Telehealth: How to Legally and Ethically Practice Across State Lines & International Borders

4.8      (1079)
Faculty: Marlene M. Maheu, PhD

Many federal and state changes are underfoot to make interjurisdictional practice a permanent reality. Still, only a handful will survive the political cauldron to impact your ability to work over state lines permanently. This exciting training activity will give you an update so you will know what to expect and where to go to stay informed.

√ 100% Online, 24/7 √ Available On-Demand
√ 6-Month Access √ 1.5 CME or CE Contact Hour(s)
CME or CE Certificate
No CME or CE Certificate

Professional Development Activity Description

The US Public Health Emergency has created a pivotal decision point for practitioners seeking to develop telehealth across state lines. Many laws have recently changed, leaving most practitioners at a loss for how to practice legally and ethically. This professional development activity will provide you with 2023 updated resources and in-depth answers to your questions about practicing telehealth, teletherapy, and telemedicine across state lines, counseling telehealth across state lines, social work therapy across state lines, and other forms of telehealth interjurisdictional practice. It will give detailed legal and ethical information relevant to physicians, nurses, psychologists, social workers, counselors, marriage and family therapists, and speech and language therapists.

Specific Topics: Practicing Telehealth Across State Lines

This learning activity will provide succinct answers to the following telehealth questions - and more.

  • The relevant legal and ethical codes related to practicing therapy across state lines.
  • Solutions for many of the common challenges faced by providers who apply for and juggle licenses in multiple states.
  • How to systematically build a manageable resource network.
  • How to keep current with various state laws, continuing education requirements, and their documentation.
  • How to think about billing for services delivered over state lines or in multiple states for the same client or patient.
  • Questions to ask your malpractice carrier about your policy’s coverage when practicing across state lines and internationally.
  • Where to go and what to say when seeking information about practicing in foreign countries.
  • How to think about legal and ethical interjurisdictional issues if your supervisee's profession differs from yours.
  • Case-based examples spark group discussion of how to address the many nuances of dealing with legal, ethical, and clinical issues.
  • Where can you go for FREE, up-to-date telehealth interjurisdictional practice information, including telehealth "model compacts" for your profession?

This highly interactive program is designed to include the audience in a discussion to help you understand your next steps quickly and efficiently. Whether you want to practice counseling telehealth across state lines, social work counseling across state lines, psychology across state lines, or any form of telemedicine across state lines, this intensive, exciting professional development activity will give you the most up-to-date, essential, actionable information. Join us – we guarantee that you'll be glad you did!

Learning Objectives

  • Explain what’s happening with the US Public Health Emergency and how that can impact your ability to work over state lines.
  • List at least one way your malpractice coverage can automatically be nullified, despite your carrier’s claims that you are “covered” for online practice.
  • Outline the 2-step process for legally and ethically practicing over state lines and international borders.

When & How

CME or CE: Credit hours 1.5
Duration: Approximately 1.5 hours to complete.
Format: Online Activity. Online readings, illustrative media, automatically graded post-test. All material for training is provided at no extra cost, and is accessible through your computer or digital device. Available 24/7 as on–demand training (asynchronous).
When: On-Demand. Available 24/7 as a recording. (To earn on-demand CMEs or CEs, the registrant can view the two recordings and slides, then print the course completion certificate at any time.)
*Recordings and all support materials are available for 6 months from the date of registration.**CME or CE credit can only be awarded for participating in one version of this program.
Where: 100% Online
  • Access the power and interactivity of technology for learning (login is required)
  • All materials are included with this training
  • Passing grade is 80% or higher on post-tests
  • Printable course completion certificate are available for your licensing board
  • Access the Community Forum to ask related questions
  • Receive full customer support
  • Refunds available within 30 days of purchase with a $25 refund fee
  • This program is approved for 1.5 CME or CE Hours, applicable toward state requirements for Legal/Ethical Continuing Medical Education or Continuing Education. is approved by several CME or CE-approval providing groups to sponsor CME or CE Hours. Please review our accreditation information. If unsure, communicate with your licensing board regarding their acceptance of our CME or CE provider status. If you have any questions, please contact us.


This program is for beginning and intermediate-level “telepractitioners” and “telesupervisors” wishing to deliver telemental health services in these disciplines:

  • Psychiatrists, Internists, Pediatricians, Gerontologists, Nurses, Physician Assistants, Nurse Practitioners
  • Psychologists, Counselors, Social Workers, Therapists, Marriage & Family Therapists
  • Speech Pathologists, Dietitians, Occupational Therapists, Behavioral Analysts, Substance Use Professionals
  • CEOs, COOs, Administrators, Billing & Coding Staff


Dr. Marlene Maheu has been a pioneer in telemental health for almost three decades. With five textbooks, dozens of book chapters, and journal articles to her name and educated more than 66k clinicians from 109 countries, she is in a unique position to guide you or your organization in finding a maximally profitable niche in telehealth. She is the Founder and CEO of She is the CEO of the Coalition for Technology in Behavioral Science (CTiBS), and the Founder of the Journal for Technology in Behavioral Science.

She has assisted in writing standards and guidelines for national associations and was the Chair of the CTiBS Competency Committee that published the first telebehavioral health competency framework. She has been interviewed by dozens of leading newspapers and magazines, keynoted, and taught hundreds of telehealth-related workshops internationally.

Dr. Maheu is a master at getting to the point and answering your questions with straightforward, actionable, evidence-based suggestions that quickly move you to your goal. She will delight you with her clinical acumen and make you smile at how simple many solutions can be when explained by a professional with decades of passionate telehealth training experience. Bring your notepad — you’ll leave with pages of practical to-do’s!

Reviews has excellent resources for training and the knowledge contained in the materials is current. I was provided with good customer support.

Laura Van Schaick-Harman, PsyD

Wonderful. always responds to my requests right away and the training has been extremely helpful to me.

Lisa J. Rotella, Licensed Clinical Social Worker

Your mobile-compatible training website is very nice and user-friendly!

Dianna Bruno, PsyD

CME & CE Accreditations & Approvals has been approved by the leading medical and behavioral accrediting and approval groups.










Physicians, Nurses, Nurse Practitioners & Physician’s Assistants - NJAOPSPhysicians, Nurses, Nurse Practitioners & Physician’s Assistants

Purpose: NJAOPS is dedicated to reminding and enhancing physicians’ knowledge to manage the changing needs of the healthcare system. These evidence-based educational lectures are structured to augment physician expertise with current guidelines, materials, and recommendations, as well as up-to-date advances in medical treatment on specific topics. Accreditation: New Jersey Association of Osteopathic Physicians and Surgeons is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing education for DO Physicians. NJAOPS designates these educational activities for category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.

Physician (AMA) accreditation statement: NJAOPS Is accredited by the Medical Society of New Jersey to provide Continuing Medical Education for physicians. NJAOPS designates live or online activity for AMA PRA Category 1 Credits™. Health Professionals: participants may claim hours to receive a Certificate of Participation for an activity designated for AMA PRA Category 1 Credits™. Method of Participation: for successful completion of activity and subsequent awarding of credits, individuals are required to participate in the entire activity and complete an attestation form, as well as an activity evaluation form.

Psychologists — American Psychological Association (APA)Psychologists — American Psychological Association (APA) is approved by the American Psychological Association to sponsor Continuing Education for psychologists. maintains responsibility for this program and its content.

Addiction Professionals — The Association For Addiction Professionals (NAADAC)Addiction Professionals — The Association For Addiction Professionals (NAADAC) is officially on file with NAADAC, The Association For Addiction Professionals (NAADAC) as an approved education provider. has been approved as a NAADAC approved education provider. NAADAC provider #159459, is responsible for all aspects of their programming.

Counselors — National Board For Certified Counselors (NBCC)Counselors — National Board For Certified Counselors (NBCC) has been approved by National Board For Certified Counselors (NBCC) as an approved Continuing Education Provider. ACEP No. 6708. Programs that do not qualify for NBCC credit are clearly identified. is solely responsible for all aspects of the program.

New York State Education Department’s State Board For Social Work (NY SWB)New York State Education Department’s State Board For Social Work (NY SWB), LLC is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of Continuing Education for Licensed Social Workers #SW-

New York State Education Department's State Board for Mental Health Counselor (NY MHC)New York State Education Department’s State Board for Mental Health Counseler (NY MHC) is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0237.

New York State Education Department's State Board for Marriage & Family Therapist (NY MFT)New York State Education Department’s State Board for Marriage & Family Therapist (NY MFT) is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0104.

New York State Education Department's State Board for Licensed Psychologists (NY PSY)New York State Education Department’s State Board for Licensed Psychologists (NY PSY) is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0193.

Social Workers — Association Of Social Work Boards (ASWB)Social Workers — Association Of Social Work Boards (ASWB), Provider #1328, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) program. maintains responsibility for the program. ASWB approval period: 11/18/2019 – 11/18/2022. Social workers should contact their regulatory board to determine course approval for continuing education credits. Please note that ASWB does not award CE hours for training related to marketing.

— NOTE —

Please verify the appropriateness of training for your needs by contacting your state/provincial board or your state/provincial professional organization. Some state and provincial regulations are in flux, complex, and can be confusing. Some require additional documentation. Some states restrict the number of CME and CE hours you can complete online. disavows responsibility for being aware of/meeting your state’s regulatory or licensing requirements.

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