Navigating through telehealth licensing issues
Generally, physicians overseeing care for a patient located in a particular state must have a license in that state. Providers must be particularly careful when delivering direct-to-patient telemedicine, such as medical visits via webcam.
There are state licensing exceptions for consulting arrangements where the physician is not in charge of the patient. “The key part of that is directing the care,” said Greg Billings, executive director of the Robert J. Waters Center for Telehealth and eHealth Law in Washington. Most states do allow physicians to make a limited number of consultations, allowing doctors in one hospital to confer with their colleagues licensed elsewhere.
Another workaround is for health systems to encourage their physicians to get licensed in other states where they have hospitals.