decisionhealth Newsletters, Part B News - 2025 Issue 2 (February)
PHE or no PHE, interstate telehealth remains a legal matter
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Article Overview
This article explains the relationship between Medicare telehealth flexibility and state licensing rules for cross-border care. It focuses on why federal telehealth extensions do not eliminate state-level licensure requirements, how interstate practice may still be permitted in some situations, and why providers should review state laws and compact-based arrangements before offering telehealth across state lines. It is relevant to physicians, telehealth organizations, compliance staff, and billing professionals who need a high-level understanding of the legal framework around interstate telehealth.
Why This Topic Matters
Providers may assume federal telehealth policy changes automatically allow nationwide virtual care, but licensure remains governed largely by state law. Understanding that distinction helps avoid compliance problems when treating patients who are located in another state.
What You Will Learn
- How federal telehealth flexibility relates to state licensure
- Why cross-state telehealth depends on state law
- What types of interstate practice arrangements may exist
- Why legal and compliance review is important before expanding telehealth coverage
Who Should Read This
- Physicians
- Telehealth providers
- Compliance professionals
- Medical practice managers
- Medical billing and coding professionals
- Healthcare attorneys
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