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Telehealth Compliance and Operations

Telehealth Rules, Handled State by State

For practices and telehealth companies launching or expanding virtual care: what each state allows, prescribing after the DEA rules change, policies and consent, registrations, vendors, and a calendar that keeps it all current.

Flat, published prices. Research delivered for your counsel to review, not billed by the hour.

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DEA's telemedicine prescribing flexibilities end Dec 31, 2026, and the replacement rule is not final yet. What changes on Jan 1, 2027 →

The dates telehealth runs on

As of October 2026. We update these the day a rule publishes.

  1. Dec 31, 2026

    DEA telemedicine flexibilities end

    Prescribing Schedule II–V medications by telemedicine without an in-person evaluation is allowed through this date. The special registration rule that may replace it is not final.

    Read more
  2. Jan 1, 2027

    2027 fee schedule takes effect

    CMS proposed new telehealth claim modifiers and a requirement that remote monitoring staff be direct employees. The final rule is expected in early November.

    Read more
  3. Dec 31, 2027

    Medicare telehealth flexibilities end

    Visits from the patient’s home outside rural areas stop qualifying for most services unless Congress acts again. Audio-only ends the same day; the tele-mental-health in-person deferral runs to Jan 1, 2028.

    Read more

What We Do

Each service has a flat, published price. Government, registration and vendor fees are separate and listed on our pricing page.

Telehealth Launch Blueprint

Launch a telehealth service line in up to five states with a plan you can execute.

$4,950 per service line

50-State Telehealth Matrix

Every state’s telehealth rules for one service line, with citations, in one table.

$2,950 per service line

State Expansion Pack

Add one state to a blueprint or matrix, with the workflow changes it needs.

$595 per state

DEA Telemedicine Readiness

A plan for prescribing controlled substances by telemedicine after Dec 31, 2026.

$1,450 one-time

Telehealth Policies & Consent Kit

The policies and consent forms a telehealth practice needs, written for your states.

$1,950 one-time

Telehealth Registration Filing

Telehealth registrations for out-of-state physicians, NPs and PAs, filed and tracked.

$395 per clinician, per state

Platform, Pharmacy & Lab Selection

Choose the video platform, pharmacy partners and labs, and know what the contracts must say.

$2,450 one-time

Service-Line Pivot Package

Move a telehealth program to a new service line without repeating old mistakes.

$3,950 per service line

Remote Patient Monitoring Program Setup

Stand up a remote patient monitoring program that holds up to an audit.

$5,950 one-time

Medicare 2027 Cliff Plan

Know which Medicare telehealth visits stop when the flexibilities end.

$1,450 one-time

Compliance Calendar & Rule Watch

Every registration, renewal and rule change for your states on one calendar.

$495 per month

Counsel-Ready Structure Packet

The facts and documents your lawyer needs to structure a telehealth company.

$950 one-time

How We Work

1. Scope the service line and the states

We start with what you want to offer, to whom and where: the service line, the states, the care model, and what you plan to prescribe. Then we check it against each state's telehealth law and the federal rules, so you know before you build what each state allows, what it requires, and where a plan has to change.

2. Build the file: matrix, policies, registrations, vendors

We deliver the work itself: the state-by-state matrix with a citation for every rule, consent forms and policies written for your states, telehealth registrations filed for your clinicians, and a vetted platform, pharmacy and lab stack. Licenses, DEA registrations and payer enrollment go to our White Glove sister teams, coordinated from the same plan. Your counsel reviews what needs a lawyer's sign-off.

3. Keep it current

Telehealth rules move on federal, state and payer timetables: DEA's flexibilities end Dec 31, 2026, Medicare's run through 2027, and states amend their laws every session. We keep your registrations and renewals on one calendar, watch the rules that affect your service lines, and tell you what changed and what to do about it.

Telehealth Law, State by State

Consent, establishing the patient relationship, asynchronous care, prescribing limits, telehealth registrations and payer parity for all 50 states and DC, each with its citation. 16 offer a telehealth-specific registration or license for out-of-state clinicians.

Telehealth registration or license available
Full state license or an exception

Compare every state

Frequently Asked Questions

What does White Glove Telemedicine do?

We handle the practice side of telehealth: what each state allows for your service line, prescribing after the DEA flexibilities end, telehealth policies and consent forms, telehealth registrations for out-of-state clinicians, platform, pharmacy and lab selection, remote patient monitoring setup, and a calendar that keeps it all current. Every price is published.

Are you a law firm?

No. Our matrices and policies are research and drafting, each rule cited to its statute or regulation, delivered for your counsel to review. Corporate structuring, legal opinions and responses to regulators are your counsel's work; we make that work faster by handing them an organized file.

Can we keep prescribing controlled substances by telemedicine in 2027?

It depends on the medication, the patient and what DEA finalizes. The temporary flexibilities end Dec 31, 2026. After that, prescriptions without an in-person evaluation have to fit one of the Ryan Haight Act's exceptions, the buprenorphine or VA rules, or the special registration DEA has proposed but not finalized. Where the DEA rules stand.

Is Medicare telehealth permanent now?

No. The Consolidated Appropriations Act, 2026 extended most of Medicare's telehealth flexibilities, audio-only included, through Dec 31, 2027, and the tele-mental-health in-person deferral through Jan 1, 2028. Some pieces, such as behavioral health from the patient's home, were already permanent. What happens after 2027.

Do you license our clinicians?

Not on this site. Our sister teams do: physicians through White Glove IMLC, nurse practitioners through White Glove APRN, physician assistants through White Glove PA, and whole clinician teams through White Glove Medical. Tell us what you need on the form below and we coordinate it.

Who files DEA registrations and payer enrollment?

DEA and state controlled-substance registrations are filed by our licensing sister teams, and payer enrollment by White Glove Credentialing. We work out which registrations each prescriber needs; they file them.

What is a telehealth registration?

A registration or limited license some states offer so a clinician licensed elsewhere can treat patients there by telehealth without a full license. Florida's is the best known. Each comes with conditions, such as no in-person care in the state, and some limit prescribing. Which states have one.

Do you work with startups or only established practices?

Both. A founder launching a service line buys the Launch Blueprint; an established practice expanding into one more state buys a State Expansion Pack; a multi-state company keeps everything current with the monthly Compliance Calendar & Rule Watch.

Who We Are

White Glove Telemedicine handles the practice side of telehealth. The clinical work is yours. We handle the rules around it: which states allow your care model, what each one requires in consent and documentation, what can be prescribed where, and which registrations your clinicians need.

We are part of the White Glove family, which licenses clinicians in every state, files DEA registrations, enrolls providers with payers and tracks continuing education. When a telehealth plan needs that work, the same family does it, coordinated from one plan.

We are not a law firm. Our matrices and policies are research and drafting, cited to the statute or rule, and delivered for your counsel to review. That is how a law firm's hours go to judgment instead of research, and how we can publish our prices.

Built for operators who value straight answers

Why We Built This

Telehealth rules change on three timetables at once: federal, state and payer. A missed one costs a launch date, a prescription or a claim.

24

states with explicit telehealth payment parity

Plus Puerto Rico, as of CCHP's Fall 2025 report. Most other states require private payers to cover telehealth without requiring them to pay the same as in person. Where your patients live decides which rule you get.

4

times DEA has extended its telemedicine flexibilities

The current extension ends Dec 31, 2026. The special registration rule meant to replace it was proposed in January 2025 and was still under review in October 2026. Plan for the date, not for a fifth extension.

43%

of Medicare RPM enrollees missed a required component

OIG's 2024 review found that 43% of enrollees in Medicare remote patient monitoring did not receive all three components. Programs are set up, documented and checked now with that finding in mind.

"Every telehealth launch asks the same questions in a different order: can we see patients there, can we prescribe this there, what does the consent have to say, and who has to register. The answers are in statutes, board rules and Federal Register notices that change every year. We built White Glove Telemedicine to answer them once, with citations, and keep them current."

— The team at White Glove Telemedicine

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