International Tele Health
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Hello! I am considering a move to Portugal from The States I am currently Licenced in Colorado and would like to be able to see clients via tele health globally. I am having trouble finding the laws and regulations about doing this. Does anyone have answers or resources regarding this? I know in the state your licence only applies in the state you are licenced in and if your clients remain in that state...but not sure about the world!

Thank you,

Maile

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    Gillian

    Hi Maile, I'd be happy to help. The laws and regulations around Telehealth licensure vary depending on your client's location. Internationally, licensing rules & medical practice laws are based on the location of the patient vs/ the location of the physician which means that “a physician licensed in the United Kingdom and providing teleconsultation services to a patient located in Chicago, Illinois, USA must hold a license issued by the Illinois state medical board (or otherwise meet a state licensure exception under Illinois law)...this licensure also applies to the ability of a physician to be able to prescribe, and have fulfilled, medicine in a certain jurisdiction.”

    In the USA, “a physician delivering medical services via telemedicine must be licensed in the state where the patient is located.”

    Hi Maile, I'd be happy to help. The laws and regulations around Telehealth licensure vary depending on your client's location. Internationally, licensing rules & medical practice laws are based on the location of the patient vs/ the location of the physician which means that “a physician licensed in the United Kingdom and providing teleconsultation services to a patient located in Chicago, Illinois, USA must hold a license issued by the Illinois state medical board (or otherwise meet a state licensure exception under Illinois law)...this licensure also applies to the ability of a physician to be able to prescribe, and have fulfilled, medicine in a certain jurisdiction.”

    In the USA, “a physician delivering medical services via telemedicine must be licensed in the state where the patient is located.”

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    Maile Grace

    Hello Gillian,

    Thank you for your response. In this case I would be considering seeing clients all over the world. Currently all of my clients would remain in Colorado, but as I branched out I would be interested in seeing people from elsewhere. Again the licence, I hold is in the US (Colorado). I also do not prescribe medication, so that wouldn't be a concern for me. Do you have any specific resources I can reference? I am not looking for laws pertaining to the US I am specifically looking at laws outside of the US. In Portugal, Europe and world wide.

    Thank you

    Hello Gillian,

    Thank you for your response. In this case I would be considering seeing clients all over the world. Currently all of my clients would remain in Colorado, but as I branched out I would be interested in seeing people from elsewhere. Again the licence, I hold is in the US (Colorado). I also do not prescribe medication, so that wouldn't be a concern for me. Do you have any specific resources I can reference? I am not looking for laws pertaining to the US I am specifically looking at laws outside of the US. In Portugal, Europe and world wide.

    Thank you

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    Gillian

    Hi Maile, got it. The Zur Institute has a guide here: https://www.zurinstitute.com/telehealth-across-state-lines/#practicing

    I'll also share your post with other members of our community who practice internationally to see if they can weigh in. 

    Hi Maile, got it. The Zur Institute has a guide here: https://www.zurinstitute.com/telehealth-across-state-lines/#practicing

    I'll also share your post with other members of our community who practice internationally to see if they can weigh in. 

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    Melissa Bartholomew

    Hi Gillian,

    Do the international laws only matter for reimbursements, or does that affect private pay clients as well?

     

    Thank you,

    Mel

    Hi Gillian,

    Do the international laws only matter for reimbursements, or does that affect private pay clients as well?

     

    Thank you,

    Mel

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    Melissa Bartholomew

    Hi Gillian,

    Do the international laws only matter for reimbursements, or does that affect private pay clients as well?

     

    Thank you,

    Mel

    Hi Gillian,

    Do the international laws only matter for reimbursements, or does that affect private pay clients as well?

     

    Thank you,

    Mel

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    Ruth

    Hi Melissa - We apologize for the late response. The regulations dictate the ability for clinicians to treat clients in different states and, or, countries via Telehealth. It's not specific to insurance billing.Please refer to these guidelines to see how this affects you and your clients: https://www.zurinstitute.com/telehealth-across-state-lines/#practicing

    Hi Melissa - We apologize for the late response. The regulations dictate the ability for clinicians to treat clients in different states and, or, countries via Telehealth. It's not specific to insurance billing.Please refer to these guidelines to see how this affects you and your clients: https://www.zurinstitute.com/telehealth-across-state-lines/#practicing