Maryland Department of Health
Provider Services

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Telehealth

​Telehealth is a model of care delivery for medically necessary services by way of synchronous or asynchronous technology assisted communication. Synchronous telehealth means two-way audio-only or audio-video direct interaction between provider and participant. 

Maryland Medicaid reimburses for: 

  • Synchronous telehealth visits, audio-visual (face-to-face) and audio-only
  • Asynchronous telehealth

Quick Facts

  • A provider must consult their professional licensing board for telehealth governing their scope of practice and licensure requirements.
  • COMAR 10.09.49 Telehealth Services describes requirements for delivering approved services via synchronous telehealth.
  • Provider-specific COMAR chapters and manuals incorporated by reference establish which services are appropriately delivered via telehealth.
  • Maryland Medicaid has no geographic restrictions for telehealth services. 
  • All distant site (provider location) provider types are eligible for reimbursement for services rendered by telehealth. 
  • A telehealth originating site (patient location) may be any secure location approved by the patient and the provider.

Maryland Medicaid COVID-19 Related Telehealth Information

For information related to COVID-19 and telehealth, visit Medicaid COVID-19 Provider Updates​.

Resources

Contact

  • For more information or questions about Maryland Medicaid telehealth, see contact by topic Telehealth​.

​NOTICE:  Freestanding Clinics 

On July 15th, 2024, MDH released clarifying guidance about services rendered via telehealth at ​ freestanding clinics since the end of the COVID-19 public health emergency. The Federal four walls rule does not allow Medicaid to reimburse a freestanding clinic if neither the practitioner nor patient is physically onsite at the clinic. This includes provider types: 

  • Clinic, Local Health Department - PT 35
  • Clinic, General, PT 38
  • Clinic, Family Planning - PT 33
  • Outpatient Mental Health Clinic - PT MC

This does not apply to FQHCs or FQHC-sponsored School-Based Health Centers. 

MDH submitted an §1115 waiver amendment for an exemption to the four walls requirement. Pending approval, it would allow clinics to bill telehealth services regardless of whether practitioner or patient is physically onsite at the clinic. 

​Provider Quick Links​