Michigan Healthcare & Telehealth Compliance Guide
Michigan enforces the Corporate Practice of Medicine (CPOM) doctrine, which prohibits non-physician entities from owning medical practices or employing physicians. This is supported by the Michigan Business Corporation Act and opinions from the Attorney General. Licensed professionals are permitted to form professional corporations (PCs) or professional limited liability companies (PLLCs) to offer their services, but these entities must be owned by licensed professionals. Non-profit organizations have generally not been subject to the state's CPOM ban.
- Corporate Practice of Medicine (CPOM): Strict
- Telehealth prescribing permitted: Yes
- In-person exam required first: No
- Audio-only visits allowed: Yes
- Nurse practitioner authority: Restricted
- Collaborative practice agreement required: Yes
- Good Faith Exam required: No
Frequently asked questions
How does Michigan's strict CPOM doctrine affect my healthcare business?
Michigan 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 Michigan?
Yes — Michigan 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 Michigan who understand both telehealth and in-person practice requirements.
Are Collaborative Practice Agreements required for NPs in Michigan?
Yes, Michigan requires Collaborative Practice Agreements (CPAs) between nurse practitioners and supervising physicians. NPs in Michigan have restricted practice authority, meaning a CPA is necessary for prescriptive authority. TrueEval provides Michigan-specific CPA templates and matches NPs with qualified collaborating physicians.
Can I prescribe medications via telehealth in Michigan?
Yes, telehealth prescribing is permitted in Michigan. No in-person visit is required before prescribing via telehealth. Audio-only consultations are allowed. TrueEval ensures your prescribing protocols meet all Michigan requirements.
What compliance requirements apply to cash-pay healthcare businesses in Michigan?
Cash-pay healthcare operations in Michigan — 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 Michigan.