Employer guide · Telehealth and multistate teams

Licensure Compacts for Employers: Counseling Compact, PSYPACT, Social Work, NLC and IMLC

Which compact covers which hire, which credentials are actually issuing as of October 2026, and what to verify before a clinician sees a client in another state.

Updated October 7, 2026

Interstate licensure compacts can lighten the licensing work when your practice hires across state lines — but each compact covers a different license, and two still issued no credential when checked in September–October 2026.

This employer cheat sheet maps the six compacts behavioral health employers ask about — the Counseling Compact, PSYPACT, the Social Work Licensure Compact, the nursing compacts (NLC and APRN) and the IMLC — to the hires they cover, what is live today, and what to verify before a clinician sees a client in another state.

Rules vary by state and change

This guide explains federal rules and the state rules it names, as of the date above.

Licensure, supervision, payer and employment rules differ by state and are revised often, so confirm current requirements with your state board, Medicaid agency, labor department or employment counsel before you act on them.

It is general information, not legal advice.

Compacts at a glance by role

Six separate agreements cover the licenses below, and the fastest mistake is treating a compact that has passed as a compact your clinicians can use.

The Counseling Compact shows the gap: the commission's member list names 40 jurisdictions — 39 states plus the District of Columbia — yet as of October 1, 2026, only 10 states issue and accept compact privileges.

Enactment belongs to the legislature; whether a compact is actually issuing a credential, and when, is the commission's timetable.

Read the table by the dates.

Every count below was checked in September or October 2026, these maps move during the year, and the verification step on the right is what your credentialing file should hold — re-check the status with the named commission when you credential, not just at the offer stage.

ClinicianCompactStatusWhat you verify
Licensed professional counselor (LPC, LMHC, LPCC, LCPC)Counseling CompactLive in 10 states as of October 1, 2026A compact privilege, on the CompactConnect public search
PsychologistPSYPACT42 states plus DC effective as of September 2026An APIT — the PSYPACT authority for telepsychology
Social worker (LCSW, MSW)Social Work Licensure CompactActivated, but issuing no multistate licenses as of October 7, 2026Nothing yet — a license from each state
Registered nurse or licensed practical nurseNurse Licensure Compact (NLC)43 member jurisdictions as of October 7, 2026An active multistate license
Psychiatric nurse practitioner (APRN)APRN CompactNot in effect as of September 2026No multistate APRN license as of September 2026 — each state's APRN license
Psychiatrist or physicianInterstate Medical Licensure Compact (IMLC)44 member states plus DC and Guam, as of September 30, 2026A letter of qualification, then a separate license from each state

Two rows carry the staffing decisions.

Among the behavioral health licenses — counseling, psychology, social work — only two compacts are issuing a multistate credential as of October 2026: the Counseling Compact's privilege and PSYPACT's APIT.

The nursing rows are the common mix-up: the NLC's multistate license covers registered nurses and licensed practical nurses and gives a nurse practitioner no multistate APRN authority, so the psychiatric nurse practitioner row has no working compact as of September 2026.

Licensure is one layer of hiring across state lines, and the rest of the process — requisition, screening, payer credentialing, pay — is the same discipline either way.

The behavioral health hiring hub walks the employer side end to end; this page stays on the compact question.

Counseling Compact: status and the privilege

The Counseling Compact covers professional counselors, and its status has two layers.

Pennsylvania enacted the compact on July 12, 2026, with the law taking effect 60 days later.

But enactment is not live: as of October 1, 2026, only 10 states issue and accept privileges — Arizona, Arkansas, Georgia, Indiana, Louisiana, Minnesota, Ohio, Oklahoma, Tennessee and Wyoming.

Oklahoma became the tenth that day.

Another 29 states plus the District of Columbia are still completing the steps the commission requires before they can issue and receive privileges, so a counselor in a state that has only enacted the compact still has no privilege available.

Staff against the live list, re-checked at credentialing time — not against the member count.

The credential is a privilege, not a license, and three mechanics decide whether your hire can hold one.

The counselor participates through their home state — the state where they primarily reside — and needs that home-state license to take part; a counselor living in a non-member state cannot use the compact at all, and their only route into another state is that state's own license.

Eligibility runs to licensed professional counselors who hold an unencumbered license to independently diagnose, assess, treat and practice at the highest level their state offers, and the commission says a counselor licensed as an LMFT or LCSW typically is not eligible — so the compact is typically no help for your marriage and family therapist or social work hires.

And each counselor applies for a privilege in each remote state where you need them: their own state passing the compact does not automatically approve their license for use anywhere else.

One rule catches employers out: the application is the counselor's, not yours.

The commission states that employers, third-party affiliates or other representatives may not legally complete or submit the privilege application on a licensee's behalf.

Your work sits on both sides of that step.

Before you promise a start date, confirm the counselor's home state, license level and eligibility.

After the application, verify the granted privilege yourself on the commission's CompactConnect public search — the commission does not issue paper certificates, so the search is the verification.

The cost is a $30 commission administrative fee per privilege plus the remote state's own fee, which each state sets.

The commission's own advice to counselors is to check with their employer, online platform and insurance company before applying for a privilege, to make sure it is usable under their policies — which makes your insurer a stop in your process, not an afterthought.

Advertising is a final limit: the compact does not regulate it, so a privilege holder follows each state's advertising law wherever they see clients.

The license titles that qualify, the per-state fee totals and the application walkthrough are clinician-side questions, and they live in our guide to the Counseling Compact.

PSYPACT: telepsychology and temporary practice

PSYPACT is the compact for psychologists.

Per the PSYPACT Commission's map as of September 2026, it counts 46 enacted and 44 effective jurisdictions, and among the 50 states plus DC that means 42 states plus DC are effective.

Alaska is the newest: HB 110 was enacted June 22, 2026, and PSYPACT took effect there on September 20, 2026.

Two enacted states are not open for practice yet — Iowa takes effect July 1, 2027 and Louisiana on January 1, 2028 — so read the commission's map when you credential rather than working from an older list.

What you verify depends on where the work happens.

Telepsychology under PSYPACT runs on an APIT: the psychologist must be licensed in, and physically present in, a PSYPACT home state when delivering the service, and that home state must participate in PSYPACT.

Read that from the employer's chair.

A psychologist working from a participating home state can hold a telehealth caseload across PSYPACT states under the compact; a psychologist whose home state sits outside PSYPACT has no compact route at all, whichever states your clients are in.

Ask for the APIT the way you ask for a license number, and file it with the credential.

In-person work is the smaller door.

PSYPACT's Temporary Authorization to Practice, the in-person route, is capped at 30 total calendar days per year, is available only in states that participate in PSYPACT, and requires the psychologist's home state to participate too.

For a clinician who runs assessments, intakes or intensive in-person programs in another state, 30 days a year is a planning constraint — ongoing in-person practice needs the remote state's own license.

The application steps and fees on the psychologist's side are in our clinician guide to PSYPACT.

Social Work Licensure Compact: status

The Social Work Licensure Compact is law but not yet a pathway.

It came into effect when Kansas became the seventh state to enact it, on April 12, 2024.

As of October 7, 2026, the commission's jurisdictions page lists 33 states as having passed the compact language — 32 the month before, with West Virginia newly on the list — and a July 2026 news post counts 35 states as having passed compact legislation.

None of that produces a credential a practice can use: as of October 7, 2026, the compact is activated, no multistate licenses are being issued, and the commission says implementation will take 12 to 24 months before licenses can be issued.

It names no start date.

Until issuing begins, a social work hire needs a license from each state where clients sit.

Write that into the staffing plan now so no one budgets for a multistate social work credential that does not exist yet — and re-check the commission as the 12-to-24-month implementation process runs.

We keep the current status and the eligibility questions on the Social Work Compact page.

Nurses and APRNs: NLC and the APRN Compact

Behavioral health employers hire two nursing licenses, and only one has a working compact.

The Nurse Licensure Compact issues a multistate license to registered nurses and licensed practical nurses, and it counts 43 member jurisdictions as of October 7, 2026.

Read the commission's map with its own footnote, though: on the August 2026 map, Guam, Massachusetts and the U.S. Virgin Islands have enacted the NLC but are not fully implemented — nurses in those three cannot yet apply for a compact license, and Massachusetts does not yet let nurses holding multistate licenses practice in the state.

A multistate RN license travels across the implemented member states, not to every name on the map.

The psychiatric nurse practitioner is the row to catch.

The NLC gives a nurse practitioner no multistate APRN authority, and the separate APRN Compact comes into limited effect only once 7 states enact it.

As of September 2026 that threshold had not been reached, so no APRN could hold a multistate APRN license when this was written.

Until that changes, a psychiatric nurse practitioner's authority to practice lives in each state's own APRN license: check the board in every state where clients will sit, and re-check the APRN Compact Commission before building a staffing plan that assumes the compact has moved.

Physicians: IMLC

For psychiatrists, the Interstate Medical Licensure Compact is an expedited pathway to licensure — not a multistate license.

The physician still receives a separate license from each state.

As of September 30, 2026, the IMLC has 44 member states plus DC and Guam; 38 states, DC and Guam act as a State of Principal License, where the application starts; Hawaii and Vermont issue licenses only; and Alaska, Arkansas, New Mexico and Rhode Island have passed the compact but are still implementing it.

New York has legislation introduced only.

The scale behind it is real: as of September 30, 2026, the commission counts 142,363 letters of qualification and 240,184 licenses issued since launch.

What the IMLC changes for your credentialing file is speed, not the destination — when the psychiatrist finishes, you verify a license from each state where they will see patients, exactly as you would for any physician hire.

The IMLC compresses the physician's paperwork; it does not shrink your verification list.

Before a clinician sees a client in another state

  • Record which state each client is in at session time — the Counseling Compact Commission requires a counselor to hold a license or privilege in the state where the client is located.
  • Have the counselor apply for their own Counseling Compact privilege; employers and third parties may not legally complete or submit the application for them.
  • Verify a granted privilege on the CompactConnect public search — the commission issues no paper certificates.
  • Collect the psychologist's PSYPACT APIT before scheduling telehealth into other states, and file it with the credential.
  • If a psychologist will work in person in another state, plan within the 30-calendar-days-a-year temporary authorization limit.
  • Confirm with your insurer that the compact credential is usable under your policies before the first out-of-state client.
  • Treat the IMLC as a speed-up: collect and verify each state license the psychiatrist receives.

Questions employers ask

Can I apply for a Counseling Compact privilege on my counselor's behalf?

No. The commission states that employers, third-party affiliates or other representatives may not legally complete or submit the privilege application on a licensee's behalf — the counselor completes it personally.

Your part sits on either side of that step: confirm their home state, license level and eligibility before you promise a start date, then verify the granted privilege on the CompactConnect public search.

Which states are live in the Counseling Compact?

As of October 1, 2026, ten states issue and accept Counseling Compact privileges: Arizona, Arkansas, Georgia, Indiana, Louisiana, Minnesota, Ohio, Oklahoma, Tennessee and Wyoming.

Another 29 states plus the District of Columbia are still completing the steps to issue and receive privileges.

The list moves — Oklahoma became the tenth state on October 1, 2026 — so re-check the commission's site at credentialing time.

Does the Nurse Licensure Compact cover nurse practitioners?

No. The NLC's multistate license covers registered nurses and licensed practical nurses only and gives a nurse practitioner no multistate APRN authority.

The separate APRN Compact comes into limited effect only once 7 states enact it, and that threshold had not been reached as of September 2026, so no multistate APRN license existed at that point.

A psychiatric nurse practitioner needs each state's own APRN license — re-check the APRN Compact Commission before you plan around that.

Is the IMLC a multistate medical license?

No. The Interstate Medical Licensure Compact is an expedited pathway to licensure for qualified physicians who want to practice in multiple states; the physician still receives a separate license from each state.

For credentialing, verify a license from every state where the psychiatrist will practice rather than one compact credential — the IMLC speeds the physician's paperwork, not your verification list.

Can my social workers practice across state lines under the Social Work Licensure Compact yet?

Not yet.

The compact came into effect in April 2024, when Kansas became the seventh state to enact it, and the commission lists 33 states as having passed the compact language.

But as of October 7, 2026, it is activated without issuing multistate licenses: the commission says implementation will take 12 to 24 months before multistate licenses can be issued, and it names no start date.

Keep licensing social workers state by state.

How much does a Counseling Compact privilege cost?

The commission set its administrative fee at $30 per privilege, and each remote state adds its own fee, which that state sets, so the total varies by state.

The counselor pays it as part of an application they must submit personally — employers cannot file it for them.

Our clinician-side Counseling Compact guide tracks the per-state totals.

Sources

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