MI · STATE RULES

Telehealth rules in Michigan

Michigan makes two things non-negotiable and then gets out of the way. A health professional may not deliver a telehealth service at all without first obtaining the patient's consent, and every prescription, controlled or not, is expected to travel electronically. Set against that, the state forbids its medical assistance program from capping telemedicine more tightly than in-person care, so the volume of remote visits is not something a payer may quietly ration.

First visit
Async with conditions
Physician license
IMLC member; own license
Controlled drugs
Electronic for every drug
Nurse practitioners
Restricted practice

Rules checked September 2026 · 14 sources cited

ONLY IN MICHIGAN

What is different about Michigan

Each rule here is true of Michigan and of none of the states that border it. Beside each one: what the neighbours do instead.

  1. 01 · Prescribing

    Every prescription travels electronically

    The state's electronic prescribing mandate reaches all prescriptions rather than controlled substances alone, so a non-controlled weight, skin or hair prescription is transmitted the same way a scheduled drug is. Paper becomes an exception to justify rather than a routine alternative.

    Source: Center for Connected Health Policy: Michigan

    Across the border

    • Ohio

      Ohio has no all-drug mandate and puts its distinctive limit elsewhere, requiring an in-person examination before a Schedule II prescription rather than governing how any prescription is sent.

      Source: Ohio Admin. Code 4731-11-09
    • Indiana

      Indiana leaves transmission alone and restricts the drug itself, barring opioids prescribed through telehealth except partial agonists used to treat opioid dependence.

      Source: Indiana Code title 25
    • Wisconsin

      Wisconsin imposes no transmission mandate of this breadth, and the sharpest constraint on a prescriber there is the private action a patient holds over a records disclosure made without consent.

      Source: Wis. Stat. 146.82
  2. 02 · Practice

    No consent, no telehealth service

    Mich. Comp. Laws 333.16284 puts the duty in the negative: a health professional shall not provide a telehealth service without first obtaining consent. The service is prohibited rather than merely irregular where the consent is missing, and the consent is documented in the record.

    Source: Mich. Comp. Laws 333.16284

    Across the border

    • Ohio

      Ohio requires a telehealth provider to meet the same standards as in person and to give the patient defined information, framing the duty as content to deliver rather than as a prohibition on the service.

      Source: Ohio Rev. Code 4743.09
    • Indiana

      Indiana runs directly the other way, providing that a separate additional written health care consent for telehealth cannot be required, and accepting verbal or electronic consent instead.

      Source: Indiana Code title 16
    • Wisconsin

      Wisconsin makes consent recurring rather than prohibitive, asking providers to obtain and document it annually as an understanding of the patient's right to decline telehealth.

      Source: Center for Connected Health Policy: Wisconsin
  3. 03 · Practice

    Remote care cannot be rationed harder

    Mich. Comp. Laws 400.105h stops the medical assistance and Healthy Michigan programs from imposing quantity or dollar maximums for services delivered by telemedicine that are more restrictive than those imposed on comparable in-person services.

    Source: Mich. Comp. Laws 400.105h

    Across the border

    • Ohio

      Ohio sets no equivalent bar on quantity limits, and its telehealth statute concentrates on the standard of care and on who may deliver the service rather than on how much of it a payer must allow.

      Source: Ohio Rev. Code 4743.09
    • Indiana

      Indiana's parallel provision is geographic rather than numerical, prohibiting distance restrictions and confirming that a telehealth-only provider needs no physical address in the state.

      Source: Indiana Code title 12
    • Wisconsin

      Wisconsin frames its limits around modality and relationship instead, defining a patient-initiated electronic visit as a seven-day thread with a provider the patient already knows.

      Source: Center for Connected Health Policy: Wisconsin

PRACTICE RULES

How telehealth works in Michigan

The public health code carries the consent duty and the professional standards, and the insurance code settles where the clinician has to be licensed. Together they are short and unusually direct.

  1. 01

    Licensed where the patient is

    Mich. Comp. Laws 500.3476 requires telemedicine services to be provided by a health care professional licensed, registered or otherwise authorized to practice their profession in the state where the patient is located.

    Source: Mich. Comp. Laws 500.3476
  2. 02

    Consent precedes the service

    Consent is obtained before the telehealth service is provided, not alongside it, and it is documented in the record in accordance with applicable standards of practice. Direct or indirect consent is accepted.

    Source: Mich. Comp. Laws 333.16284
  3. 03

    Asynchronous care is recognized

    Store and forward online messaging and interprofessional electronic consultations are recognized asynchronous services where they are medically necessary and part of a treatment plan, rather than excluded from telehealth.

    Source: Center for Connected Health Policy: Michigan
  4. 04

    Therapy re-evaluations need history

    A therapy re-evaluation delivered by telemedicine must come from a therapist whose clinic has previously evaluated or treated the patient in person, which is a narrow in-person tether inside an otherwise open framework.

    Source: Center for Connected Health Policy: Michigan

FIRST VISIT

Can a first visit happen without a live call in Michigan?

Yes, with conditions

Yes, with consent first. No statute requires a prior in-person visit before telehealth generally, so the first encounter turns on the standard of care, but the service cannot lawfully begin until the patient's consent has been obtained and documented.

The consent duty is the thing that most often trips a brand here, because it is written as a prohibition. A visit delivered without it is not a defective visit; it is a service the professional was not permitted to provide.

  1. 01

    Direct or indirect consent

    The program rules accept either direct or indirect consent from the patient, provided it is properly documented in the record in accordance with applicable standards of practice.

    Source: Center for Connected Health Policy: Michigan
  2. 02

    No general in-person requirement

    There is no state statute requiring a prior in-person visit before telehealth, so a brand's first-visit design is bounded by the clinician's standard of care rather than by a fixed modality rule.

    Source: Center for Connected Health Policy: Michigan
  3. 03

    Some services keep a tether

    Therapy re-evaluations are the exception, requiring prior in-person evaluation or treatment by the same clinic, which matters for any brand delivering physical or occupational therapy remotely.

    Source: Center for Connected Health Policy: Michigan

PRESCRIBING

Prescriptions and controlled drugs in Michigan

The transmission mandate is the headline. Beyond it, a remote prescriber works inside the public health code, the state controlled substance license and the federal framework for scheduled drugs.

  1. 01

    Electronic by default

    Because the mandate covers all prescriptions rather than scheduled drugs alone, a brand's prescribing integration has to reach every product it dispenses, not only the ones that need a controlled substance workflow.

    Source: Center for Connected Health Policy: Michigan
  2. 02

    A state controlled substance license

    A prescriber handling controlled substances holds a state controlled substance license issued under the public health code alongside their federal registration, and the two are maintained separately.

    Source: Mich. Comp. Laws 333.7303a
  3. 03

    The monitoring system

    The automated prescription system takes dispensing data and is queried by prescribers before controlled substance prescriptions under the public health code, which is the record behind any question about a remote prescription.

    Source: Mich. Comp. Laws 333.7303a
  4. 04

    Federal conditions on top

    For controlled substances the federal telemedicine conditions apply in full, so the state license and the electronic transmission duty sit on top of the federal framework rather than replacing any part of it.

    Source: Center for Connected Health Policy: Michigan

Federal rules apply on top of every state's. Prescribing controlled substances by telehealth without an in-person visit runs on DEA flexibilities currently extended through December 31, 2026, with a permanent rule still pending.

LICENSES

Who can treat patients in Michigan

Licensing runs through the Department of Licensing and Regulatory Affairs, and the state belongs to the Interstate Medical Licensure Compact and the psychology compact. There is no telehealth registration.

  1. 01

    The patient's state decides

    The insurance code ties the license to the state where the patient is located, which settles the question for a clinician sitting elsewhere without requiring a separate telehealth analysis.

    Source: Mich. Comp. Laws 500.3476
  2. 02

    Two compacts, not many

    Membership covers the medical compact and the psychology compact, which is narrower than several neighbouring states and matters when a brand staffs counselling, therapy or nursing roles here.

    Source: Center for Connected Health Policy: Michigan
  3. 03

    Nurse practitioners work under delegation

    The American Association of Nurse Practitioners classes this as a restricted practice state, so a nurse practitioner needs physician supervision, delegation or team management for at least some elements of care.

    Source: AANP: full practice authority brief
  4. 04

    Limited licensure exceptions

    Limited licensure exceptions exist for particular professions with their own conditions, but there is no general telehealth credential that would let a clinician licensed elsewhere treat patients here.

    Source: Center for Connected Health Policy: Michigan

How Tessic Health's providers are licensed in Michigan

ADVERTISING

Marketing to patients in Michigan

There is no comprehensive consumer privacy act, so marketing answers to the consumer protection act, the public health code's confidentiality duties, and the federal privacy floor.

  1. 01

    Consumer protection claims

    The state's consumer protection act reaches misrepresentation of the characteristics, benefits or quality of a service, with enforcement by the attorney general and a private action available to a consumer.

    Source: Mich. Comp. Laws 445.903
  2. 02

    Consent is a compliance artifact

    Because a telehealth service may not be provided without consent, the consent screen is part of the regulated service rather than part of the marketing funnel, and it should not be styled as an upsell.

    Source: Mich. Comp. Laws 333.16284
  3. 03

    Do not promise paper

    With an electronic prescribing mandate covering all prescriptions, marketing that offers a printed or mailed prescription describes an exception rather than the ordinary path, and should not be sold as standard.

    Source: Center for Connected Health Policy: Michigan
  4. 04

    Claims reach the license

    False or misleading advertising by a licensee is a discipline ground under the public health code, so a brand's promotional language exposes the treating clinician's credential alongside the company.

    Source: Mich. Comp. Laws 333.16284

TESSIC HEALTH IN MICHIGAN

How Tessic Health's providers cover Michigan

In Michigan the consent gate is enforced in the product, because the statute forbids delivering the service rather than merely criticising a visit that went ahead without it.

  1. 01

    Consent blocks the visit

    The scheduling flow will not open an encounter with a patient here until consent has been captured and written to the record, because the statute prohibits providing the service without it.

  2. 02

    Electronic transmission for everything

    Prescriptions for patients in this state are sent electronically whether or not they are controlled, and a paper prescription is handled as a documented exception rather than as a routine option.

  3. 03

    Two credentials for prescribers

    Prescribers hold the state controlled substance license alongside their federal registration before writing anything scheduled, and the monitoring system is queried as part of the assessment.

  4. 04

    Therapy keeps its tether

    Remote therapy re-evaluations are offered only where the same clinic has previously evaluated or treated the patient in person, which is the one in-person requirement the state keeps.

  5. 05

    Pharmacy and markup

    Fulfillment for patients in this state runs at 0% markup through pharmacies authorized to dispense here, with cold-chain shipping for any product that needs it.

COMMON QUESTIONS

Questions about telehealth in Michigan

  • Yes, and the duty is written as a prohibition. A health professional shall not provide a telehealth service without first obtaining consent, which is then documented in the record under applicable standards of practice.

  • Yes, all of them. The mandate covers every prescription rather than only controlled substances, so a non-controlled product is transmitted electronically on the same footing as a scheduled drug.

  • Not more tightly than in-person care. The medical assistance and Healthy Michigan programs may not impose quantity or dollar maximums for telemedicine that are more restrictive than for comparable in-person services.

  • Generally no. There is no statute requiring one before telehealth, so the first encounter turns on the standard of care. Therapy re-evaluations are the exception and need prior in-person contact with the same clinic.

  • In the state where the patient is located. The insurance code states it directly, so a clinician sitting elsewhere needs this state's license, registration or other authorization for their profession.

  • No. This is a restricted practice state, so a nurse practitioner needs physician supervision, delegation or team management for at least some elements of care, and that arrangement should be documented.