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Detailed Individual State Rules

Subject to change:

List here 

State contacts here 

telehealth law guide here (no reference found DLU 02/07/2022) 

  • Alabama 
    • Patient’s full name & address  
    • Rest is standard (date prescribed, dose, signed on, etc) 
    • TeleMAT Accepted: Only existing patients
    • Renewal Cycle: Annually 12/31
    • In-Person Examination: Required for Controlled Substances unless it’s an emergency
    • Urine Drug Screening: REQUIRED
    • Telemedicine Rx of Scheduled Controlled Substances generally allowed without a prior in-person exam: NO
  • Alaska 
    • TeleMAT Accepted: YES
    • Renewal Cycle: Every 2 years
    • In-Person Examination: REQUIRED
    • Urine Drug Screening: n/a
  • Arizona 
    • TeleMAT Accepted: YES
    • Renewal Cycle: Annually 12/31
    • In-Person Examination: Not Required (Schedule II require one in-person or AV examination)
    • Urine Drug Screening: NOT required
  • Arkansas 
    • TeleMAT Accepted: YES
    • Renewal Cycle: Annually
    • In-Person Examination: Required for CS Schedules 2-5
    • Urine Drug Screening: n/a
    • COVID exemption lapsed but working on long-term (here, but confusing) 
  • California 
    • TeleMAT Accepted: allows controlled subtance 2-4
    • Renewal Cycle: Every 2 years, on the last day of month issued
    • In-Person Examination: Not required (async allowed too) Silent for CS
    • TeleMAT: “Sufficient” intake & telemedicine consent 
    • California allows physicians to use a fictitious name permit to only provide telehealth services
  • Colorado 
    • TeleMAT Accepted: YES
    • Renewal Cycle: Every 2 years, on 4/30 every ODD year
    • In-Person Examination: Prescribing through questionnaires not acceptable. Silent on CS
    • TeleMAT: face-to-face video call 
  • Connecticut 
    • TeleMAT Accepted: YES
    • Renewal Cycle: Annually First birth month following issuance
    • In-Person Examination: Silent on UC and CS. Only allows non-opioid CS via TeleMAT
    • Tele-MAT allowed through 2023; in-person not required 
      • Audio only okay 
      • No more details on intake requirements 
  • Delaware 
    • TeleMAT Accepted: YES
    • Renewal Cycle: Every 2 years, 3/31 every ODD year
    • In-Person Examination: UC requires more than a questionnaire. CS requires in-person exam
    • Urine Drug Screening: NOT Required
    • MAT allowedProvider see: proof of identification/location (extent possible) 
      • Intake/Diagnosis/visit summary 
      • Audio-only okay 
  • D.C 
    • TeleMAT Accepted: YES
    • Renewal Cycle: Every 2 years, 31-Jan every EVEN year
    • In-Person Examination: Not required Silent for CS
  • Florida 
    • TeleMAT Accepted: Yes
    • Renewal Cycle: Every 2 years, Group 1 – 1/31 EVEN YEARS/Group 2 Odd years
    • In-Person Examination: Not required for UC. CS are prohibited with limited exceptions
    • Urine Drug Screening: NOT Required
    • Tele-MAT is exempt for psychiatric disorders (Med Board response) 
    • Florida requires that osteopathic physicians that prescribes, orders or dispenses weight loss enhancers to send a legible copy of the weight loss consumer bill of rights
  • Georgia
    • TeleMAT Accepted: YES
    • Renewal Cycle: Every 2 years, date of renewal
    • In-Person Examination: Not required for UC. Silent on CS
    • Telemedicine Rx of Scheduled Controlled Substances generally allowed without a prior in-person exam: Likely, NO 
  • Guam
    • Existing code allows Physicians licensed somewhere to practice telemedicine
  • Hawaii 
    • TeleMAT Accepted: YES
    • Renewal Cycle: Annually 1/31
    • In-Person Examination: Not required for UC (Asynchronous allowed too). Silent on CS
    • Urine Drug Screening: n/a
  • Idaho
    • TeleMAT Accepted: YES
    • Renewal Cycle: Less than 5 years, date of renewal
    • In-Person Examination: Not required for UC or CS. Ryan Haight Act must always be addressed
    • Urine Drug Screening: NOT required
  • Illinois
    • TeleMAT Accepted: YES
    • Renewal Cycle: Every 3 years
    • In-Person Examination: Silent for UC or CS
    • Urine Drug Screening: NOT Required
  • Indiana
    • TeleMAT Accepted: allows controlled substance 1-5
    • Renewal Cycle: Every 2 years, 31-Oct every ODD year
    • In-Person Examination: Not required for UC, with certain conditions. Ryan Haight Act must be addressed for CS
    • TeleMAT: standard intake required 
    • Indiana Patient Compensation Fund: Voluntary 
    • PLA anticipates the emergency registry to remain valid until at least June 13, will also provide approximately 60 days’ notice before expiration
  • Iowa
    • Renewal Cycle: Every 2 years, 1st day of birth month
    • In-Person Examination: Not required for UC. Silent on CS
    • Urine Drug Screening: NOT Required
    • Nothing specific to MAT (standard intake) 
    • Iowa requires that for emergencies the licensee refers the patient to a care facility.
  • Kansas
    • Renewal Cycle: Annually May 15 – July 31
    • In-Person Examination: Not required for UC. Silent on CS
    • Urine Drug Screening: Recommended, but may be requires UDS screening
    • Stabilization fundrequires malpractice insurance and out-ot-state surcharge 
      • You have to have a minimum insurance coverage ($200-600K is their requirement) 
      • You have to pay a surcharge based on percent of your practice in state 
      • Calculated by the surcharge group (let’s say he does $800/2400k) * number of years in Kansas (either 1 or more than 1) * physicians * percentage of practice in Kansas 
        • For him it should be $420 for year 1 * 1 physician * 10% of his practice in Kansas = $42; however, they have a minimum of $100 for surcharge 
    • Basic details on it 
    • SOE scheduled to expire january 20, 2023
  • Kentucky
    • TeleMAT Accepted: Only existing PT (16mg/max QD)
    • Renewal Cycle: Annually 3/1
    • In-Person Examination: Not required for UC or CS, as long as existing PT
    • Urine Drug Screening: REQUIRED
    • TeleMAT: Intake, obtain client prior record with consent (or document effort to do so), lab tests (CBC, a drug screen, and a CMP), obtain + review Kasper report, obtain pregnancy test for F patients,  if patient pregnant/breastfeeding more things are required (independent consult), have to see patient within at least 10 days of initial prescription, document a plan for lost/stolen meds, etc… 
      • NOTE: For any Kentucky doctors, please review KY laws before prescribing (the above is a summary and KY laws are most complex in the US) 
    • laws regarding Buprenorphine are complex 
      • 3. The prescribing or dispensing physician shall initiate treatment with a dose not to exceed the dose equivalency of four (4) milligrams buprenorphine generic tablet, which: 
        • a. May be followed by subsequent doses if withdrawal persists; and 
        • b. Shall not exceed the dose equivalency of sixteen (16) milligrams buprenorphine generic tablet on the first day of treatment. 
    • Kentucky require referrals to a medical care facility from the licensee in cases of emergencies
  • Louisiana
    • Renewal Cycle: Annually within 8 weeks of birth month
    • In-Person Examination: Not required for UC on existing PT. Required for CS
    • COVID rules removed in-person requirement (unclear, here and here says at least 1 in-person within the past year still required for controlled subst.)  
    • Voluntary Patient Comp Fund 
    • Louisiana requires that the patient is completely informed of how to receive all the follow-up necessary and all of the information regarding his care
  • Maine
    • TeleMAT Accepted: SPL only for consultative services
    • Renewal Cycle: Every 2 years, Last day of birth month
    • In-Person Examination: Not required for UC. Silent on CS
    • Urine Drug Screening: REQUIRED
    • TeleMAT: Standard intake (name, diagnosis, etc) & prescription info 
  • Maryland
    • Renewal Cycle: Every 2 years, Last name A-L TBD, M-Z 30-Sept
    • In-Person Examination: Silent on UC. and not required for CS
    • Urine Drug Screening: NOT Required
  • Massachusetts
    • Renewal Cycle: Every 2 years on DOB
    • In-Person Examination: Not required for UC. Silent on CS
    • Urine Drug Screening: REQUIRED
    • TeleMAT: same standard as in person (intake, etc) 
  • Michigan
    • TeleMAT Accepted: Medicaid Patients excluded
    • Renewal Cycle: Every 3 years 12/31
    • In-Person Examination: Not required
    • Telemedicine Rx of Scheduled Controlled Substances generally allowed without a prior in-person exam: YES
    • TeleMAT: Physician need to be available for follow-up/same as in-person 
    • Michigan also requires referrals to a medical care facility from the licensee in all the cases that are required for the patient
  • Minnesota
    • Renewal Cycle: Annually before 7/1
    • In-Person Examination: Silent for UC and CS. Pharmacy Practice Act requires it for CS
    • Urine Drug Screening: NOT Required
    • TeleMAT: Recently updated, can do without 1st  in-person visit. Standard intake/documentation required 
  • Mississippi
    • TeleMAT Accepted: Only existing patients
    • Renewal Cycle: Annually May 1 – June 30
    • In-Person Examination: Not required. No prescriptions based off questionnaires
    • TeleMAT: Must be video visit, standard intake/Documentation/Verify ID 
  • Missouri
    • TeleMAT Accepted: Only existing patients
    • Renewal Cycle: Annually 1/31
    • In-Person Examination: Not required. No prescriptions based off questionnaires or internet requests
    • TeleMAT: Must be videoconference, standard intake/documentation 
  • Montana 
    • Renewal Cycle: Feb 1 – Mar 31
    • In-Person Examination: Silent for UC, required for CS
  • Nebraska
    • Renewal Cycle: Annuallybefore 10/01
    • In-Person Examination:Not required for UC. Silent on CS (Required for abortion inducing drugs)
    • Urine Drug Screening: NOT Required
    • TeleMAT: Same as in-person, intake/documentation/dosage details, etc. 
  • Nevada
    • TeleMAT Accepted: last seen date must be on Rx
    • Renewal Cycle: Annually before 6/30
    • In-Person Examination: Not Required
    • Urine Drug Screening: NOT Required
  • New Hampshire
    • TeleMAT Accepted: Only existing patients
    • Renewal Cycle: Every 2 years before 6/30
    • In-Person Examination: Not required for UC. Required for CS, except SUD
    • Urine Drug Screening: NOT Required
    • Active only for holders of temporary licenses issued before January 31, 2022 until June 30, 2023. SOE Expired in June 11, 2021
  • New Jersey
    • Renewal Cycle: Every 2 years, Before 8/31 on ODD years
    • In-Person Examination: Not required for UC. Required for Schedule 2 and silenced for others
    • Urine Drug Screening: NOT Required
    • Waivers for MDs and Dos remain open until further notice
  • New Mexico
    • TeleMAT Accepted: SPL no longer than 3 years
    • Renewal Cycle: Every 3 years on 7/1 following the date of issue
    • In-Person Examination: Not required for UC. Silent for CS
  • New York 
    • TeleMAT Accepted: YES
    • Renewal Cycle: 1-2y after initial licensure on the month prior DOB
    • In-Person Examination: Silent for UC and CS. Prescription subject to applicable standard of care
    • Urine Drug Screening: NOT Required
  • North Carolina 
    • TeleMAT Accepted: YES
    • Renewal Cycle: Annually DOB
    • In-Person Examination: Not required for UC. Silent for CS, prohibitions for prescriptions of pain treatment
    • Urine Drug Screening: REQUIRED
    • Expires 30 days after the end of the SOE, scheduled to expire July 15, 2022
    • North Carolina has a disclaimer that providers of telemedicine should consider providing a statement identifying the limitations of the electronic model by which care is being provided. Such patient notification can be distributed prior to providing services and included in all direct advertising to the public.
  • North Dakota 
    • TeleMAT Accepted: YES
    • Renewal Cycle: Annually DOB
    • In-Person Examination: Required
  • North Mariana Islands
    • Physician licensed in a foreign country other than Canada may be granted a license to practice under requirements of the board
  • Ohio 
    • TeleMAT Accepted: Synchronous or asynchronous
    • Renewal Cycle: Every 2 years, date of issuance
    • In-Person Examination: Not required for UC. Schedule II CS not allowed unless at least one exception applies
    • Urine Drug Screening: REQUIRED
    • Telemedicine Rx of Scheduled Controlled Substances generally allowed without a prior in-person exam: YES
  • Oklahoma 
    • Renewal Cycle: Every 3 years
    • In-Person Examination: Silent for UC and CS. Ryan Haight Act must be addressed
    • Telemedicine allowed for antagonists and partial agonists 
      • TeleMAT: no details on intake 
    • Temporary critical need licenses will expire no later than September 14, 2022
  • Oregon 
    • TeleMAT Accepted: Must be licensed
    • Renewal Cycle: Every 2 years
    • In-Person Examination: Silent for UC and CS. Prohibits teleprescriptions of CS for treatment of intractable pain
  • Pennsylvania
    • Renewal Cycle: Every 2 years, 12/31 every EVEN year
    • In-Person Examination: Silent for UC and CS. Has Caveat stating the higher risk for CS
    • Urine Drug Screening: REQUIRED
    • Follows DEA laws for in-person; COVID exemptin-person until 3/30/22 
    • MCARE (patient fund) 
    • Not requiredunless 50% or more of practice is in Pennsylvania 
    • Act 13, as amended, mandates that each health care provider who renders 50% or more of his or her professional health care business or practice within Pennsylvania (“participating health care provider”) must obtain primary coverage with a primary carrier licensed or approved by the Pennsylvania Insurance Department or with an approved self-insurance plan.  
    • Waivers will expire October 31, 2022
  • Puerto Rico
    • Puerto Rico licensed professionals and from other states can offer telemedicine services
  • Rhode Island
    • TeleMAT Accepted: NO
    • Renewal Cycle: Every 2 years, 6/3 every EVEN year
    • In-Person Examination: Not required for UC, Required for CS
    • Rhode Island Modalities
    • Rhode Island require from physicians to provide meaningful opportunities for patients to give feedback about their concerns and to review and respond to these concerns in a timely and appropriate manner
  • South Carolina
    • Renewal Cycle: Every 2 years, 6/30 every ODD year
    • In-Person Examination: Not required for UC. Need board approval for Schedule 2 and 3 CS
    • Not allowed to prescribe schedule II via telemedicine ( since 6/6/21) 
      • Unclearsays “only if board allows them to do so” 
  • South Dakota
    • Renewal Cycle: Annually 3/1 every ODD year
    • In-Person Examination: Silent on UC and CS. Prescriptions for CS cannot be solely in response to questionnaire or telephone
    • South Dakota Modalities
  • Tennessee
    • TeleMAT Accepted: no longer Rx Subutex as of 7/28/22
    • Renewal Cycle: Every 2 years
    • In-Person Examination: Silent on UC. Not required for CS, only need full medical license
    • Urine Drug Screening: REQUIRED 
    • TeleMAT: Standard Intake/documentation 
    • No longer Rx Subutex (as of 7/28/22)
  • Texas
    • Renewal Cycle: Every 2 years
    • In-Person Examination: Not Required
    • Telemedicine Rx of Scheduled Controlled Substances generally allowed without a prior in-person exam: YES
    • TeleMAT: Must be videoconferencing, standard intake/documentation 
    • Active until 30 days after the end of the SOE set to expire in July 21, 2022
    • Texas requires providers to give notification of the physicians’ privacy practices prior to evaluation or
  • Utah
    • Renewal Cycle: Every 2 years, 1/31 every EVEN year
    • In-Person Examination: Not required for UC, silent for CS
    • TeleMAT: Unclear about details for controlled substances  
    • Utah requires consent at least annually and disclosure of to whom the patient health information is given and why. Rights of the patient with respect to patient health information. Warnings regarding the risks of information privacy and integrity regardless of the security measures.
  • Vermont
    • Renewal Cycle: Every 2 years, 11/30 every EVEN year
    • In-Person Examination: Not required for UC. Silent for CS, in-person discussion required for opioids
    • Urine Drug Screening: REQUIRED
    • Telemedicine Rx of Scheduled Controlled Substances generally allowed without a prior in-person exam: May need instrumentation and diagnostic equipment
    • TeleMAT: Could not find details specific to controlled substances  
    • SOE expired in June 15, 2021 but the Gov extended waivers until June 30, 2023
    • Vermont providers need to provide a clear mechanism to information regarding access, supplement and amend patient provided personal health information, provide feedback about the site and the quality of the information and to register complaints with the board
  • Virgin Islands
    • Physicians not licensed here can provide services if they’re registered to the applicable board or provides services within the applicable scope of practice
  • Virginia
    • TeleMAT Accepted: no longer Rx Subutex as of 7/28/22
    • Renewal Cycle: Every 2 years, Last name M-Z before 30-Jun in 2021
    • In-Person Examination: Not required for UC or CS. Caveat for CS “For Schedule II through V, prescriber has to maintain a VA practice location or have the ability to refer to licensed practicioners in VA
    • Urine Drug Screening: REQUIRED
    • Telemedicine Rx of Scheduled Controlled Substances generally allowed without a prior in-person exam: Yes, subject to notable caveat and statutory requirements
    • TeleMAT: Standard intake (drug use history, etc)/Documentation  
    • No longer Rx Subutex (as of 7/28/22) 
  • Washington
    • Renewal Cycle: MD every 4 years/DO Annually – on/before DOB
    • In-Person Examination: Not required for UC, silent for CS
    • Urine Drug Screening: NOT Required
    • TeleMAT: Same standards as in-person care  
    • SOE is ongoing since February 2020
  • West Virginia
    • Renewal Cycle: Every 2 years, before 6/30 (A-L even years, M-Z odd years)
    • In-Person Examination: Not required for UC and CS. Schedule 2 CS has limited exceptions
    • Urine Drug Screening: REQUIRED
    • TeleMAT: Must be videoconferencing   
    • Ongoing until the SOE ends, no scheduled date to its end yet
  • Wisconsin
    • Renewal Cycle: Every 2 years, 10/31 every ODD year
    • In-Person Examination: Silent on UC and CS. For CS Ryan Haight Act must be addressed
    • Urine Drug Screening: NOT Required
    • TeleMAT: could not find specific controlled substances so federal laws apply. Standard intake/documentation applies 
  • Wyoming
    • Renewal Cycle: Every 3 years
    • In-Person Examination: Silent on UC and CS. Must have PT-physician relationship for CS
    • Urine Drug Screening: NOT Required
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