated 05/25/2023

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

STATUS: Active

Medicaid:  Non-Emergent

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

Medicaid: Telehealth Educational Handout

STATUS: Active

* This page was last updated in May 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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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: Telehealth Supervision Requirement

STATUS: Some supervision flexibilities expired with the federal PHE ends. Others are 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.

Medicaid:  Dental Telehealth Services

STATUS: Expired.  See: Telehealth Unwinding Alert.

Medicaid: Durable Medical Equipment and Disposable Medical Supplies Face-to-Face Requirements

STATUS: Expired.  See: Telehealth Unwinding Alert.

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Wyoming

Last updated 05/24/2023

Medicaid:  FQHC/RHC Tribal Facilities

STATUS: Possibly expired.  Webpage looks like …

Medicaid:  FQHC/RHC Tribal Facilities

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

Medicaid:  Home Health COVID-19

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

Medicaid:  BH Peer Specialist via Telehealth

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

Medicaid:  BH Group Therapy via Telehealth

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

* This page was last updated in May 2023. Updates will no longer be made and this page will be removed from the Policy Finder at the end of the year.

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