The unprecedented disruption in healthcare during the COVID-19 pandemic has resulted in a dramatic transformation to telehealth, including neuropsychological practice. With a rapid increase in the utilization of remote neuropsychological assessment, this modality of assessment has become primary. This talk will review the foundations of remote neuropsychological assessment, and highlight the various models for conducting assessments during COVID-19. It will review factors that have led to health inequities in among racial, ethnic, geographic, socioeconomic, and other groups during the pandemic, how this can be impacting treatment delivery to patients with serious mental illness. It will focus on addressing the various ways health inequities exist in delivery of neuropsychological services, and make recommendations for increasing access and improving quality of neuropsychological services to vulnerable and underrepresented groups such as patients with serious mental illness.