Aye, as Red said, there is definitely some grey areas here, but I too do maintain that my work is absolutely hand-drawn even if I only use digital tools to do it. I draw and shade all the coastlines, rivers, mountains and the like on my maps freehand on my tablet. I personally prefer to use the term "digitally hand-drawn" to avoid any confusion, as I know a lot of people do still think hand drawn equals traditional methods.

Does it matter... I don't know. To me it does. There are plenty of applications out there that allow you to create maps by clicking to place assets drawn by somebody else, and while the resulting map can still be uniquely the creator's in layout, not so much in the actual artwork. And I do have to confess that I'm usually not too happy if somebody compares my work to, say, a map made in Inkarnate by using the default assets and says that they are the same.