The telehealth supplement and additional guidance is much appreciated. Thank you. 

• Suggest that language of 'telemedicine' be replaced with 'telehealth' as this provides a more accurate reflection of the larger scope of services that are now being provided via telehealth capabilities
• Please consider allowing for an audio only option for behavioral health services. Recommend language could be added to allow for audio-only with the reasons for audio-only clearly documented in record. The audio only option has expanded access to care for so many in rural and low-income communities across the state. Many of these communities need behavioral health services but do not have reliable Internet access and/or smart phone capabilities to meet video requirements. These communities also face additional barriers such as lack of public transportation that makes in-person services challenging; telehealth including audio-only would have a positive impact.
• Telehealth option should also be available for assessment purposes (when appropriate) to allow for more immediate access to care, positively impacting Same Day Access initiatives across the state.
• Please provide clarification on expectations for signature requirements for services being provided via telehealth. Should verbal consent be immediately documented and written signatures attempted to be obtained within a certain timeframe?
• Please provide clarification on consent for telehealth services. Is the consent service-specific where each service that expects to provide services via telehealth will need to obtain written consent? Or does the consent to telehealth services cover multiple services within the same agency (for example, medication management, case management, and outpatient therapy)?