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Indiana Corporate Practice of Medicine (CPOM) Law2026 Compliance Guide

Quick answer: Indiana enforces strict Corporate Practice of Medicine (CPOM) requirements. Non-physicians cannot own or control clinical decisions. Nurse practitioners have restricted practice authority and require a collaborative practice agreement. Telehealth is permitted, with no mandatory in-person visit for new patients.

Comprehensive regulatory framework for operating telehealth, medspa, IV therapy, and healthcare services in Indiana (IN). This page is actively monitored for regulatory changes.

Last updated: February 2026
CPOM Status
Strict
NP Authority
Restricted
In-Person Required
No
Audio-Only Allowed
Yes
CPA Required
Yes
GFE Required
Yes

Regulatory Information Disclaimer

The telehealth compliance information for Indiana presented on this page is provided for general informational purposes only and should not be construed as legal advice. The telehealth regulatory landscape is evolving rapidly, with state legislatures, medical boards, and federal agencies frequently updating rules, guidance, and enforcement priorities. While TrueEval makes every effort to keep this information current and accurate, we cannot guarantee that all details reflect the very latest regulatory changes at the time of your visit.

We strongly recommend consulting with a qualified healthcare attorney or compliance professional before making business decisions based on this information. For the most current regulatory requirements, refer directly to your state medical board and relevant licensing authorities. Last reviewed: February 2026.

Corporate Practice of Medicine (CPOM)

Indiana enforces the Corporate Practice of Medicine doctrine, prohibiting non-physician entities from employing physicians or influencing their professional judgment. This is intended to protect the physician-patient relationship from corporate interests. Medical practices must be owned by licensed physicians.

Telehealth Prescribing Rules

Telehealth prescribing is permitted in Indiana, subject to a good faith examination. An established provider-patient relationship is required for prescribing when using certain technologies like email or instant messaging. For most other telehealth modalities, a relationship can be established during the telehealth encounter.

In-Person Visit RequiredNot Required
Audio-Only TelehealthAllowed

Controlled Substance Prescribing

Prescribers in Indiana may issue prescriptions for controlled substances via telehealth after conducting a good faith examination. For Schedule II controlled substances, the prescriber must have a prior relationship with the patient or have a referral from a provider who does. An in-person evaluation is generally required before prescribing opioids, but exceptions exist.

Medical Director Requirements

While there isn't a specific 'medical director' title mandated for all telehealth operations, a collaborating physician is required for nurse practitioners. This physician provides oversight and is responsible for the care provided by the NP, functioning in a capacity similar to a medical director.

Collaborative Practice Agreements

CPA Required for NPsRequiredNP Authority: Restricted

Nurse practitioners in Indiana must operate under a collaborative practice agreement with a physician. This agreement outlines the scope of the NP's practice and the terms of collaboration with the physician, including chart review and consultation.

Key Compliance Notes

Indiana requires practitioners to obtain patient consent before providing telehealth services. The state has also enacted recent legislation impacting out-of-state practitioners, terminating telehealth certifications for them effective July 1, 2024. Practitioners providing services to patients in Indiana are subject to the state's laws and jurisdiction.

Recent Legislative Changes

Effective July 1, 2024, Indiana has implemented significant regulatory changes, including the termination of telehealth certifications for out-of-state practitioners. Providers located outside Indiana who treat patients within the state are now subject to Indiana's licensing laws and jurisdiction.

Indiana Compliance FAQs

How does Indiana's strict CPOM doctrine affect my healthcare business?
Indiana enforces strict Corporate Practice of Medicine laws, meaning non-physician entities cannot directly employ physicians or control clinical decisions. You'll need a properly structured PC-MSO arrangement to operate compliantly. TrueEval can guide you through the entity formation and management services agreements required.
Do I need a medical director for my medspa or IV therapy clinic in Indiana?
Yes — Indiana requires physician oversight for medical procedures performed in medspas, IV therapy clinics, and similar brick-and-mortar healthcare establishments. A medical director develops protocols, provides clinical oversight, and ensures regulatory compliance. TrueEval places board-certified medical directors licensed in Indiana who understand both telehealth and in-person practice requirements.
Are Collaborative Practice Agreements required for NPs in Indiana?
Yes, Indiana requires Collaborative Practice Agreements (CPAs) between nurse practitioners and supervising physicians. NPs in Indiana have restricted practice authority, meaning a CPA is necessary for prescriptive authority. TrueEval provides Indiana-specific CPA templates and matches NPs with qualified collaborating physicians.
What are the Good Faith Exam requirements for prescribing in Indiana?
Indiana requires a Good Faith Exam before prescribing medications via telehealth. The GFE can be conducted via telehealth — no in-person visit is required first. Audio-only telehealth is permitted. TrueEval's physician network conducts compliant GFEs for Indiana patients.
What compliance requirements apply to cash-pay healthcare businesses in Indiana?
Cash-pay healthcare operations in Indiana — including telehealth, medspas, IV therapy, and wellness clinics — must still comply with all state medical practice acts, CPOM laws, prescribing regulations, and scope of practice requirements. The main difference is you won't deal with insurance billing compliance, but you must still maintain proper corporate structure, physician oversight, and clinical documentation. TrueEval specializes in cash-pay compliance frameworks for Indiana.

Indiana at a Glance

CPOM StatusStrict
NP Practice AuthorityRestricted
TelehealthPermitted
In-Person VisitNot Required
Audio-OnlyAllowed
CPA RequiredYes
GFE RequiredYes
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