Thursday, June 15, 2017

Cross-State Licensing Process Now Live in 8 States



Excerpts in this post originally appeared in AMA wire.

The Interstate Medical Licensure Compact (IMLC), an initiative designed to expedite state medical licensure for physicians who wish to practice in multiple states, is now live and accepting applications. Currently, eight of the 19 states in the compact can act as the primary state of licensure and source of verification through the compact. These are Alabama, Idaho, Iowa, Kansas, Mississippi, West Virginia, Wisconsin and Wyoming. Ten states—Arizona, Colorado, Illinois, Minnesota, Nebraska, New Hampshire, Nevada, Pennsylvania, South Dakota and Utah—are still preparing to accept applications for verification and background checks but currently cannot act as the state of principal licensure.

The IMLC will make it easier for experienced physicians with positive practice histories to apply and receive licenses in states they’re not currently licensed in. The IMLC estimates that 80 percent of physicians meet the interstate licensure criteria.


  • The compact is a contract between states designed to promote cooperation and adaptation among states. It operates on several key principles:
  • The practice of medicine is defined as taking place where the patient receives care, meaning that the physician must be licensed in that state and under the jurisdiction of that state’s medical board.
  • The commission, made up of representatives from each adopting state, will enforce rules made to expedite the licensing process. Participating state medical boards will retain regulatory authority.
  • All participation is voluntary for both physicians and states.


The IMLC ensures that the language of the compact is identical in all states that have joined. This will not only make the process more efficient for physicians, but will also help ensure that uniform safety measures are met across states.

In addition to modernizing the licensing process, organizations such as the AMA that support the IMLC hope that making it easier for physicians to practice across state lines will increase access to care for patients in underserved areas.

What does this mean for provider credentialing?


The primary areas this new initiative affects are primary source verification and sanctions monitoring. To ensure that you are properly monitoring current licenses and any sanctions or disciplinary actions, you will need to check not only the current state your facility resides in and where the provider is practicing, but also have a process in place to check across state lines.

Your process should offer real time verification and monitoring rather than waiting weeks or months to have your provider data updated, and you should make sure that you are collecting all relevant state data.

Contact Us to discuss your primary source verification and sanctions monitoring processes to see if you need to upgrade.

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