State Telemedicine Policy Information

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North Carolina Telemedicine Policy

North Carolina Telemedicine Policy

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


State Policy Overview



Private Payer




Additional State Telemedicine Info

Parity Laws

North Carolina introduced a telemedicine parity law in April 2015, but it did not pass.


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. You can review those conditions here.

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.

Restrictions On Locations

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

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