Telemedicine Requirements for Licensing, Scope of Practice and Reimbursement

Overcoming Multistate Regulatory Hurdles for Healthcare Providers and Facilities

Recording of a 90-minute CLE webinar with Q&A

Conducted on Tuesday, November 21, 2017

Recorded event now available

or call 1-800-926-7926
Program Materials

This CLE webinar will provide guidance for counsel to healthcare facilities and practitioners on the requirements and exceptions for telemedicine licensing and reimbursement. The panel will offer best practices for overcoming licensing challenges and explain how providers can comply with the requirements and get paid.


One of the biggest regulatory challenges of telemedicine is licensure. For example, how does the state classify where a consult or treatment takes place? If the provider is providing a second opinion, does this fall under the same requirements? When is an in-person exam required? What are the exceptions to telemedicine licensure? Both physicians and non-physician practitioners must meet differing requirements of states in which they are consulting, diagnosing or treating patients.

Further, most providers must comply with state scope-of-practice laws. Can mid-levels provide telemedicine services? If so, to what extent must they be supervised by, or collaborate with, physicians?

Reimbursement rules add another layer of complexity to telemedicine. Medicare coverage for telemedicine services is limited by a number of restrictions. While most states’ Medicaid programs cover some telemedicine services, the rules differ widely from state to state. Also, many states have telemedicine coverage and reimbursement laws that require private payers to cover telemedicine services.

Counsel for practitioners must understand what each state requires to meet licensing, scope of practice and reimbursement requirements. In addition, counsel must be aware of myriad rules governing fee arrangements, anti-kickback and self-referral, and the corporate practice of medicine.

Listen as our authoritative panel examines regulatory requirements and challenges for healthcare providers and facilities related to licensing, scope of practice, and reimbursement. The panel will offer best practices for overcoming these regulatory hurdles.



  1. Licensing requirements and challenges
    1. Physicians
      1. Consults
      2. Diagnosis
      3. Treatment recommendations
      4. Remote prescribing
    2. Licensing exceptions
    3. Non-physician practitioners
  2. Scope of practice
  3. Reimbursement
    1. Medicare
    2. Medicaid
    3. Commercial reimbursement
  4. Business issues
    1. Corporate practice of medicine
    2. Fee splitting
    3. AKS and self-referral


The panel will review these and other key issues:

  • What are the regulatory challenges with meeting licensing requirements in multiple states?
  • Other than traditional, formal licensure, what alternative paths can a provider follow to become authorized to offer services within the patient's state?
  • What telemedicine services are covered by Medicare? By Medicaid?
  • What are the regulatory hurdles relating to anti-kickback and self-referral?
  • What hurdles persist under corporate practice laws, and how can they be cleared?


McMenamin, Joseph
Joseph P. McMenamin

McMenamin Law Offices

Mr. McMenamin concentrates his practice on advising clients on legal issues pertinent to telemedicine. Although most of...  |  Read More

Quashie, Rene
René Y. Quashie

Cozen O'Connor

Mr. Quashie focuses his practice on federal regulatory and administrative health care matters, including Medicare and...  |  Read More

Rifenbark, Richard
Richard K. Rifenbark


Mr. Rifenbark relies on his knowledge and experience to help clients identify, avoid and resolve difficult...  |  Read More

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