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Arkansas
Physicians:
A proper patient-provider relationship, which is required in order to presc=
ribe, may be established via telemedicine using real-time audio and visual =
telemedicine technology. Prescriptions based solely in response to an inter=
net questionnaire, an internet consultation, or a telephone are prohibited.=
=20

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



Arizona
Physicians:
Arizona permits prescribing based on a telehealth encounter, including audi=
o-only encounters. Based on 2006 guidance, prescribing on the basis of a qu=
estionnaire is not permitted.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



California
Physicians:
California permits prescribing on the basis of a telemedicine encounter, in=
cluding based on a self-screening tool or questionnaire, as long as the lic=
ensee complies with the appropriate standard of care.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



Colorado
Physicians:
Colorado permits prescribing based on a telehealth encounter, held to the s=
ame standard of practice as in-person care. Prescribing on the basis of a q=
uestionnaire is not acceptable standard of care.=20

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



Wyoming
Physicians:
Wyoming has a very broad definition of telemedicine, and it does not otherw=
ise regulate remote prescribing of non-controlled substances.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



West Virginia
Physicians:
A physician-patient relationship may be established via a real-time audio-v=
isual encounter, interactive audio-using store and forward technology, or a=
udio-only conversations in real time. A physician-patient relationship may =
not be established through text-based communications such as e-mail, Intern=
et questionnaires, text-based messaging or other written forms of communica=
tion.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



Utah
Physicians:
Providers can establish a proper provider-patient relationship via teleheal=
th, which is defined to include both synchronous interactions and asynchron=
ous store-and-forward technology. Prescribing solely on the basis of an onl=
ine questionnaire or patient-generated medical history is prohibited.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



South Dakota
Physicians:
The definition of telehealth includes interactive audio-video, interactive =
audio with store and forward, and remote patient monitoring. Any health car=
e professional who utilizes telehealth shall ensure that a proper health pr=
ovider-patient relationship is established prior to prescribing.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.





Pennsylvania
Physicians:
There are no applicable laws, regulations, or guidance that govern teleheal=
th or remote prescribing by physicians.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



Oklahoma
Physicians:
Telemedicine encounters must provide equivalent information to what would h=
ave been provided in an in-person exam. Beginning in November, the definiti=
on of telemedicine will explicitly include synchronous and asynchronous mec=
hanisms.=20

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



New York
Physicians:
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.=20

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



New Hampshire
Physicians:
Telehealth and telemedicine include the use of audio, video, or other elect=
ronic media. Providers must establish a provider-patient relationship via a=
n audiovisual encounter in order to prescribe.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



North Dakota
Physicians:
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 que=
stionnaire or audio conversation is insufficient to meet the standard of ca=
re for treatment via telemedicine.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



New Mexico
Physicians:
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 Rel=
ationships Report click below to download.



Massachusetts
Physicians:
Telehealth is defined to include the use of synchronous and asynchronous mo=
dalities, as well as audio-only telephone and online adaptive interviews. B=
ased 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 Rel=
ationships Report click below to download.



Idaho
Physicians:
A provider-patient relationship must be established using two-way, audio-vi=
sual technology. Moreover, treatment based solely on an online questionnair=
e does not constitute an acceptable standard of care.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



Hawaii
Physicians:
Based on language in the commercial coverage statute, a provider-patient re=
lationship may be established via telehealth. In addition, prescribing on t=
he basis of a telehealth encounter is permissible provided that the standar=
d of care is met. Prescribing solely on the basis of an online questionnair=
e is prohibited without a prior physician-patient relationship.=20

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



Michigan
Physicians:
Physicians are permitted to prescribe via telehealth, which is defined broa=
dly. It includes telemedicine, which is defined to include interactive audi=
o or video, as well as online messaging.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



Florida
Physicians:
Florida permits prescribing based on a telehealth encounter, which includes=
 synchronous and asynchronous communications. Audio-only calls, email messa=
ges, and fax transmissions are excluded from the definition of telehealth.=
=20

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



Delaware
Physicians:
Providers may establish a provider-patient relationship via telemedicine. D=
iagnoses must be based on an encounter using audio and visual communication=
. Prescribing solely on the basis of an online questionnaire, Internet cons=
ult, or telephone consult is prohibited without a prior physician-patient r=
elationship.

For our full Rules Governing Telehealth Modalities and Patient-Provider Rel=
ationships Report click below to download.



Peer-to-peer (P2P) computing is a powerful technology that has many uses. P=
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other electronic materials. The use of P2P networks to upload, download, or=
 share copyrighted material, such as movies, music, and software, can viola=
te the rights of copyright owners.
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