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State requirements

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State medical boards have many rules related to telehealth. For example, most state medical boards require providers who provide telehealth to hold a license in the state where the patient is located. As noted previously, the Interstate Medical Licensure Compact was developed through which participating states “allow providers to obtain a license to practice medicine in any Compact state through a simplified application process,” thus saving time and supporting the expansion of telehealth. 

Additionally, hospital-based patient sites often require providers who provide telehealth to hold privileges, which may be telehealth-specific, at the hospital. Privileging by proxy may allow the hospital to receive services to accept the distant site (where the provider who provides telehealth is located) hospital’s credentialing and privileging decisions.