A | B | C | D | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Note: This tracker is no longer current. Please consult the original sources (linked on row 4) for any updates. | |||||||||||||||||||||||||
2 | STATE COVID POLICY TRACKER FOR PALLIATIVE CARE TEAMS | |||||||||||||||||||||||||
3 | State | Telehealth Reimbursement (* - explicitly includes telephone) | License Portability | License Flexibilities | Opioid Prescribing (e.g., prescribing via telehealth, extended length prescriptions) | Early Prescription Refills (Y/N) | CMS 1135 Waiver | Flexibility given in the State waiver | Paid Sick Leave (Y/N/Proposed) | |||||||||||||||||
4 | Source: Center for Connected Health Policy (see its new "Quick Glance" for an even more detailed breakdown) | Federation for State Medical Boards | Federation for State Medical Boards | DEA COVID-19 Information Page | Source: KFF State Data and Policy Actions to Address Coronavirus | Source: KFF State Data and Policy Actions to Address Coronavirus | Source: CMS Medicaid State Resource Center | Source: KFF State Data and Policy Actions to Address Coronavirus | ||||||||||||||||||
5 | NCSL State Opioid Prescribing Limits (6/2019) | |||||||||||||||||||||||||
6 | Alabama | Medicaid coverage of telehealth services, billing certain codes* | Out-of-state physicians and PAs can apply for temporary emergency licenses | N | Approved | Suspend long-term care preadmission assessments for 30 days | N | |||||||||||||||||||
7 | Alaska | Medicaid coverage of telehealth services (telephone-only allowable for established patients) | Temporarily waiving continuing education requirements for license renewal in 2020 | No known changes; 7-day limit to initial prescriptions for adults/any prescriptions for minors, w/palliative care and other exceptions | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | Allow for CNAs to work on provisional license; OOS providers to deliver telehealth while not licensed in AK | |||||||||||||||||
8 | Arizona | Medicaid and private plans must pay for telehealth at the same rate as for in person visits* | Out-of-state health professionals may apply for temporary license | Defers requirements to renew licenses expiring between 3/1/2020 and 9/1/2020; defers requirements to complete continuing education by 6 months; this applies to MDs, DOs, PAs, RNs, Pharmacists, OTs, PTs, Respiratory Therapists | No known changes; 5-day, 90 MME/day limit to initial prescriptions for adults, w/some exceptions (but not palliative care) | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; provider enrollment if enrolled in Mcare or another state | Y | Allow for CRNAs to be exempt from federal regulation requiring physician supervision | ||||||||||||||||
9 | Arkansas | Medicaid coverage of telehealth services for both new and established patients* | N | Approved | Suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state | N | Emergency temporary licenses for AR medical residents who have completed at least one year of postgrad training and have recommendation | |||||||||||||||||||
10 | California | Medicaid managed care plans must pay for telehealth at the same rate as for in person visits;* private plans must submit their telehealth coverage plans; allows for out-of-state providers | Out-of-state health professionals permitted to provide services | Waiving any continuing medical education requirements for the renewal of license that expire from 3/31/2020 - 6/30/2020, and for up to 6 months after following the lift of emergency declaration | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; temporarily delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state | Y | ||||||||||||||||||
11 | Colorado | Medicaid coverage of telehealth services (this was previously allowed as well), but now includes telephone-only, and a few new providers and services; private plans must pay for telehealth with no cost-share for COVID-related care* | Out-of-state physicians or physicians-in-training can temporarily provide services; out-of-state nurses part of the Enhanced Nurse Licensure Compact (eNLC) can provide services | All health professionals with expired or lapsed liscence may operate with a 60 day grace period without fines | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments; temporarily delay Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | Y | ||||||||||||||||||
12 | Connecticut | Medicaid waiving the home-bound requirement and allowing initial as well as subsequent telehealth visits. (Telephone for established only) | Out-of-state physicians, nurses(RNs, CNAs), respiratory care practitioners, PTs, psychologists, social workers and EMS personnel may provide temporary assistance for 60 days | No known changes; 7-day limit to initial prescriptions for adults, 5-day limit to any prescription for minors, w/palliative care and other exceptions | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; temporarily delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | Y | ||||||||||||||||||
13 | Delaware | Medicaid coverage for telehealth, including initial visits, allows for out-of-state providers* | Out-of-state physicians, PAs, respiratory therapists, paramedics, EMTs, nurses (practical nurses, professional nurses, APRNs, and CNAs) authorized to provide services | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state | N | |||||||||||||||||||
14 | Florida | Medicaid coverage of telehealth services; allows for out-of-state providers | Out-of-state health professionals may provide services only with the American Red Cross or the Department of Health | Suspend licensing and renewal requirements for all exisiting licenses for 30 days | No known changes; 3-day limit to prescriptions for acute pain, extended to 7-day supply based on professional judgement; acute pain excludes palliative care | Y | Approved | Provider enrollment if enrolled in Mcare or another state; paperwork relief; SNF admission eased | N | |||||||||||||||||
15 | Georgia | Medicaid coverage of telehealth services;* patient must initiate | Out-of-state physicians may apply for temporary emergency licenses | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
16 | Hawaii | Medicaid coverage of telehealth services* | Out-of-state physicians, ODs, and PAs may provide services | No known changes; 7-day limit to initial concurrent prescriptions of opioids and benzos, w/palliative care and other exceptions | N | Approved | Suspend Mcaid prior authorization requirements; suspend long-term care preadmission assessments; temporarily delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative care settings | N | ||||||||||||||||||
17 | Idaho | Plans must cover telehealth for new and established patients* | Out-of-state MDs, DOs, and PAs may provide services | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
18 | Illinois | Medicaid and MCO coverage for telehealth using existing visit codes,* allows for out-of-state providers; payers must cover all telehealth services provided by in-network providers | Out-of-state MDs, RNs, PAs, pharmacists, and respiratory care therapists may provide services, as long as their own licenses are operating under the authority of IEMA/IDPH or at a LTC facility, hospital, or FQHC | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
19 | Indiana | Medicaid and MCO coverage for telehealth using existing visit codes,* allows for out-of-state providers | Out-of-state health professionals may provide services | If a medical student is in his or her last semester of a 4 year program OR has completed a 4 year program, they may be issued a limited scope temporary medical permit | No known changes; 7-day limit to initial prescriptions for adults/any prescriptions for minors, w/palliative care and other exceptions | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||
20 | Iowa | Medicaid coverage for telehealth | Out-of-state physicians may provide services, including telehealth | Physicians with a lapsed medical license or expired in good standing within 5 years may provide services; all continuing education requirements are temporarily suspended | N | Approved | Suspend long-term care preadmission assessments for 30 days | N | ||||||||||||||||||
21 | Kansas | Private plans must cover telehealth visits at the same rate as in person; allows for out-of-state providers | Out-of-state health professionals may apply for temporary licenses | Extensions granted for continuing education deadlines | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state | N | ||||||||||||||||||
22 | Kentucky | Medicaid and Medicaid MCO coverage for telehealth; telephone calls for established patients* | Out-of-state MD and DOs may apply for temporary licenses | No known changes; 3-day limit to initial prescriptions of Schedule II for acute pain, w/some exceptions (but not palliative care) | Y | Approved | Suspend Mcaid prior authorization requirements; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | Proposed | ||||||||||||||||||
23 | Louisiana | Medicaid and Medicaid MCO coverage for telehealth,* new and established patients; private plans must waive any limitations restricting access to providers included in networks | Out-of-state health professionals may apply for temporary licenses | No known changes; 7-day limit to initial prescriptions for adults/any prescriptions for minors, w/palliative care and other exceptions | Y | Approved | Suspend long-term care preadmission assessments for 30 days; temporarily delay Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | ||||||||||||||||||
24 | Maine | Medicare and private plan coverage of telehealth services;* allows for out-of-state providers | Out-of-state physicians and PAs may apply for temporary licenses | Delay licenses expiration and renewal for 30 days, including completion of CME requirements | No known changes; 100 MME/day and duration limits to prescriptions for acute and chronic pain, w/palliative care and other exceptions | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||
25 | Maryland | Medicaid and Medicaid MCO coverage for telehealth* | Out-of-state health professionals may provide services | Delay license expiration and renewal for 30 days after state of emergency is lifted | No known changes; law requires providers to prescribe lowest effective dose of an opioid and a quantity that is not greater than needed for the expected duration of pain, w/palliative care and other exceptions | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | Y | |||||||||||||||||
26 | Massachusetts | Medicaid and private plan coverage for telehealth at same rates as in person; allowable for initial visits;* allows for out-of-state providers | Out-of-state physicians may apply for temporary emergency licenses | Delay license expiration and renewal for 90 days after the end of the Emergency | No known changes; 7-day limit to initial prescriptions for adults/any prescriptions for minors, w/palliative care and other exceptions | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | Y | |||||||||||||||||
27 | Michigan | Medicaid and Healthy Michigan coverage for telehealth, including initial visit* | Out-of-state health professionals may provide services | Continuing education requirements waived | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | ||||||||||||||||||
28 | Minnesota | Private plans must cover telehealth services; state waiver allows for Medicaid initial assessments and reassessments and COVID-19 case management to be conducted via telephone or other remote methods.* | Legislation eliminates refill timelines for opiate or narcotic pain relievers | N | Approved | Suspend Mcaid prior authorization requirements; temporarily delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
29 | Mississippi | Medicaid coverage for telehealth at same rates as in person,* allows for out-of-state providers | Out-of-state physicians allowed to treat patients with whom they have a pre-existing doctor-patient relationship | Extended deadline for continuing medical education from 6/30/2020 to 12/31/2020 | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | ||||||||||||||||||
30 | Missouri | Medicaid and MCOs coverage for telehealth for initial and subsequent visits,* allows for out-of-state providers | Out-of-state health professionals may provide services | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
31 | Montana | Medicaid coverage for telehealth for initial and subsequent visits at same rate as in person visits;* private plans voluntarily expanding telemedicine coverage | Out-of-state health profesionals may apply for temporary emergency license | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
32 | Nebraska | Medicaid coverage for telehealth services;* allows for out-of-state providers | Out-of-state health professionals may provide services | Temporary suspension of the limitations on the number of PAs that a physician may supervise | No known changes; 7-day limit to prescriptions for minors, w/palliative care and other exceptions | N | Approved | Suspend Mcaid prior authorization requirements; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||
33 | Nevada | Medicaid coverage for telehealth services* | Out-of-state physicians, PAs, NPs, EMTs, respiratory care practitioners, paramedics, pharmacists, pharmacy technicians, med students, nursing students, meddical lab directors and technicians, and behavioral health professionals may provide services | Waivers and exemptions for licensing renewals, including continuing eduation requirements | No known changes; 7-day limit to initial prescriptions for acute pain, 90 MME/day limit for opioid-naive patients | N | Approved | Extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||
34 | New Hampshire | All plans must cover telehealth services at same rate as for in person visits* COVID-related care shall have no cost-share | Out-of-state health professionals may provide services | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; provider enrollment in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
35 | New Jersey | Medicaid and private plan coverage for telehealth services for initial and established patients,* allows for out-of-state providers | Out-of-state health professionals may apply for temporary emergency licenses | No known changes; 5-day limit to initial prescriptions for acute pain for lowest effective dose, w/palliative care and other exceptions | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorizations; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; provider enrollment in Mcare or another state; provision of services in alternative settings | Y | ||||||||||||||||||
36 | New Mexico | Medicaid and MCO coverage for telehealth services at the same rate as in person* | Out-of-state health professionals may provide services | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; provider enrollment in Mcare or another state | N | |||||||||||||||||||
37 | New York | Medicaid and MCO coverage for telephonic E&M for established patients* | Out-of-state physicians may provide services | For license renewals due between 3/1/2020-6/1/2020, 100% online continuing education will be permitted to complete requirements | No known changes; 7-day limit to initial prescriptions for adults, w/palliative care and other exceptions | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | Y | |||||||||||||||||
38 | North Carolina | Medicaid coverage for telehealth E&M services for established patients* | Out-of-state health professionals (including behavioral health) may provide services | No known changes; 5-day limit to initial prescriptions for acute pain, w/palliative care and other exceptions | N | Approved | Provider enrollment in Mcare or another state; provision of services in alternative settings; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; suspend Mcaid prior authorization requirements | N | ||||||||||||||||||
39 | North Dakota | Medicaid coverage of telehealth services at the same rate as in person* | Out-of-state health professionals (including behavioral health) may provide services | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state | N | |||||||||||||||||||
40 | Ohio | Medicaid coverage for telehealth services for initial and subsequent visits* | Out-of-state physicians may provide services | Suspend enforcement for continuing education requirements for license renewals through 3/1/2021 | N | N | N | |||||||||||||||||||
41 | Oklahoma | Medicaid coverage of telehealth services* | Out-of-state health professionals may apply for temporary emergency licenses | Y | Approved | Suspend Mcaid prior authorization requirements; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
42 | Oregon | Medicaid coverage of telehealth services* | Out-of-state physicicans and PAs may provide services; other out-of-state health professionals may apply for temporary emergency licenses | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | Y | |||||||||||||||||||
43 | Pennsylvania | Medicaid coverage for telehealth services at same rate as for in person visits* | Out-of-state health professionals may apply for temporary emergency licenses | Suspended requirements for continuing education | No known changes; 7-day limit to prescriptions in ER/urgent care/hospital observation and any prescriptions for minors, w/palliative care and other exceptions | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||
44 | Rhode Island | Medicaid and private plan coverage for telehealth services,* allows for out-of-state providers | Out-of-state health professionals may apply for a temporary 90-day license | No known changes; 30 MME/day limit to up to 20 doses for initial prescriptions for adults for acute pain, w/palliative care and other exceptions | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; temporarily delay scheduling of Mcaid fair hearings; provider enrollment in Mcare or another state | Y | ||||||||||||||||||
45 | South Carolina | Medicaid and private plan coverage of telehealth services* | Out-of-state physicians, PAs, and respiratory care practitioners may apply for temporary licensure | N | Approved | Extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
46 | South Dakota | Medicaid coverage of telehealth for patients in the same city;* 1135 waiver allows Medicaid to provide case management, personal care services that only require verbal cueing, in-home habilitation, and monthly monitoring services via telehealth | Out-of state health profesionals may provide services, including telehealth | N | Approved | Suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
47 | Tennessee | Medicaid MCO coverage of telehealth | Out-of state health profesionals may provide services | Delay expiration and renewal of licenses set to expire between 3/12/2020 and the 3 months from the date on which state of emergency order terminates | N | Approved | Suspend long-term care preadmission assessments for 30 days; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | ||||||||||||||||||
48 | Texas | Medicaid coverage for telehealth services for initial and subsequent visits* | Out-of-state physicians, PAs, and retired physicians, nurses, and other health profesionals may apply for temporary licenses | Physician and PA licensees whose permit expires between 2/28/2020-5/31/2020 will be extended through 8/31/2020 | N | Approved | Extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; provider enrollment in Mcare or another state | N | ||||||||||||||||||
49 | Utah | Out-of-state physicians may apply for temporary license expiring in 180 days | Suspended continuing education requrements for those with license expiration between now and 9/30/2020 | No known changes; 7-day limit to initial prescriptions for adults for acute pain, w/ some exceptions (not palliative care) | N | Approved | Suspend Mcaid prior authorization requirements; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | Proposed | ||||||||||||||||||
50 | Vermont | Medicaid coverage for telehealth services at the same rate as in person visits, new and established patients;* allows for out-of-state providers | Out-of-state health professionals may apply for temporary and emergency licenses | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | Y | |||||||||||||||||||
51 | Virginia | Medicaid and MCO coverage for telehealth services for initial and subsequent visits* | Out-of-state health professionals engaged by a hospital, licensed nursing facility or dialysis facility may provide services | N | Approved | Temporarily delay scheduling of Mcaid fair hearings; suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020 | N | |||||||||||||||||||
52 | Washington | Medicaid and MCO coverage of telehealth services for established patients; private plans must cover telehealth from in-network providers for medically necessary services at same rate as in person | Out-of-state health professionals registered in the volunter health practitioner system may provide services | Y | Approved | Provider enrollment if enrolled in Mcare or another state; paperwork relief; SNF admission eased | Y | |||||||||||||||||||
53 | Washington, DC | Medicaid coverage of telehealth services, new and established patients | Out-of-state health professionals may provide services | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | Y | |||||||||||||||||||
54 | West Virginia | Medicaid coverage for non-emergent E&M services* | Out-of-state health professionals may apply for temporary licenses | Suspend requirement that medical licenses are only valid for 2 years; suspend continuing medical education reuqirement prior to renewal | No known changes; 7-day limit to initial prescriptions of lowest effective dose for adults; 3-day limit to prescriptions for minors, w/palliative care and other exceptions | Y | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||
55 | Wisconsin | Medicaid coverage of telehealth services,* new and established patients | Out-of-state health professionals may apply for temporary license | N | Approved | Suspend Mcaid prior authorization requirements; extend pre-existing authorization to permit services approved to be provided on or after 3/1/2020; suspend long-term care preadmission assessments for 30 days; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
56 | Wyoming | Plans encouraged to "liberalize" telehealth benefits, required to be available between consumers and their current health care provider | Out-of-state physicians and PAs may provide services | N | Approved | Suspend Mcaid prior authorization requirements; suspend long-term care preadmission assessments for 30 days; temporarily delay scheduling of Mcaid fair hearings; provider enrollment if enrolled in Mcare or another state; provision of services in alternative settings | N | |||||||||||||||||||
57 | ||||||||||||||||||||||||||
58 | (1) Federally, eligible providers (DEA-registered practitioners) can prescribe schedule II-V controlled substances - including opioids - via telehealth for duration of emergency, including to patients for whom they have not conducted an in-person medical evaluation, provided certain conditions are met. Practitioners with DEA registration numbers are permitted to prescribe in neighboring states to dispense controlled substances, when state laws allow for reciprocity during emergency period | |||||||||||||||||||||||||
59 | (2) As of March 30, 2020, few states with relatively restrictive opioid laws (see 2018 tracker from the National Conference of State Legislatures: https://www.ncsl.org/research/health/prescribing-policies-states-confront-opioid-overdose-epidemic.aspx) have taken steps to temporarily "open up" these laws to ensure that people living with serious illness have access. Please email paymentandpolicy@capc.org if you know of any opioid prescribing-related COVID policies. | |||||||||||||||||||||||||
60 | ||||||||||||||||||||||||||
61 | ||||||||||||||||||||||||||
62 | ||||||||||||||||||||||||||
63 | ||||||||||||||||||||||||||
64 | ||||||||||||||||||||||||||
65 | ||||||||||||||||||||||||||
66 | ||||||||||||||||||||||||||
67 | ||||||||||||||||||||||||||
68 | ||||||||||||||||||||||||||
69 | ||||||||||||||||||||||||||
70 | ||||||||||||||||||||||||||
71 | ||||||||||||||||||||||||||
72 | ||||||||||||||||||||||||||
73 | ||||||||||||||||||||||||||
74 | ||||||||||||||||||||||||||
75 | ||||||||||||||||||||||||||
76 | ||||||||||||||||||||||||||
77 | ||||||||||||||||||||||||||
78 | ||||||||||||||||||||||||||
79 | ||||||||||||||||||||||||||
80 | ||||||||||||||||||||||||||
81 | ||||||||||||||||||||||||||
82 | ||||||||||||||||||||||||||
83 | ||||||||||||||||||||||||||
84 | ||||||||||||||||||||||||||
85 | ||||||||||||||||||||||||||
86 | ||||||||||||||||||||||||||
87 | ||||||||||||||||||||||||||
88 | ||||||||||||||||||||||||||
89 | ||||||||||||||||||||||||||
90 | ||||||||||||||||||||||||||
91 | ||||||||||||||||||||||||||
92 | ||||||||||||||||||||||||||
93 | ||||||||||||||||||||||||||
94 | ||||||||||||||||||||||||||
95 | ||||||||||||||||||||||||||
96 | ||||||||||||||||||||||||||
97 | ||||||||||||||||||||||||||
98 | ||||||||||||||||||||||||||
99 | ||||||||||||||||||||||||||
100 |