North Carolina Telemedicine Policy, Simplified.

Healthcare legislation is complicated. Let’s clarify a few things.

We strive to keep this information updated and current. It is intended to be an informative guide, and not a comprehensive legal resource. Always consult with your local team of experts and administrators.

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North Carolina Telemedicine Policy

updated October 2019

North Carolina Telemedicine Policy

Telemedicine remains an important resource that is still underutilized in North Carolina. Although there is no parity law in place, the Tar Heel state did implement an innovative telepsychiatry program that will hopefully pave the way for more telehealth initiatives.

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    North Carolina introduced a telemedicine parity law in April 2015, but it did not pass. Stay tuned and check this page for updates! And remember, many private payers still cover telemedicine even though there’s no legal requirement.

  • Medicaid

    Currently, North Carolina Medicaid will reimburse for medically necessary services delivered via live video telemedicine. There are several restrictions and conditions on care, including prior approvals.

  • Type of Telemedicine Covered

    North Carolina Medicaid will reimburse for live video medical services and telepsychiatry services.

  • Covered Health Services

    North Carolina Medicaid simply states that it will cover medically necessary services, including telepsychiatry and teledentistry, delivered via live video.

  • Eligible Healthcare Providers

    North Carolina Medicaid states that healthcare providers who can be reimbursed for telemedicine are:

    • Physicians
    • Nurse practitioners
    • Nurse midwives
    • Physician’s assistants
    • Advanced practice psychiatric nurse practitioners
    • Advanced practice psychiatric clinical nurse specialists
    • Licensed psychologists Ph.D. level
    • Licensed clinical social workers (LCSW)
    • Community diagnostic assessment agencies

  • Online Prescriptions

    North Carolina does not currently have any regulations on prescribing via telehealth.

  • Informed Patient Consent

    While North Carolina does not require informed patient consent for telehealth, we recommend getting consent as a telemedicine best practice. 

    Find more information on patient consent here.

  • Cross-State Telemedicine Licensing

    North Carolina requires that telehealth providers obtain a full license specifically required for telemedicine in the state of North Carolina. Unfortunately, North Carolina is not yet part of the Interstate Medical Licensure Compact, which helps to facilitate the licensing process for out-of-state providers. Check back for updates!

  • Restrictions on Locations

    North Carolina Medicaid will not reimburse telehealth services if the patient is located in a jail, detention center, or prison. 

  • Helpful Resources

    We used the sites below to gather information for this guide. Check them out for more details on your state’s policy!

Additional resources to help you get started.

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