Work as an Out-of-State Telehealth Provider in Florida

If you’re an out-of-state telehealth provider looking to serve clients in Florida, you must get a Florida registered agent and File an Application for Out-of-State Telehealth Provider Registration with the Florida Department of Health.

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  • Have and maintain an active, unencumbered license from another state, the District of Columbia, or other US territory
  • Not have an investigation, discipline, or revocation of license within the last five years (this includes pending investigations)
  • Maintain liability insurance coverage or financial responsibility for telehealth services provided to Florida patients in an amount that is equal to or exceeds Florida healthcare practitioner requirements
  • Agree not to open an office in Florida or to provide in-person health services to patients in Florida

Who can register as an out-of-state telehealth provider in Florida?

Florida state law defines the term telehealth provider rather broadly. Telehealth providers include, but are not limited to:

  • Physicians
  • Nurses
  • Pharmacists
  • Psychologists
  • Mental Health Counselors
  • Clinical Social Workers
  • Dietitians
  • Occupational Therapists

What telehealth services can be provided?

Telehealth services include:

  • Patient assessment, diagnosis, and consultation
  • Patient treatment and monitoring
  • Health-related education between a patient and provider
  • Transferring medical data
  • Public health services
  • Health administration

How can telehealth services be provided?

Telehealth services can be provided using synchronous (information sharing in real-time) and asynchronous telecommunications (information sharing between patients and providers that may be reviewed after it’s been sent).

Examples of synchronous telehealth communication:

  • Video calls or sessions
  • Phone calls

During synchronous telehealth appointments, you may observe patient behavior, provide consultations and care (for example, you may run a physical therapy session), and create care plans in real time.

Examples of asynchronous telecommunication communication:

  • Sharing documents or images before or after appointments
  • Reports or forms shared by patients to track progress or symptoms
  • Text messaging between providers and patients (includes messaging in a patient portal or on an app)
  • Sharing of prerecorded exercises or educational information

Asynchronous telehealth communications allow patients to access information on their own time and for patients and providers to share information between appointments.

Emails and fax messages are not included under the umbrella of telehealth communications.

Registered Agent Sign up form company information portion with the company name section filled out as John Doe APRN and Business entity type set to individual

3 – Submit an Application for Out-of-State Telehealth Provider Registration

Once you’ve got a Florida registered agent, you can file your Application for Out-of-State Telehealth Provider Registration.

How to File Your Application:

Mail:
Download and fill out the Application for Out-of-State Telehealth Provider Registration from Florida Health.

Send your application to:
Telehealth
4052 Bald Cypress Way, Bin C-11
Tallahassee, FL 32399-1708

Email:
After downloading and completing your application, email it to [email protected].

Online:
The easiest way to file is online using the Florida Health Medical Quality Assurance (MQA) Online Services portal. Create a new applicant account, and when you get to the “Choose a Board/Council” drop-down menu, choose “Out-of-State Telehealth Providers.”

Information Required on Your Application:

Personal Information:

  1. Name
  2. Birth date
  3. Mailing address
  4. Gender
  5. Email address (optional)

License Registration Information:

  1. Profession
  2. License/Certification number
  3. State or Territory where your license/certification was issued
  4. Original date your license/certification was issued
  5. License/certification expiration date

Social Security Disclosure:

  1. First, Middle, and Last Name
  2. Social Security Number

Education History:

  1. The school name(s), degree or certificate name(s), and completion date(s) for all relevant training and education related to your license/certification
  2. The program name(s), specialty area(s), and completion date(s) for all postgraduate training related to your license/certification
  3. The board name(s), certification or specialty name(s), and completion date(s) for any application board certifications or specialties related to your license/certification

Disciplinary History:

If you have had any disciplinary action taken against you or had to surrender a license, or if you have any pending investigations or actions being taken against you, you must list the following in relation to these actions:

  1. Profession
  2. License Number
  3. State
  4. Action Date
  5. Final Action
  6. A copy of the Administrative Compliant and Final Order for each disciplinary action listed

Financial Responsibility:

You must acknowledge that you either:

(A) Maintain professional liability coverage that satisfies Florida healthcare practitioner requirements (at least $100,000 claim with a minimum aggregate of at least $300,000)

OR

(B) Have an unexpired, irrevocable letter of credit or escrow account in the amount of $100,000 or more per claim with a minimum aggregate availability of $300,000 or more)

Medical Malpractice Insurance:

  1. Name of insurance provider
  2. Policy limits, per claim and aggregate
  3. Whether or not your policy covers claims arising in Florida

Designation of Registered Agent:

  1. Registered agent name
  2. Physical address of registered agent

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Applicant Signature:

  1. Your signature
  2. Date of signature

How long does it take for my application to be reviewed?

According to Florida law, initial applications must be reviewed within 30 days. However, the Florida Board of Medicine Licensing and Registration site lists current review times, which are often much shorter. You can also check your application status using the MQA Online Services portal.

How much does it cost to register?

There is no fee to register as an out-of-state telehealth provider in Florida.

Do I need to renew my out-of-state telehealth provider registration?

Nope. There is no renewal filing. As long as you maintain a registered agent and meet the eligibility requirements, your registration will remain active.

Out-of-State Telehealth Florida Provider FAQ

Answers to commonly asked questions about out-of-state telehealth provider registration.

Can I register with a provisional license?

No. You cannot register with a provisional license. Provisional licenses have provisions that must be met, such as supervision, and are therefore not considered unencumbered.

Are there any exemptions to registration?

There are two exemptions to registration, according to Section 456.47(6):

  1. In response to an emergency medical situation
  2. If you serve as a consultant to a health care professional who is registered to practice in Florida and who has ultimate authority over the patient’s diagnosis and care

Do I need to register if I am a multistate license (MSL) holder?

If Florida is a member of the healthcare licensure compact for your license, you do not need to register. For example, Registered Nurses and Licensed Practical Nurses who hold an MSL under the enhanced Nurse Licensure Compact (eNLC) are already eligible to provide out-of-state telehealth care in Florida.

However, if Florida is not a member of the healthcare licensure compact for you license, you must register.

Can I share a registered agent service with another telehealth provider?

No. Even if you work at the same company, each provider must appoint their own registered agent as an individual. You cannot share the service.

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