Health plans have been increasingly narrowing their provider networks, raising concerns about gaps in access to services for consumers, particularly in areas with provider shortages. Could telemedicine be used to help fill those gaps? Through a review of state regulations and interviews with key stakeholders, including insurance companies, regulators, and medical providers in six states (Arkansas, Colorado, Illinois, Maine, Texas, and Washington), this paper finds that while telemedicine can increase access to services, it is unlikely to be used as tool to meet network adequacy standards any time soon.