Why Is the IMLC Important for Telemedicine?
In telemedicine, geography becomes irrelevant — until licensing gets in the way. While doctors can connect with patients from anywhere, they must be licensed in the patient’s state. That’s where the Interstate Medical Licensure Compact (IMLC) steps in, enabling multi-state licensure with a single streamlined process.
How Does the IMLC Support Telemedicine Growth?
The IMLC reduces the licensing burden on physicians who want to practice across state lines. By obtaining a Letter of Qualification (LOQ), providers can rapidly secure licenses in 30+ states. This creates new care opportunities, especially in rural or underserved regions where local specialists may be limited.
What Are the Benefits for Telemedicine Doctors?
- Speed: Get licensed in multiple states in weeks instead of months.
- Compliance: Practice legally across state borders, meeting local regulations.
- Scalability: Expand your patient base or work for national telehealth platforms.
Who Uses the IMLC for Remote Care?
Physicians in the following roles commonly use the IMLC to practice telemedicine:
- Primary care doctors offering virtual consults
- Psychiatrists and mental health professionals
- Dermatologists reviewing patient images remotely
- Specialists offering second opinions via video
- Urgent care physicians for non-emergency cases
What Are the Licensing Requirements for Telemedicine?
Telemedicine licensing is governed by the patient’s location — not the provider’s. That means if a patient lives in a different state, the doctor must hold an active license in that state. The IMLC provides a legal way to meet this requirement rapidly and at scale.
Do Telemedicine Platforms Require IMLC Participation?
Many national and regional telemedicine companies give hiring preference to IMLC-eligible physicians. Some even require providers to already hold licenses in a minimum number of states or to be actively participating in the compact.
Can You Offer Care to Out-of-State Patients Without the IMLC?
Only if you’re licensed independently in each state. The IMLC is not the only path — but it is by far the fastest and most efficient. Without it, you’d need to complete full, separate applications with each individual board, repeating paperwork and background checks every time.
What About Controlled Substances or Prescribing?
State laws vary. Being licensed via the IMLC does not override state-specific rules on prescribing, especially for controlled substances. Telemedicine doctors must still follow state laws regarding in-person evaluations, follow-ups, and prescribing restrictions.
How Many Licenses Should You Apply For?
This depends on your goals. Some telehealth providers start with 3–5 key states, while others apply in 15+ to maximize market coverage. Focus on:
- States with high patient demand
- States where your employer or telehealth platform operates
- States with fewer in-state specialists
Are There Extra Steps for Telemedicine Providers?
Sometimes. Even with IMLC licensure, some states may require you to:
- Register your telehealth practice or platform
- Maintain a local address for patient records
- Comply with state-specific technology and security rules
Always check with each state’s board after you receive your license to confirm local compliance requirements.
Final Thoughts
For telemedicine providers, the IMLC is more than a convenience — it’s an enabler. It opens doors to national care delivery, gives you the ability to scale, and reduces administrative friction. If you’re practicing virtually, the IMLC should be at the core of your licensing strategy.
The future of medicine is borderless. With the IMLC, your license can be too.