Note: As this is a free resource and Rules and Regulations regarding Telehealth are always changing, we appreciate any updates or corrections. They can be emailed to us at This email address is being protected from spambots. You need JavaScript enabled to view it. with a link to the source or a citation of the rule or regulation.

THTC Program Button

Telemental health is not a separate service from mental health services. All state licensing boards require that licensed clinicians follow all the regulations for practicing under their license no matter what medium of communication is used. All licensing boards also require that clinicians only practice within the boundaries of their competence. This usually requires education, continuing education, and/or supervision in telemental health. Complete our telehealth training program to cover all the essential competencies of providing telemental health services and earn the THTC (Telemental Health Training Certificate).


  • Comment Link Beth Vanbeek Tuesday, 02 March 2021 08:42 posted by Beth Vanbeek

    Hi Tamar,
    Many states have relaxed their regulations during the pandemic. I have included two resources below with the most up-to-date information on the regulations of each state.
    The Center for Connected Health Policy: Home Page | CCHP Website

  • Comment Link Tamar Sunday, 28 February 2021 12:06 posted by Tamar

    Hello, I’m a licensed mental health counselor in MA. My client moved temporarily ( one month) to Utah. Can I continue Telehealth across state lines? She is enrolled in school in Boston and continue online classes.
    Thank you.

  • Comment Link stacey Monday, 10 June 2019 00:02 posted by stacey

    R156-1-602. Telehealth - Scope of Telehealth Practice.
    (1) This rule is not intended to alter or amend the applicable standard of practice for any healthcare field or profession. The provider shall be held to the same standards of practice including maintaining patient confidentiality and recordkeeping that would apply to the provision of the same health care services in an in-person setting.

    (2) In accordance with Section 26-60-103 and Subsection 26-60-104(1), a provider offering telehealth services shall, prior to each patient encounter:

    (a) verify the patient's identity and originating site;

    (b) obtain informed consent to the use of telehealth services by clear disclosure of:

    (i) additional fees for telehealth services, if any, and how payment is to be made for those additional fees if they are charged separately from any fees for face-to-face services provided to the patient in combination with the telehealth services;

    (ii) to whom patient health information may be disclosed and for what purpose, including clear reference to any patient consent governing release of patient-identifiable information to a third-party;

    (iii) the rights of patients with respect to patient health information;

    (iv) appropriate uses and limitations of the site, including emergency health situations;

    (v) information:

    (A) affirming that the telehealth services meet industry security and privacy standards, and comply with all laws referenced in Subsection 26-60-102(8)(b)(ii);

    (B) warning of potential risks to privacy notwithstanding the security measures;

    (C) warning that information may be lost due to technical failures, and clearly referencing any patient consent to hold the provider harmless for such loss; and

    (D) disclosing the website owner/operator, location, and contact information; and

    (c) allow the patient an opportunity to select their provider rather than being assigned a provider at random, to the extent possible;

    (d) ensure that the online site from which the provider offers telehealth services does not restrict a patient's choice to select a specific pharmacy for pharmacy services.

    (3) In accordance with Subsection 26-60-103(1)(b), it is not an acceptable standard of care for a provider offering telehealth services to establish a diagnosis and identify underlying conditions and contraindications to a recommended treatment based solely on an online questionnaire, except as specifically provided in Title 58, Chapter 83, the Online Prescribing, Dispensing and Facilitation Licensing Act.

    (4) In accordance with Subsection 26-60-103(1)(c), a provider offering telehealth services shall be available to the patient for subsequent care related to the initial telemedicine services, by:

    (a) providing the patient with a clear mechanism to:

    (i) access, supplement, and amend patient-provided personal health information;

    (ii) contact the provider for subsequent care;

    (iii) obtain upon request an electronic or hard copy of the patient's medical record documenting the telemedicine services, including the informed consent provided; and

    (iv) request a transfer to another provider of the patient's medical record documenting the telemedicine services;

    (b) if the provider recommends that the patient needs to be seen in person, such as where diagnosis requires a physical examination, lab work, or imaging studies:

    (i) arranging to see the patient in person, or directing the patient to the patient's regular provider, or if none, to an appropriate provider; and

    (ii) documenting the recommendation in the patient's medical record; and

    (c) upon patient request, electronically transferring to another provider the patient's medical record documenting the telemedicine services, within a reasonable time frame allowing for timely care of the patient by that provider.

    (5) In accordance with Subsection 26-60-103(1)(d), a provider offering telehealth services shall be familiar with available medical resources, including emergency resources near the originating site.

    (6) In settings and circumstances where an established provider-patient relationship is not present, a provider offering telehealth services shall establish a provider-patient relationship during the patient encounter, in a manner consistent with standards of practice including providing the provider's licensure and credentials.

    (7) Nothing in this section shall prohibit electronic communications consistent with standards of practice applicable in traditional health care settings, including those:

    (a) between a provider and a patient with a preexisting provider-patient relationship;

    (b) between a provider and another provider concerning a patient with whom the other provider has a provider-patient relationship;

    (c) in on-call or cross coverage situations in which the provider has access to patient records;

    (d) in broader practice models where multiple providers provide care as a team, including, for example:

    (i) within an existing organization; or

    (ii) within an emergency department; or

    (e) in an emergency, which as used in this section means a situation in which there is an occurrence posing an imminent threat of a life-threatening condition or severe bodily harm.

  • Comment Link Laura John Friday, 15 March 2019 17:52 posted by Laura John

    I have a CMHC provider I do credentialing for in Utah. She is interested in providing TeleHealth Mental Health Therapy. Are you aware of any regulations?

  • Comment Link Rynell Ostling Thursday, 14 March 2019 19:56 posted by Rynell Ostling

    I have been told that in Utah, the requirement is to have a fully licensed Clinical Mental Health Counselor license or a Licensed Clinical Social Worker license in order to perform any teletherapy, either in state or across state lines. Your site is the closest I can come to an answer of any kind. Is there a place where all of these rules and regulations are listed in plain language (not legalese) for someone, a lay-person, to go and just find a simple answer?

Leave a comment

Make sure you enter all the required information, indicated by an asterisk (*). HTML code is not allowed.