Verified October 8, 2026 against the statutes and regulations cited below. Research, not legal advice. All states
What operators miss in Vermont
- Since August 1, 2024, physicians, PAs and podiatrists treating Vermont patients by telehealth need a full license, a telehealth license, or a telehealth registration issued after May 1, 2024; the COVID-era interim registrations ended for those professions.
- For OPR-regulated professions (including APRNs), OPR says its telehealth license and registration rules are not in effect until rules are in place; its comment period closed August 4, 2026.
- Neither the provider nor the patient may record a telemedicine consultation without both consenting.
- Rate parity does not apply to services under a plan's contract with a third-party telemedicine vendor or under value-based contracts.
Does Vermont have a telehealth registration for out-of-state clinicians?
A telehealth license allows telehealth-only care for up to 20 unique Vermont patients per two-year term. A telehealth registration allows up to 10 unique patients over 120 days and may be obtained again only after three years. Neither permits in-person care in Vermont.
- Name: Telehealth license and telehealth registration
- Who can use it: Out-of-state physicians, PAs and podiatrists (Board of Medical Practice). Professions regulated by the Office of Professional Regulation, including APRNs, stay on the interim telehealth registration until OPR's rules take effect
Citation: 26 V.S.A. §§ 3053, 3054
When can an out-of-state clinician treat Vermont patients without a Vermont license?
No telehealth license or registration is needed for a record-review consultation with another clinician about a Vermont patient, if the consultant has no in-person or remote contact with the patient. No follow-up care exception was confirmed.
- Exception for consultation with a licensed physician
Citation: 26 V.S.A. § 3059
Can a patient relationship start by telehealth in Vermont?
A Vermont-licensed provider may prescribe after an appropriate exam in person, by live audio-video telemedicine, or through instrumentation that transmits images and records electronically, held to in-person standards.
- Asynchronous care can establish the relationship
Citation: 18 V.S.A. § 9361(b)
Does Vermont require telehealth consent?
Before telemedicine, providers must obtain and document oral or written informed consent covering its limits, anyone else present, and HIPAA-compliant connections; ongoing care needs consent only at the first episode. Audio-only visits require a separate consent covering billing and the patient's right to choose another modality.
- Verbal or written consent
Citation: 18 V.S.A. §§ 9361(c), 9362
What limits does Vermont put on prescribing by telehealth?
Telemedicine prescriptions are held to the same standards as in-person care. Controlled substances for opioid use disorder may be prescribed by telehealth in line with federal requirements.
Citation: 18 V.S.A. §§ 9361(b), 4752
Does Vermont require its own controlled-substance registration?
Do private payers in Vermont have to cover telehealth?
- Private-payer telehealth coverage law
- Explicit payment parity
Citation: 8 V.S.A. §§ 4098a, 4098b
How does Vermont treat the corporate practice of medicine?
Does Vermont have a consumer health data law?
Signed June 16, 2026 and effective January 1, 2028. Its consumer health data provisions, including a geofencing ban, apply to any business doing business in or targeting Vermont regardless of size thresholds.
- Vermont Data Privacy and Online Surveillance Act
Adding Vermont to your telehealth practice?
A State Expansion Pack applies Vermont's rules to your service line and lists what changes in your workflow before the first visit. We also file telehealth registrations for physicians, nurse practitioners and physician assistants.