This Program Assistance Letter (PAL) highlights some of the important issues for health centers to consider when utilizing telehealth as a means to increase access to care for health center patients. It also provides clarifying information to health centers on the utilization and documentation of telehealth within the scope of project. Telehealth is a rapidly changing area of health care that will impact Health Center Program policy over time. Therefore, this document is not exhaustive and does not cover all possible aspects of telehealth. This document is based on existing scope policy as outlined in Policy Information Notice (PIN) 2008-01: Defining Scope of Project and Policy for Requesting Changes, and does not reflect a new program or policy from the Health Resources and Services Administration (HRSA). It also does not reflect any temporary changes HRSA makes to established policy that occur in response to declared emergencies. All Health Center Program requirements apply to the entire health center scope of project, regardless of whether telehealth is used.