The COVID-19 pandemic presented unique challenges for states’ Part C and Part B 619 data collection and reporting. The spring 2021 State of the States survey provides a snapshot of the types of data states and territories were able to collect during the early stage of the pandemic (between late 2020 and early 2021) and how they collected the data. Lessons learned from the pandemic can help states improve data collection around telehealth services and prepare for future data disruptions, such as natural disasters.