Multi-state telehealth practice setup
Launch a telehealth practice licensed across the states where your patients actually live. We coordinate IMLC, Nurse Licensure Compact, PSYPACT, and state-by-state reciprocity — plus DEA, malpractice, and platform setup.
Everything you need to launch and stay compliant.
- Home-state licensure verification + IMLC Letter of Qualification (MDs/DOs)
- Nurse Licensure Compact / APRN compact strategy (RNs, NPs)
- PSYPACT enrollment for clinical psychologists
- ASLP-IC for audiology/SLP
- State-by-state reciprocity applications for non-compact states (such as California and New York)
- DEA registration stacked per practice address for controlled-substance prescribing
- Telehealth-rated malpractice policy
- HIPAA-compliant video platform selection and BAA
- State-specific intake, consent, and ID-verification forms
- Single point of accountability across state, federal, and payer workstreams.
- Fixed-scope engagements with milestone-based delivery.
- Ongoing compliance support after launch on retainer or as-needed.
- Direct work product — not outsourced to overseas teams.
Realistic timeline
Home state + compacts
- License verified
- IMLC / NLC / PSYPACT applied
- Malpractice bound
Multi-state buildout
- Compact licenses issued (7–14 days each)
- Non-compact reciprocity filed
- DEA per practice address
Platform + launch
- HIPAA platform + BAA
- Intake/consent localized
- First patient seen
Telehealth Practice Setup questions
Does IMLC give me a separate license per state?
Yes. IMLC issues a Letter of Qualification, then each state's medical board issues a state-specific license. You hold individual licenses — IMLC just makes them fast.
Can I prescribe controlled substances across state lines?
Generally yes if you have a DEA registration with a practice address in that state. The Ryan Haight Act has limited telehealth exceptions for buprenorphine and certain other Schedule II–V drugs.
How long to license in 10 states?
It depends on how many of those states are in the compacts and on each board's own schedule. Compact states can use the faster IMLC/PSYPACT routes. Non-compact states such as California and New York require a full state application, which adds time on each board's own schedule.
Ready to start your telehealth practice setup?
Book a consultation and we'll map every milestone, license, and deadline.