Telehealth licensure

Hawaii

Telehealth licensure requirements, DEA controlled substance prescribing rules, HI PDMP registration requirements, and compliance checklist for physicians practicing telehealth in Hawaii. Verified May 2026.

Licensure

Telehealth-specific license	✓ Not required — standard license
IMLC compact pathway	— No — direct application required
Informed consent	✓ Not required
Audio-only permitted	✓ Permitted
Medicaid parity	✓ Yes — parity in effect
Out-of-state registration	✓ Not required

Source: Hawaii Medical Board

Controlled substance prescribing

Telehealth prescribing	✓ Permitted
Prior in-person visit	✓ Not required
DEA special registration	✓ Not required
Schedule II (stimulants, opioids)	✓ Permitted
Buprenorphine (MAT)	✓ Permitted
Stimulants (ADHD)	✓ Permitted
Benzodiazepines	✓ Permitted

Ryan Haight: COVID-era DEA telehealth prescribing extension in effect; permanent rule pending

State note: HI PDMP registration required. DEA registration in HI required.

Prescription monitoring program

Program name	HI PDMP
Registration required	Required before prescribing
Required for schedules	Schedule II–V

Must query HI PDMP before prescribing Schedule II–V

HI PDMP — registration info ↗

Frequently asked

Hawaii telehealth licensure — common questions

Does Hawaii require a separate telehealth license? +

No — Hawaii does not require a separate telehealth-specific license. A standard Hawaii medical license covers telehealth practice.

Is Hawaii a member of the Interstate Medical Licensure Compact (IMLC)? +

No — Hawaii is not currently an IMLC compact member. Physicians must apply directly through the Hawaii medical board.

Can physicians prescribe controlled substances via telehealth in Hawaii? +

Yes — telehealth prescribing is permitted in Hawaii. No prior in-person visit is currently required under active DEA telehealth extensions. COVID-era DEA telehealth prescribing extension in effect; permanent rule pending

Does Hawaii require PMP/PDMP registration for telehealth physicians? +

Yes — Hawaii requires physicians to register with the HI PDMP before prescribing Schedule II–V controlled substances. Must query HI PDMP before prescribing Schedule II–V

Is audio-only telehealth permitted in Hawaii? +

Yes — Hawaii permits audio-only (phone) telehealth encounters without video.

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