Telemedicine Arkansas: State Laws and Policies | Blog

Ask ten Arkansas practice managers what the state allows for remote care, and you will get ten different answers.

That is not their fault. Arkansas has rewritten parts of its telemedicine law several times since 2015, and the changes rarely made the news. So most teams still work from what they learned during the pandemic, or from a compliance memo that is years out of date.

The gap costs real money. Some clinics turn down visits the law clearly allows, while others bill the way they did in 2020 and watch the claims bounce back. A few keep patients driving two hours for a follow-up that could have happened at a kitchen table.

Meanwhile the need has not shrunk. Arkansas is a largely rural state, and dozens of counties have no practicing specialist in whole categories of care. For those patients, a remote visit is not a convenience. It is the line between getting care and skipping it.

The good news: Arkansas moved early, passing a parity law in 2015 that put it ahead of most of the country, and several of the tighter rules have loosened since. The framework works today, as long as you know where the lines sit.

This guide walks those lines in plain language. You will learn who can treat telemedicine Arkansas patients, what counts as a valid provider-patient relationship, how prescribing works, where patients may sit during a visit, and what Medicaid and private plans actually pay for.

Technology runs through all of it, because a fair share of Arkansas telemedicine regulations ultimately come down to a single question. Can your platform prove what it did?

One caveat before you dive in: this guide explains the rules in practical terms, but it is not legal advice. Confirm anything borderline with your own counsel or your licensing board.

Arkansas Telemedicine Definition

Telemedicine is the delivery of healthcare through the employment of digital communication channels with the physician and the patient in remote locations, according to Arkansas officials. 

Electronic health records (EHRs) became a standard even in traditional practice. They proved to be a welcome and positive change in the way we keep and access patient medical data. There is no reason to shy away from exploring other options that technology has to offer.

Patient care faces many challenges, and introducing new tools and methods can significantly improve its efficiency. Telemedicine seems to bridge the gap that exists between the needs and the possibilities in medical practice today.

The main goals of the service are to: 

1. Provide care for patients in distant areas that lack in medical personnel.
2. Improve patient experience and quality of care.
3. Reduce the ever-growing per-capita expenditures that are becoming a debilitating factor in the U.S. healthcare industry.
4. Improve the overall health of the population.

Telemedicine and Telehealth

Arkansas regulation does not differentiate between the terms telemedicine and telehealth. You can use both words to describe remote care. Some other states offer separate definitions, so if your patients are not AR residents, it is mandatory to follow the rules of their state of residency.

If there is a distinction between the terms, it refers to the scope of service. Telehealth is usually a much broader term that includes education and prevention methods, while telemedicine is restricted to clinical services.

Technological Requirements

There are no specific requirements regarding the telemedicine platform you must use for your practice. The technology you should use is crucial because telemedicine depends on it, as much as it does on a doctor's expertise and knowledge.

User-friendly interface, two-way communication features, and HIPAA compliance are essential in establishing a successful telehealth practice. The system should function flawlessly and be easy to navigate for you to be able to concentrate on patients.

Our Curogram platform offers all of the above and much more as we strive to deliver end-to-end solutions to telemedicine practitioners in Arkansas.

Arkansas Telemedicine Rules and Regulations

If you are practicing telemedicine in Arkansas, you must comply with the highest standards that apply to traditional healthcare. The patient's safety and well-being come first, and the law-makers made sure that the strictest rules are in place to prevent errors, malpractice, and ensure patient information privacy.

The regulation focuses on the following issues:

1. Who is allowed to practice telehealth?
2. What qualifies as a proper doctor-patient relationship?
3. How to handle online prescriptions?
4. How to protect data privacy?
5. What are the location restrictions?
6. How to keep appropriate medical records?

The Natural State appears to be liberal in some aspects of telemedicine, but quite conservative in others. Analyzing the above issues shows that additional efforts are required to allow telehealth to show its complete potential in improving the AR healthcare system.

Who Can Practice Telemedicine in Arkansas?

Providers based in the state must have a permit to practice medicine under the jurisdiction of the patient's location.

Any healthcare provider who would like to establish a telehealth practice in the Natural State must possess a valid Arkansas medical license. Even if you are not an AR resident, you are not allowed to treat patients in Arkansas without it. 

There are two exceptions to this rule:

1. Emergency situations in which the life and health of the patient are in imminent danger.
2. Provision of general information that does not qualify as treatment of a specific condition.

Licensure is quite a challenge for telehealth practitioners because it can take forever to obtain proper permits. The Interstate Medical Licensure Compact (IMLC) is a program that should make cross-state licensing easier. The Natural State is yet to join the initiative, which will loosen up some of the red tape.

When it comes to eligible medical professionals, Arkansas law does not regulate this matter. This means that there are no restrictions regarding the healthcare providers that can engage in telemedicine practice.

What Qualifies as a Proper Doctor-Patient Relationship?

The physician-patient relationship is one of the most restricting aspects of telemedicine in Arkansas. To establish the relationship, the doctor and the patient must meet either in person or via real-time video and audio call. If the appointment is conducted through a video conference call, the doctor should be able to obtain the same information as they would in an in-person examination.

The relationship does not qualify as valid if it has been established through:

• Audio only communication
• Internet questionnaire
• Email or text message
• Medical history generated by the patient
• Fax machine

Once the relationship is established, the ways of communication become more liberal. The state officials justify their rigid approach by claiming that proper and responsible evaluation of the patient is not possible through audio contact alone.

As telehealth has its limitations regarding the scope of service, the doctors must determine whether the patient and their condition are appropriate for the telemedicine treatment. If they are not, it is the doctor's responsibility to suggest another institution or a different course of action.

How to Handle e-Prescribing?

Another restrictive measure applies to online prescriptions. Although it is one of the most beneficial aspects of telemedicine, even in conventional medical practice, the Natural State law-makers are strict when it comes to prescribing meds online.

When prescribing medication, the physicians should follow the same state and federal guidelines that apply to traditional practice. Doctors must not issue prescriptions without establishing a proper relationship with the patient. Updating medical history online does not qualify as a store-and-forward service in Arkansas.

Further limitations are as follows:

• Controlled substances under schedules II to V cannot be prescribed unless the doctor and the patient meet in person. 
• Abortion inducing drugs must be initially administered in the physical presence of the doctor.
• Medical marijuana cannot be prescribed if the treatment is restricted to telemedicine.

What Are the Location Restrictions?

The most challenging issues for telehealth providers in the Natural State are the location restrictions. It is somewhat surprising that Arkansas officials are still insisting on limiting the places where remote care can happen.

In 2017, the law-makers amended the rules allowing patients' homes to be an eligible originating site. This significantly improved the accessibility of telemedicine.

Medicaid beneficiaries are still subject to some limitations as they have to be in one of the following sites to receive the treatment:

1. In-patient hospital
2. Non-emergency hospital
3. Clinic
4. Physician's office
5. Federally Qualified Health Center (FQHC)

How to Protect Data Privacy?

The data privacy and patient information protection are at the forefront of the telehealth discussion worldwide. The digital platforms used for the practice are under scrutiny, mostly because third parties may have access to the information while maintaining or updating the software, according to some concerned critics. 

With advanced measures of end-to-end encryption and password protection, compromising the data in any way is next to impossible. Any doubts the requesting patients may have should be addressed at the beginning of the treatment.

Telehealth providers must explain the technology that they use, the potential dangers it involves, and the security measures that are implemented to protect the information.

Practitioners are subject to strict state and federal laws when it comes to doctor-patient confidentiality and patient information safety, so they are obliged to use HIPAA compliant communication channels. Remote care providers are responsible for any breach of privacy of their patients.

How to Keep Appropriate Medical Records?

When it comes to medical records, telemedicine providers must meet or exceed the standards that apply to traditional practice in Arkansas.

Proper medical records must include:

• Recordings or transcripts of every appointment regardless of the communication channel that was used
• All test results, including blood tests, scans, etc.
• Prescriptions and other information related to medication that the patient is using or is prohibited from using
• Instructions, advice, or recommendations provided by the physician or other specialist
• Information about allergies
• Complete medical history before the current treatment if it is available

The ease of access to medical records revolutionized modern healthcare. Ever since EHRs became a standard in both telehealth and traditional practice, the downtime spent on administration decreased significantly. EHRs allowed the reallocation of resources, which means that the medical personnel can focus on patient care instead of red tape.

Enjoying the benefits of digital medical records is possible only if your telehealth platform integrates well with your EHR system. The Curogram platform offers integration with over 700 EHRs. By complying with the highest standards of data security, we enable you to dedicate your time to what you do best–see and treat patients.

Reimbursement for Telemedicine in Arkansas

The turning point for telemedicine in Arkansas was the passing of the parity law in 2015. The law requires that private insurance payers, Medicaid, and state employees health plans cover for telehealth services. The fees must not exceed those that apply to traditional practice.

Medicaid

AR Medicaid defines telemedicine as the use of electronic communication and information technology to deliver healthcare services, including the assessment, diagnosis, treatment, consultation, education, and care management. Although store-and-forward technology classifies as telehealth, the state-federal partnership program is mandated to cover diabetic retinopathy screening only.

Medicaid beneficiaries in the State of Arkansas can use live video telemedicine services because the organization views telemedicine as interactive electronic consultations with a physician but only as a two-way, real-time information exchange.

Arkansas Medicaid imposes certain limitations regarding the type of service, so eligible services are:

• Consultations
• In-patient hospital visits
• FQHC encounters
• Non-emergency appointments in a doctor's office, clinic, or outpatient hospital departments
• Fetal echographs and echocardiology examination

Medicaid covers for two visits per patient annually. The beneficiaries can also use Telepsychiatry as a part of the Rehabilitative Services for Persons with Mental Illness program.

Medicaid is obliged to cover for telemedicine services if there is a comparable service in the traditional practice. Certain remote care services are only allowed for persons over the age of 18.

AR Medicaid does not consider the following communication channels appropriate for telehealth:

• Emails
• Audio-only communication (interactive audio calls included)
• Text messages
• Facsimile transmissions

Private Payers

Private insurers are obliged to cover for telehealth services in the same way they do for traditional practice. According to Arkansas law, the health carrier doesn’t have to cover telemedicine services if there are no comparable services in traditional practice.

In case the carrier deems it appropriate to reimburse for remote care services delivered via telephone, electronic mail, text messaging, or facsimile transmission, private payers are required to pay a reasonable fee to the originating site if it is operated by a healthcare professional or entity with appropriate permits and licenses.

Telemedicine by State

Don’t see your state? We just haven’t written about it yet! Stay tuned on our blog or check out our article on telemedicine reimbursement by state.

Conclusion

Arkansas gives you more room for remote care than most providers in the state realize.

The framework rewards preparation. You need an Arkansas license or a qualifying compact license, plus a professional relationship built through one of the six recognized routes. One of those routes is now a phone call, as long as you hold the patient's record. You also need documentation that matches an office visit, consent on file, and a platform you can defend as HIPAA compliant.

Meet those terms and the money side gets steady. The 2015 parity law means a covered remote visit pays on the same basis as the office version. No separate deductible, and no narrow network standing in the way.

What holds most practices back is rarely the law itself. It is the operational friction underneath it. Notes that live outside the chart, reminders nobody answers, and a front desk fielding calls that a simple text message could have closed in seconds.

That is where the right tools change the math. Atlas Medical Center dropped its no-show rate from 14.20% to 4.91% using Curogram, landing 53% below the industry average. Other clients report a 50% cut in inbound calls and a 30%+ lift in front desk productivity.

Those are not compliance numbers. They are a count of patients who actually showed up, and that is the number your schedule and your revenue both depend on.

Arkansas telemedicine regulations will keep shifting, mostly around prescribing and phone-only coverage. Build your workflow on solid ground now, and each change becomes a small adjustment instead of a scramble across the whole practice.

Want to see how this works alongside the EMR and front desk setup you already run? You can request a Curogram demo and walk through it with someone who knows this terrain well.

Frequently Asked Question