Coronavirus and State/Provincial Telehealth Guidelines

This guideline contains information pertaining to teletherapy laws at the state-level, including any waivers to certain teletherapy requirements and policies regarding insurance reimbursement for teletherapy. Not all states have regulations; updates will be made to this page as new information is received. This information can change rapidly.

United States

Medicaid waivers 

America’s Health Insurance Plans listing of how insurers are adjusting to COVID-19, including information for how Blue Cross is adjusting in various states. 

Alabama

Teletherapy prerequisite training requirement: Effective March 27, 2020, the Alabama MFT licensure board is allowing LMFTs and associates, during the emergency period, to conduct teletherapy and telesupervision before completing the necessary requirements under the Alabama MFT rules (Section 536-X-8-.09) as long as licensees can produce evidence of continuing to complete training that counts toward the 15 hours of training required under Section 536-X-8-.09. See the licensure board's memo for details.

HIPAA compliance (3/27/20): The Alabama MFT licensure board "strongly recommends" that licensees follow HIPAA guidelines for teletherapy, even in light of the recent relaxation of HIPAA standards by HHS.

Continuing Education  (3/27/20): All continuing education hours can be earned through distance learning through March 31, 2021.

Alabama Medicaid original extension of telemedicine coverage (3/18/2020), as well as the recent extension of COVID-19 policy changes through May 30th (4/24/2020)

Alaska

Teletherapy prerequisite training requirement: Alaska law requires four hours of initial training before commencing with teletherapy.

Alaska’s Division of Corporations, Business, and Professional Licensing has a page dedicated to updates on mandates for professional licensees, here.

Alaska's Department of Commerce, Community, and Economic Development statement on regulatory changes (4/27/2020). This statement allows out-of-state MFT license holders to practice in Alaska through November 15th, or another date depending on the length of the current emergency. This statement also allows continuing education requirements for license renewal to be completed "through distance means." 

Alaska's Department of Health and Social Services frequently asked questions on the expansion of telehealth options covered by Medicaid. 

Adopted emergency regulations by the Board of Marital and Family Therapy (5/8/2020)

Marital and Family Therapist Emergency Courtesy License Application (4/27/2020)

Arizona

The Arizona Board of Behavioral Health Examiners have compiled telehealth resources and information for licensees here .

Executive Order Expanding Telemedicine Coverage (3/25/20): Executive Order 20-15 requires insurance plans regulated by the state to cover telehealth, and requires that reimbursement rates for providers be no lower than the rate for the same service performed in-person.

Arkansas

Executive Order Suspending Telehealth Specialization License (3/13/20): Executive Order 20-05 suspends requirement that LMFTs and LPCs must have specialized license before providing teletherapy. This license is not required during the emergency. Read the executive order FAQ for additional information.

Summary of Arkansas State Orders Pertaining to the Emergency.

California

BBS Statement on COVID-19: According to a statement from the California Board of Behavioral Sciences, associates and students in a private practice setting must be supervised in person. It does not exempt private practice associates to be virtually supervised, only NGO/government employed associates

The BBS will allow licensed health care providers to provide services through remote communications that comply with HIPAA requirements. Allowed platforms and other information can be found here, along with the Governor’s Order N-43-20 on Telehealth here.

Colorado

DORA Notice Waiving Endorsement for Out-of-state licensees (3/18/20): Note that application of this provision for LMFTs is unknown.

CO Bulletin Regarding Teletherapy (3/17/20): State “recommends that the initial consultation be face to face. However, it is at the discretion of the mental health professional as to the type of modality of treatment format that is appropriate for the client - especially in light of recent guidance given by the CDC and other public health organizations.”

Guidelines for Providers not Currently Licensed in Colorado

Connecticut

Order from the CT Department of Public Health (3/23/20): Allows health providers (including MFTs) licensed in another state, in good standing, to practice in Connecticut for 60 days. 

Governor’s executive order wherein adjusted guidelines for Telehealth are contained.

Governor’s order pertaining to changes for license renewals.

Connecticut Medical Assistance Program expanded telemedicine announcement. 

Delaware

Joint Order of the Department of Health and Social Services and the Delaware Emergency Management Agency (3/24/20): Allows out-of-state health care providers, and providers with expired or lapsed Delaware licenses, to practice in Delaware, and also allows mental health providers to practice via telemedicine. 

Division of Professional Regulation Guidance on Continuing Education Requirements (3/19/20)

For more information on how COVID-19 impacts Delaware licensees, please visit the Division of Professional Regulations' Guide to Information page on COVID-19.

District of Columbia

In response to COVID-19, DC Health has waived all licensure requirements for practitioners who are licensed in good standing in another jurisdiction.  You can read more about the waiver process HERE.

Florida

Teletherapy for MFT Associates (3/19/20): On March 19, the licensure board issued an emergency rule that allows registered interns to provide teletherapy services to existing clients during the next 90 days. See the text of the rule for additional details. Additional telehealth guidelines can be found here.

Georgia

GAMFT Information on COVID-10 : The Georgia Association for Marriage and Family Therapy, AAMFT's affiliate, has collected many great resources pertaining to teletherapy and COVID-19 on its webpage. Georgia MFTs are advised to start by looking at the GAMFT site. 

Teletherapy prerequisite training requirement: Georgia law (Rule 135-11-.01) requires that prior to providing teletherapy services, MFTs, associate MFTs, social workers and counselors licensed in Georgia must first have obtained six (6) continuing education hours pertaining to teletherapy.

Requires in-person CEU – but might change.  

Hawaii

Idaho

Telehealth Guidelines (2016) 

Illinois

Executive Order regarding Teletherapy Coverage & Use of Technology Platforms (3/19/20): Executive Order requires state-regulated insurers to reimburse for teletherapy services provided by licensed mental health providers. This order also aligns Illinois law with the notification of revised HIPAA standards that was issued by the federal government.

BlueCross/BlueShield statement on expanded Telehealth response (Including family psychotherapy)

Indiana

Executive Order Pertaining to Out-of-State Providers and Telehealth During COVID-19 Emergency (3/19/20): An executive order allows individuals who hold current licenses as an LMFT or other healthcare licenses in another state to provide services in Indiana during the emergency. The order also explicitly states that mental health professionals can practice via telemedicine. 

State Covid-19 resources and Telehealth requirements located here.

Iowa

Iowa Board of Behavioral Science Guidance Related to Gov. Reynold's Proclamations & COVID-19

Iowa state Bureau of Professional Licensure statement on active licenses.

Kansas

Behavioral Science Regulatory Board Statement on Teletherapy: Statement on providing teletherapy in Kansas.

Behavioral Sciences Regulatory Board update of telehealth hours.

Kentucky

Teletherapy prerequisite training requirement: On March 31, 2020, the Kentucky MFT licensure board suspended the MFT rule, 201 KAR 32:110, that required LMFTs and associates to first take 15 hours of licensure board-approved training prior to commencing with teletherapy with clients. This rule is suspended for the duration of the emergency in Kentucky. See the licensure board's memo for details.

Regarding associates, this Kentucky MFT Board, by emergency rule, will allow associates to perform telehealth once they have met the 15 hours of training requirement stated above.

Supervision: According to the licensure board at its March 19th meeting, supervision can be conducted online during this emergency. Contact the licensure board for additional details.

Louisiana

Teletherapy Regulations Rescinded: The licensure board for LMFTs and LMHCs has rescinded teletherapy regulations.

Summary of Licensure Board’s Actions (3/20/2020): At its March 20th meeting, the licensure board for LMFTs and LMHCs waived the live requirement for continuing education and made some other changes pertaining to the current situation.

Maine

State of Maine Professional and Financial Regulation COVID-19 update page.

Maryland

Out-of state therapists’ allowance to practice during COVID-19 emergency.

Maryland Health Care Commission Telehealth updates for pandemic

Maryland HCC overview of telehealth.

Massachusetts

Massachusetts MassHealth Frequently asked questions for Behavioral Health during COVID-19.

Massachusetts Governor’s order for temporary Out-of-State providers licenses.

Michigan

Michigan Department of Licensing and Regulatory Affairs updates for COVID-19.

Minnesota

Minnesota Board of Marriage and Family Therapy COVID-19 Updates (3/24/20): The licensure board has released an update on how COVID-19 impacts licensees. 

Mississippi

Mississippi State Board of Examiners for Social Work Marriage Family Therapists current proclamation on out-of-state telehealth and form for temporary license.

Standards for Use of Technology in Practice

Missouri

Missouri Department of Mental Health updates and resources on COVID-19. 

Montana

Montana Board of Behavioral Health COVID-19 FAQs (3/17/20): The licensure board has created answers to commonly asked questions by mental health providers pertaining to MFTs.

Montana Insurers Expanding Telehealth Coverage: Bulletin from the state insurance commissioner stating that four large state insurance companies are covering telehealth services.

Nebraska

Executive Order on Additional Healthcare Workforce Capacity (3/27/20): Executive Order 20-10 temporarily allows out-of-state licensed mental health practitioners in good standing practice in Nebraska, and suspends continuing education and licensure fee requirements, among other things.

Department of Health and Human Services COVID-19 telehealth FAQs.

Blue Cross updates for Nebraska, including telehealth updates.

Nevada

Nevada Licensure Board Statement on Teletherapy

Governor’s order on new procedures for licensing and regulations on waiving certain license requirements.

New Hampshire

Emergency Order on Expansion of Access to Telehealth Services (3/18/20): Emergency Order #8, pursuant to Executive Order 20-04, allows health care providers (including MFTs) to perform services using telehealth, and requires insurance plans regulated by the state to cover telehealth services as well as reimburse providers at a rate no lower than the rate for the same service performed in-person. 

New Jersey

Out-of-State Healthcare Providers Can Offer Services to New Jersey Residents During COVID-19 Emergency (3/20/20): The State of New Jersey is allowing individuals who hold current licenses as an LMFT or other healthcare licenses in good standing in other states and have been practicing within the last five years, will be able to secure a license in New Jersey by completing a simple form.

Additional information for out-of-state providers.

New Mexico

Visit the New Mexico Counseling and Therapy Practice Board's website for a list of public notices that impact the MFT license.

New York

New York State Office of Mental Health: Complete list of state guidelines that apply to behavioral health providers in New York.

State Announcement of tele-health copay waivers.

Office of the Professions COVID-19 updates.

North Carolina

NCAMFT Information on COVID-19 : The North Carolina Association for Marriage and Family Therapy, AAMFT's affiliate in North Carolina, has collected many great resources pertaining to teletherapy and COVID-19 on its webpage. MFTs are advised to start by looking at the NCAMFT site. 

North Carolina MFT Board FAQs: The licensure board has created answers to commonly asked questions by MFTs.

Teletherapy Medicaid Guidelines from NC Medicaid .

Out-of-State Healthcare Providers Can Offer Services to North Carolina Residents During COVID-19 Emergency (3/10/20): An executive order allows individuals who hold current licenses as an LMFT or other healthcare licenses in another state to provide services in North Carolina during the emergency.

North Dakota

Behavioral Health Human Services COVID-19 guidance on telehealth.

Ohio

Information for MFTs from Ohio Licensure Board: The licensure board for LMFTs, LMHCs and LCSWs contains a webpage with extensive information concerning upcoming teletherapy rules, supervision, out-of-state providers, and other issues pertaining to practice issues.

State of emergency guidelines on telehealth.

Oklahoma

State Board of Behavioral Health Notice Regarding CoVID-19 and Teletherapy

Oregon

Oregon LMFT LMHC Licensure Board FAQs: The licensure board for MFTs and MHCs has created answers to commonly asked questions by MFTs. This website will be updated daily.

Pennsylvania

In-person Continuing Education Requirements Suspended (3/22/20): Emergency rules now allow all continuing education to be earned online during the emergency period.

In-person Supervision Requirements Suspended (3/22/20): Emergency rules now allow all supervision to be completed by electronic means during the emergency period. See here for summary of all licensure board-related emergency orders.

Rhode Island

Governor’s executive order on Telehealth.

BHDDH State Resources

South Carolina

Guidelines from the South Carolina Licensure Board: The licensure board for MFTs is now allowing continuing education providers to offer their trainings online during the emergency. In addition, MFTs licensed as an MFT in another state can provide therapy services online to established clients who are residing in South Carolina during this emergency.

South Dakota

Governor’s Executive Order on Telehealth restrictions being lifted for duration of pandemic, located here.

Tennessee

List of Executive Orders

TennCare Behavioral Health telehealth guidance and updates related to Covid-19

Department of Mental Health and Substance Abuse Services Covid-19 page and updates

Department of Mental Health and Substance Abuse Services commonly asked questions and answers for mental health providers. 

Texas

Emergency Rule on Telehealth Reimbursement: (3/17/20): The emergency rule requires insurers regulated under state law to pay MFTs and other healthcare providers the same rate for teletherapy services as for in-person services, cover telehealth services under any platform allowed under state law, and not require any additional documentation over and above documentation required for in-person services. The text of the rule can be found here.

Waiver related to Telehealth for LMFTs and LMFT-As from the Texas Health and Human Services Commission. This order from the Office of the Governor allows LMFTs and associates to provide telehealth services to clients immediately without additional training during the COVID-19 state emergency period. The announcement waives rules that require training prior to providing telehealth services. 

Utah

Continuing Education Requirements (3/25/20):  The State has suspended the requirement that licensees must receive "live" continuing education for all licensees with licenses that expire between now and October 1, 2020. 

Vermont

Guidance from the Office of Professional Regulation (3/23/20): Emergency guidance for Vermont licensed mental health providers on supervision, and the allowance of virtual supervision for students and pre-licensed providers working towards their experience hours. 

Virginia

Licensure Board COVID-19 Information : The licensure board has a webpage listing COVID-19 information for LMFTs and LMHCs.  

Washington

Governor's Proclamation on Telemedicine (3/25/20): Proclamation 20-29 mandates health carriers regulated by the state to cover telemedicine services performed by in-network providers, and mandates payment parity between services performed through telemedicine and in-person.

Governor's Proclamation on Healthcare Worker Licensing (3/26/20): Proclamation 20-32 suspends certain licensing requirements for health care workers (including MFTs) related to continuing education and license renewals.

West Virginia

Licensure Board COVID-19 Information : The licensure board lists COVID-19 information for LMFTs and LMHCs on its homepage.  

Wisconsin

COVID-19 Information for Healthcare Providers.

Wyoming

 Wyoming COVID-19 Telehealth Information .

Canada

 

Alberta

Information for Alberta MFTs and other Mental Health Providers.

British Columbia

Nova Scotia

Ontario

College of Registered Psychotherapists of Ontario FAQs: The college that regulates psychotherapists in Ontario has developed FAQs pertaining to the COVID-19 emergency.

Quebec

Saskatchewan

Yukon