Telehealth crossed state lines. Regulation is still catching up.

The telehealth regulatory landscape is a patchwork that no provider can track manually. TeleVerify monitors every change and maps it to your specific credentials — so you always know exactly where you stand.

See Your Coverage Map

Your practice coverage — mapped to your credentials

Not every compact applies to every provider. A psychologist sees PSYPACT states. A social worker sees Social Work Compact states. A physician sees IMLC states. TeleVerify filters everything to your credential type — no noise, no confusion.

Practice coverage map filtered to provider credential type

For Providers

See where you can practice today, which states have available pathways, and ranked actions to expand your coverage — sorted by impact (e.g., "confirm PSYPACT enrollment → +12 states").

For Admins

Organization-wide coverage table showing every provider's status across all states. Drill into any provider. See coverage gaps where patients exist but no provider is authorized.

The Eleven Interstate Compacts

Interstate compacts let providers treat patients across state lines without a separate license in every state — but enrollment isn't automatic. Each compact requires individual application, fees, and ongoing renewal.

TeleVerify tracks this ✓

PSYPACT

Psychology Interjurisdictional Compact
Psychology 43 states ~$440 3-6 weeks
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TeleVerify tracks this ✓

IMLC

Interstate Medical Licensure Compact
Medicine 44 states ~$700+ 4-8 weeks
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TeleVerify tracks this ✓

NLC

Nurse Licensure Compact
Nursing 41 jurisdictions ~$125-250 1-2 weeks
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TeleVerify tracks this ✓

Counseling Compact

Counseling Compact
Licensed Counseling 35 states ~$150–300 4–8 weeks
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TeleVerify tracks this ✓

Social Work Compact

Social Work Licensure Compact
Social Work 17 states ~$100–200 Launching 2026
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TeleVerify tracks this ✓

ASLP-IC

Audiology & Speech-Language Pathology Interstate Compact
Audiology/SLP 31 states ~$100-200 2-4 weeks
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TeleVerify tracks this ✓

OT Compact

Occupational Therapy Licensure Compact
Occupational Therapy 38 states ~$75-150 2-4 weeks
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TeleVerify tracks this ✓

PT Compact

Physical Therapy Compact
Physical Therapy 37 states ~$75-150 2-4 weeks
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TeleVerify tracks this ✓

PA Compact

PA Licensure Compact
Physician Assistants 12 states Fee varies by state Early implementation
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APRN Compact

APRN Compact
Advanced Practice RNs 3 states Fee varies by state Early implementation
DENDSD
TeleVerify tracks this ✓

Dietitians Compact

Dietitians Licensure Compact
Registered Dietitians 12 states Fee varies by state Early implementation
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State-Specific Telehealth Programs

Beyond interstate compacts, 14 states operate their own telehealth registration or authorization programs. These programs have separate enrollment requirements, fees, and renewal timelines that exist independently of compact membership.

FL AZ CO ID IN IL KS MN AL AK AR CT HI NJ

TeleVerify tracks registration requirements and renewal timelines for all 14 programs.

The exceptions most providers assume they have — but don’t.

Many providers believe that an existing relationship with a patient, or an urgent clinical situation, exempts them from cross-state licensure requirements. The reality is more complicated.

39 out of 51 jurisdictions

No established-patient exception

In 39 states, an existing provider-patient relationship does not exempt you from licensure requirements. If your patient moves to one of these states, you cannot continue treating them via telehealth without obtaining a license, enrolling in a compact, or registering in that state — regardless of how long you’ve been their provider.

Only 12 states currently recognize established-patient exceptions: AL, AK, AR, IN, MN, MO, MT, NC, NE, NY, OR, and TN. Requirements vary — some require a prior in-person visit, others allow any documented treatment history.

51 out of 51 jurisdictions

Emergency exceptions recognized

Every state recognizes some form of emergency exception allowing an out-of-state provider to treat a patient without local licensure. But the scope varies dramatically — some states limit it to imminent danger to life, while others define emergencies more broadly.

Emergency exceptions are not a compliance strategy. They apply to genuine emergencies only, and relying on them for routine care is a fast path to a board complaint. TeleVerify flags when a session falls outside your authorized coverage so you can make informed decisions.

Knowing the compact exists isn't enough.

Many providers assume that because their state participates in a compact, they're automatically covered. They're not. Compact membership means the state has joined — but the individual provider must still apply, pay fees, and be approved before they can practice under the compact's authority. Treating a patient in a compact state without completing enrollment is the same as practicing without a license.

Unenrolled

A psychologist in Ohio treats a patient in Florida. Both states are PSYPACT members — but the provider never completed the PSYPACT enrollment process. This session is non-compliant, and the provider is practicing without authorization.

TeleVerify flags this as REVIEW NEEDED

Enrolled

The same psychologist completes PSYPACT enrollment, receives their E.Passport, and is authorized to practice in all 43 member states. The same Ohio-to-Florida session is now fully compliant via compact.

TeleVerify marks this as COMPLIANT VIA COMPACT

The map changes faster than any spreadsheet can keep up.

New states join compacts. Fee structures change. State programs update their registration requirements. Telehealth flexibilities get extended or expire. Keeping track of all of this manually is a full-time job — and getting it wrong carries real consequences.

Low Priority

PSYPACT enrollment fees increasing in 2026

Info

New Hampshire joins OT Compact — expands coverage to 38 states

Medium Priority

Illinois updates telehealth registration requirements — renewal deadline June 2026

Info

CMS extends Medicare telehealth flexibilities through December 2027

Sample alerts — TeleVerify monitors regulatory changes and notifies your team automatically.

TeleVerify does the tracking so you don't have to.

Every session is checked against the latest compact enrollment data, state licensing records, and program requirements — in real time.

✓ Verified Enrollment

We don't just check if a compact exists — we verify that the provider has actually enrolled. Compact membership without enrollment is flagged immediately.

🔔 Regulatory Alerts

When states join or leave compacts, when fees change, when registration deadlines approach — your team gets notified before it becomes a compliance gap.

⚠ Coverage Gaps Resolution

TeleVerify identifies states where your providers see patients but lack licensing or compact coverage, and recommends the most cost-effective path to compliance.

📋 Audit Documentation

Every compliance check is logged with timestamps, license details, and compact status. Export audit-ready reports for any time period with one click.

“We were tracking compact membership in a spreadsheet and checking state rules manually before every new patient. It was taking our compliance team 10+ hours a week. TeleVerify replaced all of that — and it catches things we would have missed.”

Rachel M.
VP of Clinical Operations, Multi-State Counseling Practice

Ready to stop guessing about your coverage?

Let TeleVerify track the compacts, the state programs, and the constant regulatory changes — so you can focus on patient care.

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