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ArkansasPhysicians:A proper patient-provider relationship, which is required in order to prescribe, may be established via telemedicine using real-time audio and visual telemedicine technology. Prescriptions based solely in response to an internet questionnaire, an internet consultation, or a telephone are prohibited. For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.




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ArizonaPhysicians:Arizona permits prescribing based on a telehealth encounter, including audio-only encounters. Based on 2006 guidance, prescribing on the basis of a questionnaire is not permitted.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


CaliforniaPhysicians:California permits prescribing on the basis of a telemedicine encounter, including based on a self-screening tool or questionnaire, as long as the licensee complies with the appropriate standard of care.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


ColoradoPhysicians:Colorado permits prescribing based on a telehealth encounter, held to the same standard of practice as in-person care. Prescribing on the basis of a questionnaire is not acceptable standard of care. For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


WyomingPhysicians:Wyoming has a very broad definition of telemedicine, and it does not otherwise regulate remote prescribing of non-controlled substances.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


West VirginiaPhysicians:A physician-patient relationship may be established via a real-time audio-visual encounter, interactive audio-using store and forward technology, or audio-only conversations in real time. A physician-patient relationship may not be established through text-based communications such as e-mail, Internet questionnaires, text-based messaging or other written forms of communication.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


UtahPhysicians:Providers can establish a proper provider-patient relationship via telehealth, which is defined to include both synchronous interactions and asynchronous store-and-forward technology. Prescribing solely on the basis of an online questionnaire or patient-generated medical history is prohibited.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


South DakotaPhysicians:The definition of telehealth includes interactive audio-video, interactive audio with store and forward, and remote patient monitoring. Any health care professional who utilizes telehealth shall ensure that a proper health provider-patient relationship is established prior to prescribing.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


PennsylvaniaPhysicians:There are no applicable laws, regulations, or guidance that govern telehealth or remote prescribing by physicians.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


OklahomaPhysicians:Telemedicine encounters must provide equivalent information to what would have been provided in an in-person exam. Beginning in November, the definition of telemedicine will explicitly include synchronous and asynchronous mechanisms. For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


New YorkPhysicians:Telehealth is limited to telemedicine, store and forward technology, remote patient monitoring and audio-only telephone communication. Telemedicine is defined to require an audiovisual interaction. For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


New HampshirePhysicians:Telehealth and telemedicine include the use of audio, video, or other electronic media. Providers must establish a provider-patient relationship via an audiovisual encounter in order to prescribe.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


North DakotaPhysicians:Licensees can prescribe on the basis of a telemedicine encounter, which is defined to include interactive patient encounters, as well as asynchronous store-and-forward technologies. An examination based solely on a static questionnaire or audio conversation is insufficient to meet the standard of care for treatment via telemedicine.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


New MexicoPhysicians:Physicians may only prescribe via a telehealth encounter that incorporates face-to-face, videoconferencing technology. In addition, prescribing based solely on an online questionnaire is expressly identified as insufficient.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


MassachusettsPhysicians:Telehealth is defined to include the use of synchronous and asynchronous modalities, as well as audio-only telephone and online adaptive interviews. Based on recent guidance from the Board of Registration in Medicine, a face-to-face encounter is not required.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


IdahoPhysicians:A provider-patient relationship must be established using two-way, audio-visual technology. Moreover, treatment based solely on an online questionnaire does not constitute an acceptable standard of care.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


HawaiiPhysicians:Based on language in the commercial coverage statute, a provider-patient relationship may be established via telehealth. In addition, prescribing on the basis of a telehealth encounter is permissible provided that the standard of care is met. Prescribing solely on the basis of an online questionnaire is prohibited without a prior physician-patient relationship. For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


MichiganPhysicians:Physicians are permitted to prescribe via telehealth, which is defined broadly. It includes telemedicine, which is defined to include interactive audio or video, as well as online messaging.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


FloridaPhysicians:Florida permits prescribing based on a telehealth encounter, which includes synchronous and asynchronous communications. Audio-only calls, email messages, and fax transmissions are excluded from the definition of telehealth. For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


DelawarePhysicians:Providers may establish a provider-patient relationship via telemedicine. Diagnoses must be based on an encounter using audio and visual communication. Prescribing solely on the basis of an online questionnaire, Internet consult, or telephone consult is prohibited without a prior physician-patient relationship.For our full Rules Governing Telehealth Modalities and Patient-Provider Relationships Report click below to download.


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