Telehealth has revolutionized healthcare delivery in Hawaii, offering greater accessibility to patients across the islands. However, Hawaii’s Corporate Practice of Medicine (CPOM) regulations pose unique challenges for telehealth providers, particularly those operating across state lines. This comprehensive guide outlines how telehealth businesses can navigate CPOM compliance in 2025 while expanding their reach and maintaining patient-centered care.

Hawaii’s CPOM regulations are particularly impactful for telehealth providers, requiring careful planning and adherence to legal guidelines. Access Plus Health offers a comprehensive guide to help telehealth businesses understand and comply with these laws in 2025. From clarifying ownership rules to ensuring proper collaborations, we provide the tools you need to operate a compliant and thriving telehealth practice in Hawaii.

How CPOM Applies to Telehealth in Hawaii

Hawaii’s CPOM laws ensure that:

• Clinical decisions remain in the hands of licensed physicians.
• Non-clinical entities involved in telehealth services cannot influence patient care.
• Telehealth operations meet the same regulatory standards as traditional medical practices.

Key Compliance Requirements for Telehealth Providers

1. Physician Licensing
   Telehealth providers must ensure that all physicians delivering virtual care to Hawaii residents are licensed in the state.
2. Clinical Autonomy
   Physicians must maintain full control over patient care decisions, with no interference from non-clinical entities or telehealth platforms.
3. Management Services Agreements (MSAs)
   MSAs must clearly outline the scope of non-clinical support services, such as technology management and administrative tasks, to avoid potential CPOM violations.

Challenges for Telehealth Businesses

1. Cross-State Licensing
   Providers serving multiple states must navigate varying CPOM regulations, adding complexity to telehealth operations.
2. Technology Integration
   The use of AI tools and remote monitoring devices requires clear policies to delineate responsibility and ensure compliance with CPOM laws.
3. Corporate Partnerships
   Telehealth companies collaborating with medical practices must avoid any influence over clinical decision-making.

Strategies for Ensuring Compliance

1. Engage Legal Counsel
   Consult with attorneys specializing in telehealth and Hawaii CPOM compliance to review operational structures and contracts.
2. Develop Robust Policies
   Create detailed protocols separating clinical responsibilities from administrative functions.
3. Train Staff
   Educate telehealth administrators, IT staff, and clinicians on CPOM regulations to ensure consistent adherence.
4. Conduct Regular Audits
   Periodically assess telehealth operations for compliance risks and implement corrective actions as needed.

Hawaii’s CPOM laws are integral to maintaining ethical and compliant telehealth operations. By understanding these regulations and adopting proactive compliance strategies, telehealth businesses can expand their services while delivering high-quality, patient-focused care.