North Carolina allows out-of-state telehealth providers and groups to enroll in Medicaid without physical presence or addresses

Original title: Medicaid Telehealth Services.

Last action · April 17, 2025: Serial Referral To Finance Stricken (House action)Sponsors: Donny Lambeth and 17 others

Bill progressHistory & official text ↓

Introduced

Committee

Floor Vote

Passed

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What This Bill Would Do

North Carolina allows licensed health care providers and provider groups that offer services exclusively through to enroll as s without needing a physical office or service address in the State.

Why it matters

Expands the pool of eligible Medicaid health care providers by removing in-state location requirements for virtual-only practices.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Telemedicine health care providers

Directly affected

Telemedicine medical provider groups

Directly affected

Department of Health and Human Services, Division of Health Benefits

The agency must ensure that eligible telehealth providers and groups are permitted to enroll without meeting physical presence or in-state address requirements.

Key Facts

Licensed health care providers offering services exclusively through telemedicine are exempt from maintaining a physical presence in North Carolina to enroll as Medicaid providers.
Medical provider groups exclusively offering telemedicine services are exempt from having an in-state service address to be eligible for Medicaid provider group enrollment.
The Department of Health and Human Services, Division of Health Benefits, is directed to enforce these enrollment eligibility rules.
The act takes effect as soon as it becomes law.

Frequently Asked Questions

Do telemedicine providers need an office in North Carolina to join Medicaid?

No. Under this measure, providers and provider groups offering services exclusively through do not need to maintain a physical presence or an in-state service address in North Carolina to enroll as a .

Who oversees the Medicaid provider enrollment changes?

The Department of Health and Human Services, Division of Health Benefits, is responsible for ensuring compliance with these provider enrollment rules.

What else do you want to know?

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Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

4 actions

Apr 17, 2025House
Serial Referral To Finance Stricken
Mar 31, 2025House
Ref to the Com on Health, if favorable, Insurance, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House
Mar 31, 2025House
Passed 1st Reading
Mar 27, 2025HouseIntroduced
Filed

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

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