Telehealth licensing and requirements by state
Provider licensure, modality rules, and launch requirements are set state by state. This directory indexes our published state guides and grows as we cover more states.
Telehealth is regulated primarily at the state level, not federally. A provider generally must be licensed in the state where the patient is physically located, and rules on consent, visit modality (live video vs. asynchronous), and controlled substances vary state by state. Launching or expanding into a new state means reviewing that state's specific requirements — not assuming your existing setup automatically applies.
State guides
Don't see your state yet? We're actively publishing new state guides. Ask us about your state.
Common questions
Do telehealth licensing requirements really vary that much by state?
Yes. Provider licensure (including whether a state participates in interstate licensure compacts), telehealth modality rules (live video vs. asynchronous, store-and-forward intake), patient consent requirements, and controlled-substance prescribing rules are all set at the state level and differ meaningfully from state to state.
Can a provider licensed in one state treat a patient in another state?
Generally no, unless the provider holds a license (or a valid exception, like an interstate compact license) in the state where the patient is physically located at the time of the visit. This is one of the most common compliance mistakes in multi-state telehealth expansion.
What changes when I expand a telehealth business into a new state?
You typically need providers licensed in the new state, an intake flow that correctly identifies and routes patients by their location, and a review of that state's specific consent, advertising, and controlled-substance rules — even if your clinical program doesn't otherwise change.
Is this list a complete guide to every state's telehealth laws?
No. This directory covers the states we've published detailed guides for so far and is actively expanding. It's a starting point for research, not a substitute for state-specific legal review before you launch or expand.
This directory is for general informational purposes only and is not legal advice. Telehealth laws vary by state and change frequently — consult qualified legal counsel before launching or expanding in any state.
Expanding into a new state?
Tell us which states you're evaluating and we'll walk through what changes for your program.