Delaware requires an interstate telehealth registration for out-of-state providers without a compact
Summary
Delaware requires out-of-state providers not covered by an applicable licensure compact to obtain an interstate telehealth registration from the Division of Professional Regulation before treating Delaware patients. This adds an administrative step despite strong coverage and parity rules.
Per CCHP's Delaware page, providers without an applicable licensure compact must obtain an interstate telehealth registration from the Division of Professional Regulation and meet continuous eligibility standards, including good standing across all licensed jurisdictions. Clinicians in professions without an applicable compact face this registration barrier to delivering cross-state telehealth, affecting out-of-state providers and the Delaware patients seeking remote care from them.
Source: Center for Connected Health Policy (CCHP), Delaware state telehealth policy page (2026).
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