Telehealth Compliance: Michigan

Everything you need to know about treating patients in Michigan via telehealth.

Last updated: 2026-06-22

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1 Cross-State Licensing

Whether Michigan requires a direct state license, and any alternative pathways.

Full state license required?
Yes — a direct Michigan license is required for most provider types not covered by an interstate compact.
Telehealth-specific permit available?
No.
Informed consent
Required prior to providing telehealth services.

How to Practice Telehealth in Michigan

Your path to practicing telehealth with Michigan patients depends on your license type. Here are the fastest routes to compliance:

License TypeFastest PathTypical TimelineApply
MD, DOInterstate Medical Licensure CompactTypically 2-4 weeksApply →
PsyD, PhD, PhD-Psychology, Psychologist, etc.Psychology Interjurisdictional CompactTypically 1-2 weeksApply →
All other provider typesFull MI state license4-12 weeks typicalApply →

* Timelines are estimates. Check the relevant board or compact for current processing times.

State references
State licensing board

2 Licensure Compacts

Interstate compacts that may let you practice in Michigan without a separate license.

Michigan is a member of 2 interstate compacts tracked by TeleVerify.

Interstate Medical Licensure Compact
MemberMD, DO

If you hold IMLC authority, you can practice telehealth with patients in Michigan without a separate state license.

Learn more about the Interstate Medical Licensure Compact →

Psychology Interjurisdictional Compact
MemberPsyD, PhD, PhD-Psychology, Psychologist, LP

If you hold PSYPACT authority, you can practice telehealth with patients in Michigan without a separate state license.

Learn more about the Psychology Interjurisdictional Compact →

Social Work Licensure Compact
Not a memberLCSW, LICSW, LISW, LISW-CP, LISW-S, LMSW

Providers relying on ASWB cannot use it to treat patients in Michigan. A direct Michigan license is required.

Learn more about the Social Work Licensure Compact →

Nurse Licensure Compact
Not a memberRN, LPN, LVN, NP, FNP, PMHNP

Providers relying on NLC cannot use it to treat patients in Michigan. A direct Michigan license is required.

Learn more about the Nurse Licensure Compact →

Physical Therapy Licensure Compact
Not a memberPT, DPT, MPT, PTA

Providers relying on PT_COMPACT cannot use it to treat patients in Michigan. A direct Michigan license is required.

Learn more about the Physical Therapy Licensure Compact →

Occupational Therapy Licensure Compact
Not a memberOT, OTR, OTR/L, OTA, COTA

Providers relying on OT_COMPACT cannot use it to treat patients in Michigan. A direct Michigan license is required.

Learn more about the Occupational Therapy Licensure Compact →

Counseling Compact
Not a memberLPC, LMHC, LCPC, LPCC, LCMHC, LPCMH

Providers relying on COUNSELING_COMPACT cannot use it to treat patients in Michigan. A direct Michigan license is required.

Learn more about the Counseling Compact →

Audiology & Speech-Language Pathology Interstate Compact
Not a memberAuD, SLP, CCC-SLP, CCC-A, CF-SLP

Providers relying on AUDIOLOGY_SLP_COMPACT cannot use it to treat patients in Michigan. A direct Michigan license is required.

Learn more about the Audiology & Speech-Language Pathology Interstate Compact →

PA Licensure Compact
Not a memberPA, PA-C

Providers relying on PA_COMPACT cannot use it to treat patients in Michigan. A direct Michigan license is required.

Learn more about the PA Licensure Compact →

APRN Compact
Not a memberAPRN, NP, CRNA, CNM, CNS, DNP

Providers relying on APRN_COMPACT cannot use it to treat patients in Michigan. A direct Michigan license is required.

Learn more about the APRN Compact →

Dietitians Licensure Compact
Not a memberRD, RDN, LDN, LD

Providers relying on DIETITIANS_COMPACT cannot use it to treat patients in Michigan. A direct Michigan license is required.

Learn more about the Dietitians Licensure Compact →

Apply for compact privileges in Michigan

Michigan participates in 2 interstate compacts. If you hold a qualifying license in another member state, you can start practicing in Michigan via compact privilege — often faster and cheaper than full state licensure.

Interstate Medical Licensure Compact
MD, DO
Apply Now →
Fee: Application fee varies by state (~$700-$1,000) · Timeline: Typically 2-4 weeks
Requirements: Must hold a full, unrestricted license in a member state. Board certified or within 5 years of residency completion.
Psychology Interjurisdictional Compact
PsyD, PhD, PhD-Psychology, Psychologist, etc.
Apply Now →
Fee: E.Passport fee ~$440 + state fees · Timeline: Typically 1-2 weeks
Requirements: Doctoral-level psychology degree, current ASPPB E.Passport, active license in a PSYPACT state, no disciplinary actions.

4 Online Prescribing

What providers can and cannot prescribe via telehealth, including DEA-restricted substances.

⚖️ Reference information — not legal advice. Always confirm current requirements with your compliance officer, state licensing board, or a telehealth attorney before relying on this for clinical or business decisions.
Michigan requires in-person evaluation before prescribing Schedule II substances via telehealth. Schedule III-V permitted under standard DEA + state board rules.
Controlled substances
Restricted
Schedule II
In Person Required
Schedule III–V
Allowed
Telehealth-first evaluation
Limited
In-person follow-up required
Conditional

5 Professional Board Standards

State-board-specific standard-of-care, recordkeeping, and technology requirements per credential.

⚖️ Reference information — not legal advice. Always confirm current requirements with your compliance officer, state licensing board, or a telehealth attorney before relying on this for clinical or business decisions.
MD / DO
Michigan Board of Medicine enforces telehealth standard of care equivalent to in-person.
Recordkeeping
7 years
Technology requirements
HIPAA-compliant platform with BAA required.
PsyD / PhD
Michigan Board of Psychology applies in-person standard of care to telepsychology with informed consent specific to remote practice.
Recordkeeping
7 years
Technology requirements
HIPAA-compliant platform required.
LCSW / LMFT / LPCC
Michigan licensure boards for clinical social work, professional counseling, and marriage and family therapy regulate telehealth practice.
Recordkeeping
7 years
Technology requirements
HIPAA-compliant platform required.

6 Modality + Privacy

HIPAA, BAA, audio-only acceptance, and session-recording rules.

⚖️ Reference information — not legal advice. Always confirm current requirements with your compliance officer, state licensing board, or a telehealth attorney before relying on this for clinical or business decisions.
Federal baseline: HIPAA-compliant platform with a signed Business Associate Agreement is required for telehealth. As of February 2026, CMS requires providers to re-verify patient location at every visit. Audio-only telehealth is broadly accepted under federal rules but some states impose stricter requirements (see Consent section for Michigan-specific rules).

What Happens If You Practice Without Authorization

Licensing board action
Treating a patient in Michigan without proper authorization can result in a complaint to your licensing board — in your home state, Michigan, or both. Outcomes range from a warning letter to license suspension.
Insurance claim denial
Payers may deny or claw back reimbursement for sessions where the provider lacked authorization in the patient’s state at the time of service. A signed compliance record gives you a clear answer if a claim is reviewed.
Malpractice coverage gap
Your malpractice policy may exclude coverage for care delivered in a state where you weren’t authorized to practice. If something goes wrong in that session, you could be uninsured.

Know exactly when you can treat a Michigan patient — in real time, every session.

Your license covers where you are. It doesn't cover where your patient is. TeleVerify verifies your provider-to-patient state match before every telehealth session and produces a cryptographically signed compliance record you can show an auditor, insurer, or state board.

  • Works with Zoom, Doxy.me, SimplePractice, TherapyNotes, Jane App — or any other telehealth platform (video or phone)
  • Tracks all interstate compacts and state-specific registration pathways — auto-updates when rules change
  • Signed, tamper-evident compliance record for every visit
Start free trial →14-day trial · No credit card required

Frequently asked: telehealth compliance in Michigan

Can I practice telehealth in Michigan without a Michigan license?

In Michigan, providers must hold a valid license in the state where the patient is physically located during the session. Holding a license in another state does not authorize you to treat patients located in Michigan unless you qualify under an interstate compact or a state-specific telehealth registration pathway.

What interstate compacts does Michigan participate in?

Michigan is a member of the following interstate compacts: IMLC, PSYPACT. Providers with valid privileges under these compacts can practice in Michigan without obtaining a separate Michigan license, subject to active enrollment and good standing.

What are the patient consent requirements for telehealth in Michigan?

Michigan requires informed consent prior to providing telehealth services. One-party consent state for recording. Audio-only telehealth is acceptable in limited circumstances.

Can I prescribe controlled substances via telehealth in Michigan?

Michigan requires in-person evaluation before prescribing Schedule II substances via telehealth. Schedule III-V permitted under standard DEA + state board rules.

What are the professional board standards for telehealth in Michigan?

For MD/DO: Michigan Board of Medicine enforces telehealth standard of care equivalent to in-person. For PsyD/PhD: Michigan Board of Psychology applies in-person standard of care to telepsychology with informed consent specific to remote practice. For LCSW/LMFT/LPCC: Michigan licensure boards for clinical social work, professional counseling, and marriage and family therapy regulate telehealth practice.

What technology and privacy requirements apply to telehealth sessions in Michigan?

Telehealth sessions in Michigan must use HIPAA-compliant video or audio platforms with a signed Business Associate Agreement. Patient location must be verified at the time of each session, since licensure compliance depends on it. Session recording and audio-only acceptability follow state-specific rules (Michigan recording rule: one party consent).

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