State Telemedicine Policy Information

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North Dakota Telemedicine Policy

North Dakota Telemedicine Policy

North Dakota passed their parity law in 2017, which requires private payers to cover telemedicine services at the same rate as in-person services.They also have one of the best state employee health plans for telehealth, receiving an “A” rating from the American Telemedicine Association.

State Policy Overview



Private Payer




Additional State Telemedicine Info

Parity Laws

North Dakota passed their parity law in 2017, catching up to neighboring states Minnesota and Montana. This law requires private payers to reimburse telemedicine appointments at the same rate as in-person services.


North Dakota’s Medicaid program defines telemedicine as the use of interactive audio-video equipment to link practitioners and patients at different sites. This includes live video telemedicine, where provider and patient can maintain face-to-face contact.

Type Of Telemedicine Covered

North Dakota’s Medicaid program covers live video telemedicine. Store-and-forward, telephone, and fax are not included in the North Dakota definition of telehealth.

Covered Health Services

Under North Dakota’s Medicaid program, reimbursement is available for live video telemedicine services, including:

  • New and established Office and other outpatient E/M services
  • Psychiatric diagnostic evaluation
  • Individual psychotherapy
  • Pharmacologic management
  • Speech Therapy, individual
  • Initial inpatient telehealth consultation


Eligible Healthcare Providers

There are no laws that restrict which healthcare providers are eligible to bill for telemedicine in North Dakota.

Online Prescriptions

While North Dakota does require there to be a provider-patient relationship in order to e-prescribe, that relationship can be established through a live video consult.

Informed Patient Consent

North Dakota does not require telemedicine-specific patient consent. However, we recommend this anyway as a telemedicine best practice. 

Learn more about patient consent here.

Cross-State Telemedicine Licensing

Practitioners providing medical care to patients located in North Dakota must have an active North Dakota license. Unfortunately, North Dakota has not yet joined the Interstate Medical Licensure Compact, which facilitates the licensing process for out-of-state telemedicine providers.

Restrictions On Locations

North Dakota Medicaid simply says that the originating site (where the patient is) and distant site (where the provider is) can’t be in the same facility or community. Otherwise, there are no restrictions on the location of the patient.

Reimbursement Rates

Medicaid reimbursement for live video telemedicine is on-par with in-person fees, and the originating and distant sites may also receive reimbursement for long-distance charges.

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