Navigating Multi-State Telehealth Credentialing: What Providers Must Know in 2025

Jovin Richard
Jul 3
2 min read

At ACCORDPRO, we help healthcare organizations manage the paperwork, processes, and renewals that multi-state telehealth demands. Here’s what providers should know about multi-state telehealth credentialing in 2025—and how to avoid costly missteps.

Stay Compliant and Expand Your Virtual Care Without Unnecessary Delays

Telehealth is here to stay—and for many providers, seeing patients across state lines is the new normal. But with the promise of reaching more patients comes the challenge of staying compliant with each state’s licensing and credentialing requirements.

1. Understand State Licensing Requirements

Each state still controls its own licensure rules for telehealth. While interstate compacts make it easier for physicians, nurses, and other providers to work across borders, not every state participates—and new rules continue to evolve.

What to Do:

Confirm whether your profession is covered by an interstate compact like IMLC (physicians) or NLC (nurses)
Track which states require full licenses vs. telehealth-specific registrations
Stay alert to legislative changes that may expand or restrict cross-state practice

2. Check Payer Credentialing Rules for Each State

It’s not enough to hold a valid license—you must also be credentialed with each payer in each state where you’re billing for services.

What to Do:

Verify payer-specific policies on out-of-state providers
Update CAQH and PECOS profiles with all practice locations
Work with credentialing experts to manage separate applications for Medicaid plans, which vary by state

3. Know Prescribing Restrictions

Prescribing controlled substances via telehealth remains tightly regulated under both state and federal rules, especially as pandemic-era flexibilities phase out or evolve.

What to Do:

Check each state’s controlled substance laws and telehealth prescribing rules
Maintain proper DEA registrations for each state if required
Stay compliant with Ryan Haight Act provisions and any updates for 2025

4. Keep Up With Renewals and Revalidations

Multi-state practice means multiple renewal deadlines, documentation requirements, and potential audits. Missing a single renewal can lead to billing denials or even penalties.

What to Do:

Build a credentialing calendar with state license, payer, DEA, and compact renewal dates
Use reminders and tracking tools—or partner with ACCORDPRO to handle renewals for you
Keep digital copies of all licenses, attestations, and verifications up to date

5. Plan for Growth Without Compliance Gaps

As more practices expand virtual services to new states, they must weigh growth plans against compliance risk. Failing to maintain proper licensure or payer credentialing can lead to non-payment and regulatory penalties.

What to Do:

Develop a clear state-by-state telehealth expansion strategy
Budget for additional licensing fees, background checks, and credentialing timelines
Partner with a credentialing service that understands multi-state practice complexities

Final Thoughts

Telehealth can help your practice grow in 2025—but only if your licensing and credentialing keep up. Avoid costly delays and denials by staying organized, tracking renewals, and partnering with experts who do the legwork for you.

ACCORDPRO helps providers navigate multi-state telehealth credentialing with customized solutions for licensing, payer enrollment, CAQH management, and compliance support.