State rules
Telehealth rules by state
The state-level variables that govern virtual care, and where to look each one up.
Telehealth has no single rulebook. Five variables vary by state, and the
patient’s state is the one that counts
(why):
⌘I
Documentation Index
Fetch the complete documentation index at: /llms.txt
Use this file to discover all available pages before exploring further.
The state-level variables that govern virtual care, and where to look each one up.
| Variable | The question | Where to check |
|---|---|---|
| Licensure | Must the clinician hold this state’s license? (Almost always yes; compacts like IMLC and NLC speed it) | State board + imlcc.org, nursecompact.com |
| Modality rules | Is audio-only allowed? Can you prescribe from a video-only visit? Is an in-person exam required first? | CCHP state page |
| Prescribing | State telehealth-prescribing rules, plus federal Ryan Haight / DEA rules for controlled substances | CCHP + current DEA guidance |
| Payment parity | Must private payers cover and pay telehealth at parity with in-person? | CCHP; also check each contract’s telehealth fee schedule (contracting) |
| Medicaid coverage | Each state’s Medicaid covers different services and modalities | State Medicaid manual (enrollment) |