Virginia Healthcare & Telehealth Compliance Guide
Virginia does not have a formal Corporate Practice of Medicine (CPOM) doctrine. While the law prohibits unlicensed entities from practicing medicine, subsequent attorney general opinions have clarified that corporations, including for-profit entities, can employ physicians as long as the physicians retain exclusive control over their professional medical judgment.
- Corporate Practice of Medicine (CPOM): Flexible
- Telehealth prescribing permitted: Yes
- In-person exam required first: No
- Audio-only visits allowed: Yes
- Nurse practitioner authority: Reduced
- Collaborative practice agreement required: Yes
- Good Faith Exam required: Yes
Frequently asked questions
Does Virginia require a PC-MSO structure for my healthcare business?
Virginia has a relatively flexible CPOM framework, but that doesn't mean you can ignore corporate structuring. Depending on your business model — whether telehealth, medspa, IV therapy, or wellness clinic — you may still benefit from a PC-MSO arrangement for liability protection and operational clarity.
Do I need a medical director for my medspa or IV therapy clinic in Virginia?
Yes — Virginia 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 Virginia who understand both telehealth and in-person practice requirements.
Are Collaborative Practice Agreements required for NPs in Virginia?
Yes, Virginia requires Collaborative Practice Agreements (CPAs) between nurse practitioners and supervising physicians. NPs in Virginia have reduced practice authority, meaning a CPA is necessary for prescriptive authority. TrueEval provides Virginia-specific CPA templates and matches NPs with qualified collaborating physicians.
What are the Good Faith Exam requirements for prescribing in Virginia?
Virginia 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 Virginia patients.
What compliance requirements apply to cash-pay healthcare businesses in Virginia?
Cash-pay healthcare operations in Virginia — 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 Virginia.