Telehealth Compliance: Hawaii
Everything you need to know about treating patients in Hawaii via telehealth.
Last updated: 2026-05-06
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Interstate Compact Coverage
Hawaii is a member of 1 interstate compacts tracked by TeleVerify.
| Compact | Member? | Provider Types |
|---|
| Interstate Medical Licensure Compact | Yes | MD, DO |
| Psychology Interjurisdictional Compact | No | PsyD, PhD-Psychology, Psychologist, LP |
| Social Work Licensure Compact | No | LCSW, LICSW, LISW, LISW-CP, LISW-S, LMSW |
| Nurse Licensure Compact | No | RN, LPN, LVN, NP, FNP, PMHNP |
| Physical Therapy Licensure Compact | No | PT, DPT, MPT, PTA |
| Occupational Therapy Licensure Compact | No | OT, OTR, OTR/L, OTA, COTA |
| Counseling Compact | No | LPC, LMHC, LCPC, LPCC, LCMHC, LPCMH |
| Audiology & Speech-Language Pathology Interstate Compact | No | AuD, SLP, CCC-SLP, CCC-A, CF-SLP |
| PA Licensure Compact | No | PA, PA-C |
| APRN Compact | No | APRN, NP, CRNA, CNM, CNS, DNP |
| Dietitians Licensure Compact | No | RD, RDN, LDN, LD |
Interstate Medical Licensure Compact — member. If you hold IMLC authority, you can practice telehealth with patients in Hawaii without a separate state license.
Psychology Interjurisdictional Compact — not a member. Providers relying on PSYPACT cannot use it to treat patients in Hawaii. A direct Hawaii license is required.
Social Work Licensure Compact — not a member. Providers relying on ASWB cannot use it to treat patients in Hawaii. A direct Hawaii license is required.
Nurse Licensure Compact — not a member. Providers relying on NLC cannot use it to treat patients in Hawaii. A direct Hawaii license is required.
Physical Therapy Licensure Compact — not a member. Providers relying on PT_COMPACT cannot use it to treat patients in Hawaii. A direct Hawaii license is required.
Occupational Therapy Licensure Compact — not a member. Providers relying on OT_COMPACT cannot use it to treat patients in Hawaii. A direct Hawaii license is required.
Counseling Compact — not a member. Providers relying on COUNSELING_COMPACT cannot use it to treat patients in Hawaii. A direct Hawaii license is required.
Audiology & Speech-Language Pathology Interstate Compact — not a member. Providers relying on AUDIOLOGY_SLP_COMPACT cannot use it to treat patients in Hawaii. A direct Hawaii license is required.
PA Licensure Compact — not a member. Providers relying on PA_COMPACT cannot use it to treat patients in Hawaii. A direct Hawaii license is required.
APRN Compact — not a member. Providers relying on APRN_COMPACT cannot use it to treat patients in Hawaii. A direct Hawaii license is required.
Dietitians Licensure Compact — not a member. Providers relying on DIETITIANS_COMPACT cannot use it to treat patients in Hawaii. A direct Hawaii license is required.
Apply for Compact Privileges in Hawaii
Hawaii participates in 1 interstate compact. If you hold a qualifying license in another member state, you can start practicing in Hawaii via compact privilege — often faster and cheaper than full state licensure.
Fee: Application fee varies by state (~$700-$1,000) · Timeline: Typically 2-4 weeks
Requirements: Must hold a full, unrestricted license in a member state. Board certified or within 5 years of residency completion.
How to Practice Telehealth in Hawaii
Your path to practicing telehealth with Hawaii patients depends on your license type. Here are the fastest routes to compliance:
* Timelines are estimates. Check the relevant board or compact for current processing times.
Alternative Pathways: Hawaii Telehealth Allowance
Hawaii Telehealth Allowance
Allows telehealth from any US location, but controlled substance prescribing requires in-state presence.
Applies to: Non-prescribing providers
Type: exemption
Requirements:- US-based
- No controlled substance prescribing from out of state
Official information & application →Direct Licensing Requirements
- Full state license required?
- Yes — a direct Hawaii license is required for most provider types not covered by an interstate compact.
- Telehealth-specific permit available?
- No.
- Informed consent
- Required prior to providing telehealth services.
- State licensing board
- Hawaii Medical Board
What Happens If You Practice Without Authorization
- Licensing board action
- Treating a patient in Hawaii without proper authorization can result in a complaint to your licensing board — in your home state, Hawaii, or both. Outcomes range from a warning letter to license suspension.
- Insurance claim denial
- Payers can deny or claw back reimbursement for sessions where the provider lacked authorization in the patient’s state at the time of service.
- Malpractice coverage gap
- Your malpractice policy may exclude coverage for care delivered in a state where you weren’t authorized to practice. If something goes wrong in that session, you could be uninsured.
How TeleVerify Helps
- Real-time compliance verification before each session
- Covers all interstate compacts plus direct state licensure
- Works with Zoom, Doxy.me, SimplePractice, TherapyNotes, and Jane App
- Auto-updates as compact membership and state rules change
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