Quick answer: Montana enforces moderate Corporate Practice of Medicine (CPOM) requirements. Non-physicians have limited involvement in clinical decisions. Nurse practitioners have full practice authority. 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 Montana (MT). This page is actively monitored for regulatory changes.
Regulatory Information Disclaimer
The telehealth compliance information for Montana 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.
Montana repealed its statutory Corporate Practice of Medicine (CPOM) prohibition in 1995. However, the Montana Board of Medical Examiners regulations still prohibit physicians from practicing medicine in partnership with non-physicians, with some exceptions, creating a nuanced landscape.
Montana law permits telehealth services, including prescribing, as long as the provider is enrolled in the Medicaid program and the service is clinically appropriate. Both live video and store-and-forward technologies are permitted, and audio-only telehealth is allowed for Medicaid reimbursement.
Montana allows for the prescription of Schedule II-V controlled substances via telehealth, provided the prescribing practitioner complies with all DEA requirements. An in-person examination is not explicitly required before prescribing controlled substances via telehealth, but the standard of care must be met.
Montana does not have a specific requirement for a medical director for telehealth operations. However, all healthcare services must be provided by appropriately licensed and supervised professionals, with supervision requirements determined by the relevant licensing board.
Montana grants full practice authority to nurse practitioners, meaning they can practice and prescribe without a collaborative practice agreement with a physician. This allows NPs to evaluate patients, diagnose, order and interpret diagnostic tests, and initiate and manage treatments independently.
While Montana has a flexible regulatory environment for telehealth, providers must adhere to the same standards of care as in-person visits. A provider-patient relationship must be established before providing treatment, which can be done via telehealth if the standard of care does not require an in-person encounter. All providers must be licensed in Montana.
No significant recent changes have been identified in Montana's telehealth laws.
Our providers see your patients — full clinical encounters with prescribing authority, not rubber-stamp clearance visits.
A board-certified physician licensed in your states takes the medical director role under our medical group — protocols, provider oversight and chart review included. Part of onboarding, never a name rented for a filing.
We pair your NPs and PAs with collaborating physicians for compliant prescribing and clinical oversight.
State-aware CPOM implementation support coordinated with the operator's independent legal counsel.
Physician-led chart reviews that surface documentation gaps against current state requirements.
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