This is a fuzzy area. The general rule is that any provider must be licensed to practice in the state where the patient is located. This is true for both in-person and telehealth encounters. If the patient is physically present in Maryland and the provider is licensed in Maryland, then that provider can be anywhere when providing telehealth services because the licensing requirement is met. The tricky part involves situations where the patient is physically located in a state where the provider is not licensed.

People are on the go so much these days that needing health care when out-of-state is not an unusual situation. Since telehealth now makes it possible to receive out-of-state health care from your usual provider already familiar with your history, it makes sense for that individual to be the one providing care wherever you happen to be.

Since nationwide licensing doesn’t exist for most health care professionals, the burden of licensing processes and costs limits how many health care providers will have multiple state licenses. This is an area of discussion in the telehealth world but how to resolve the dilemma is still up in the air.

If you anticipate needing a consultation when you know you’re going to be out-of-state, discuss it with your provider directly.