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Arkansas telehealth certification

Arkansas Medical Marijuana Card Renewal by Telehealth

Arkansas splits its rules down the middle: your first certification must happen in person, but every renewal after that can run by telehealth. Here is how to use the online path the law actually allows.

State fee
$50 per year
Card validity
1 year
Recertification
Annual recertification
Qualifying conditions
18 conditions

Telehealth eligibility

Can you use telehealth in Arkansas?

Initial visits require in-person care in Arkansas. Telehealth on this page applies to renewal visits only; plan an in-person evaluation for your first certification.

First-time patients

Initial visits require in-person care in Arkansas.

Authority: Ark. Code Ann. § 17-80-404 as amended by Act 438 of 2017 bars issuing a written certification based on a telemedicine assessment; ADH guidance confirms initial certifications require an in-person assessment

Renewals

Renewal certifications run by telehealth in Arkansas.

Authority: Act 1112 of 2021 (SB703); ADH Medical Marijuana FAQ confirms written re-certification assessments may be done via telehealth in compliance with Arkansas State Medical Board regulations (audio-only certification barred)

Book online

Renew your Arkansas card by telehealth

Renew your card online

First-time patients need an in-person visit in Arkansas. See the first-time visit requirements

Send us your details and our team will schedule your visit.

Renew your card online

Program guide

Arkansas telehealth certification guide

Renew Your Arkansas Card From Home

If you already hold an Arkansas medical marijuana card, the annual recertification no longer requires a drive to the doctor. Act 1112 of 2021 amended the Arkansas Telemedicine Act specifically to allow telehealth certification for medical marijuana renewals, and the Arkansas Department of Health states plainly that written re-certification assessments may be done via telehealth in compliance with Arkansas State Medical Board regulations. A Miracle Leaf® renewal visit is a live video evaluation with an Arkansas-licensed physician who completes the re-certification you submit with your $50 annual renewal to ADH. One rule to respect: the visit must be a real-time encounter. Arkansas bars issuing a certification from an audio-only phone call, so plan on video.

First-Time Patients Still Need One In-Person Visit

Arkansas treats your very first certification differently. Act 438 of 2017 wrote a telemedicine bar into Ark. Code Ann. § 17-80-404, and ADH's published position is that a physician may not issue an initial written certification based on a telemedicine assessment. Practically, that means one in-person appointment with an Arkansas-licensed physician to start your patient journey. After that single visit, every renewal for the life of your patient status can happen online. We are upfront about this because plenty of advertising glosses over it: no legitimate provider can get a first-time Arkansas patient certified by video today.

The Framework Survived Its Court Test

The in-person rule was litigated for years. A cultivator and dispensary sued in 2022 arguing the telemedicine restrictions and dozens of other legislative changes to Amendment 98 were unconstitutional, and a circuit judge agreed in 2023. In December 2025 the Arkansas Supreme Court reversed. State v. Good Day Farm, 2025 Ark. 207, held that the legislature may amend voter-initiated constitutional amendments by a two-thirds vote, so the Act 438 in-person requirement and the Act 1112 renewal carve-out both stand. Translation for patients: the split system on this page is settled law, not a rule in limbo.

Timing Your Renewal Right

Arkansas cards run one year and the state fee is $50 annually. The detail that catches returning patients is the 30-day clock: under State Medical Board guidance, the signed physician certification form is valid for 30 days from signature, so your ADH renewal application has to follow the telehealth visit within that window. Book the video renewal when your expiration is in sight rather than months out. Need help sequencing it? Call (833) LEGAL-MJ and we will map the dates with you.

What Qualifies Under Amendment 98

Arkansas enumerates its qualifying conditions in the constitution itself. The list includes cancer, glaucoma, HIV/AIDS, hepatitis C, ALS, Tourette syndrome, Crohn's disease, ulcerative colitis, PTSD, severe arthritis, fibromyalgia, Alzheimer's disease, intractable pain that has not responded to six months of standard treatment, severe nausea, and seizures, with roughly 18 conditions commonly counted and authority for the Department of Health to add more. Miracle Leaf® reviews your records against that list before the renewal visit so the appointment is a formality, not a gamble.

Common questions

Frequently asked questions

Can I renew my Arkansas medical marijuana card by telehealth?
Yes. Act 1112 of 2021 amended the Arkansas Telemedicine Act to allow telehealth certification for renewals, and the Arkansas Department of Health confirms that written re-certification assessments may be done via telehealth in compliance with Arkansas State Medical Board rules. The visit must be a real-time encounter; certifications cannot be issued from an audio-only call.
Can first-time Arkansas patients get certified by telehealth?
No. Act 438 of 2017 amended the Telemedicine Act to bar physicians from issuing a written certification based on a telemedicine assessment, so your first certification requires an in-person visit with an Arkansas-licensed physician. After that first card, renewals move online.
How does the Arkansas renewal timeline work?
Cards last one year and the state renewal fee is $50. One detail trips patients up: the signed physician certification form is valid for only 30 days, so your Department of Health renewal application must follow within that window. Book the telehealth renewal visit close to your application date, not months early.
What conditions qualify in Arkansas?
Amendment 98 enumerates qualifying conditions including cancer, glaucoma, HIV/AIDS, hepatitis C, ALS, Crohn's disease, ulcerative colitis, PTSD, severe arthritis, fibromyalgia, Alzheimer's disease, intractable pain after six months of failed standard treatment, severe nausea, and seizures. Around 18 conditions are commonly counted, and the Department of Health may add more.
Did the 2025 Arkansas Supreme Court ruling change the telehealth rules?
No. In State v. Good Day Farm (December 2025), the court upheld the legislature's authority to amend Amendment 98, which means the existing framework stands: Act 438's in-person rule for first certifications and Act 1112's telehealth allowance for renewals both remain the law.

Citations

Sources

  1. Arkansas Department of Health Medical Marijuana FAQ
  2. Arkansas Department of Health Medical Marijuana Program
  3. Ark. Code Ann. § 17-80-404, Telemedicine Act
  4. Act 1112 of 2021 (SB703), telehealth certification for medical marijuana renewals
  5. State v. Good Day Farm Arkansas, LLC, 2025 Ark. 207
  6. Arkansas State Medical Board guidelines for completing medical marijuana certifications

Reviewed by Miracle Leaf® Editorial Team. This page describes telehealth certification rules for the Arkansas medical marijuana program.

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