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.
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: MichiganAcross 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 4731-11-09Indiana
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 25Wisconsin
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
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 333.16284Across 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 4743.09Indiana
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 16Wisconsin
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
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 400.105hAcross 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 4743.09Indiana
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 12Wisconsin
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.
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 500.347602
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 333.1628403
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: Michigan04
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.
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: Michigan02
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: Michigan03
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.
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: Michigan02
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 333.7303a03
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 333.7303a04
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.
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 500.347602
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: Michigan03
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 brief04
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
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.
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 445.90302
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 333.1628403
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: Michigan04
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.
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.
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.
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.
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.
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.
SOURCES
- Center for Connected Health Policy: Michigan
- Ohio Admin. Code 4731-11-09
- Indiana Code title 25
- Wis. Stat. 146.82
- Mich. Comp. Laws 333.16284
- Ohio Rev. Code 4743.09
- Indiana Code title 16
- Center for Connected Health Policy: Wisconsin
- Mich. Comp. Laws 400.105h
- Indiana Code title 12
- Mich. Comp. Laws 500.3476
- Mich. Comp. Laws 333.7303a
- AANP: full practice authority brief
- Mich. Comp. Laws 445.903
Rules checked September 2026 · 14 sources cited. A planning summary, not legal advice. Statutes, board rules and enforcement priorities change; a brand's own counsel should review its model and marketing before launch.
OTHER STATES
Rules in other states
Each state page is researched from that state's own statutes and board rules.
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