Medicaid State Plan Fee-for-Service Payments for Services Delivered Via Telehealth This document is intended to assist states in understanding policy options for paying Medicaid providers that use telehealth technology to deliver services. The overview and sample state plan language apply to Medicaid fee-for-service payments and additional considerations may be warranted for states interested in offering telehealth within other delivery systems. CMS encourages states to consider telehealth options as flexibility in combating the COVID-19 pandemic and increasing access to care. Overview of Fee-for-Service Telehealth States are encouraged to facilitate clinically appropriate care within the Medicaid program using telehealth technology to deliver services covered under the State plan. States have a great deal of flexibility with respect to covering Medicaid services provided via telehealth. States are not required to submit a State plan amendmen...