Questions,
answered

Every board writes its own rules. Total hours, mandated topics, and renewal cycles all differ from state to state, and eight states (FL, KY, LA, MA, OR, TN, UT, WV) will only accept a board-approved or state-specific course for at least one mandate, so even a topic you’ve already covered elsewhere may not count there. Each license has to satisfy its own board independently. The free planner shows exactly what each of your states asks of you; Ledger then tracks it.

Those are two different obligations. The MATE Act training is a one-time, federal condition of holding a DEA registration (8 hours on treating opioid and other substance-use disorders, in effect for registrations and renewals since June 27, 2023, and prior DATA-waiver training counts toward it). State opioid/controlled-substance CME is separate and usually recurring. Many boards do let one accredited course count toward both at once, but that’s each state’s call, not an automatic pass, and the state-specific-course states named above are the usual exceptions.

One thing that does usually carry over, timed right: a MATE-qualifying course has to come from an ACCME (or equivalent) accredited provider to count federally, and those same hours will typically also count toward a state’s general CME hour total, even in states where they don’t satisfy the specific opioid/CS-topic mandate on their own. General CME pools are almost always topic-agnostic: hours are hours. Confirm the credit type your board accepts before relying on this.

The X-waiver (DATA waiver) was eliminated by Section 1262 of the Consolidated Appropriations Act, 2023. Any prescriber whose standard DEA registration includes Schedule III authority may now prescribe buprenorphine for opioid use disorder, subject to state law. No separate federal waiver, no patient cap. What replaced it is the MATE training above. Note that a few states layer their own addiction-medicine CME on MOUD prescribers: the free planner has a buprenorphine/MOUD toggle that surfaces those.

Usually not. In our 51-jurisdiction dataset, only eight states make their core opioid/controlled-substance requirement one-time (CA, GA, LA, MD, MS, RI, WA, WV); everywhere else it repeats every renewal cycle, and cycles run anywhere from 1 to 5 years. Hold three licenses and you may owe the same topic on three different clocks, which is exactly what the free planner’s timing plan is built to line up, so one well-timed course restarts as many clocks as possible.

As a rule, you must be authorized to practice where the patient is located at the time of the visit, not where you sit. Some states offer lighter telehealth-specific registrations (e.g. Florida, Colorado) with their own rules and generally without full-license CME; others expect a full license, which brings that state’s full CME load with it. If you prescribe controlled substances via telehealth, also check the destination state’s PDMP and prescribing rules.

Helpful, but the responsibility never transfers: board audits are addressed to the licensee, and it’s your license on the line if a course turns out not to qualify. Keep your own certificates (a consistent file name like 2026-03-10_CS-Prescribing_3hr.pdf saves real pain later) and keep a one-page map of which course satisfied which state. Not tracking it by hand is the entire point of Interstate Medicine Ledger.

Free, no account, and it stays that way. It covers one topic thoroughly: each state’s opioid and controlled-substance CME mandate, plus the one-time federal DEA MATE Act: and it times them across every license you hold so one accredited course counts in as many states as it can. It does not cover general CME hour totals or a state’s other mandated topics. Tracking all of it is what Ledger does. Open the planner →

State medical-board (MD/DO) rules. The DEA MATE Act and most state opioid / controlled-substance CME apply to every DEA registrant, advanced practice providers included, but NPs, PAs, CRNAs and CAAs are licensed by their own boards, whose hour totals can differ. Set the profession selector at the top of the planner, then confirm totals with your own board.

Florida CS/SB 844 (2026), chapter 2026-6, amended Fla. Stat. § 456.0301(1)(a) effective July 1, 2026, so the two-hour controlled-substance course every DEA-registered prescriber takes at each biennial renewal must now also address the treatment of pain for patients with sickle cell disease. Those two hours must still come from a board-approved course offered by a Florida statewide professional association of physicians, so a general accredited activity does not satisfy that line, though its hours count toward Florida’s general 40. The free planner flags Florida as a board-approval state.

No. The Compact (IMLC) is a faster way to get a license in a new state. Interstate Medicine keeps the licenses you already hold in order: each state’s CME rules, renewal dates, DEA and controlled-substance registrations, board certification and the documents a facility asks for, in one record. A license that came through the Compact is tracked like any other. We do not file with boards, verify credentials or place clinicians.

Price, coverage, and completeness. We cover 51 jurisdictions, count one credit toward every requirement it satisfies so nothing is double-counted or missed, and show what is still owed in each state. A helper can work in your record with the access you choose. $5 a month, billed yearly at $60, or $8 month to month, with no per-state add-ons.

Two ways. Drop the document into the Ledger, or forward it to your private email-in address. AI reads it and pulls out the details: the activity, the hours, the name on the certificate, and every state requirement it would count toward, in each board’s own wording. A document you drop in waits for you to check what was read before it is recorded; untick anything you don’t want. Email from a sender you have approved is filed for you the next time you open the Ledger, but only when every check passes (your name matches, it is not a duplicate, and the reading is certain); anything else waits for your review. Email from a sender you have not approved is held until you approve it.

The credentials a facility asks for, each with its own renewal date: state licenses, DEA and state controlled-substance registrations, board certifications, BLS/ACLS/PALS cards and malpractice coverage. When a facility asks, your credentialing packet is ready: your documents, named and in hospital order, plus a one-to-two page Word profile. It organizes and reminds; it is not primary-source verification. See everything in the Ledger.

Yes to both. One certificate can count toward several requirements at once, at full hours each: a state’s opioid mandate and its general total, a board’s self-assessment requirement and its CME total. Before you save a certificate you see every requirement it will count toward and can tick or untick any of them. To change it later, open any license or board certification it counts toward, find the certificate in that credential’s Certificate vault, and choose Counts toward. Add a license after your certificates are already on file and they are applied to it automatically.

Self-assessment CME is accredited Category 1 credit that a board has also approved as self-assessment; the certificate or transcript usually says “self-assessment” or “SA-CME”. ABPN, for example, asks for 16 SA-CME credits inside its 90 per 3-year block. The Ledger counts a self-assessment certificate toward both: the board’s self-assessment requirement and its CME total, plus the general total of every state license it qualifies for. Certificates that say “self-assessment” are recognized automatically; for any other, tick the self-assessment requirement yourself under Counts toward.

Add it to the board certification you already track rather than adding the board a second time. For ABPN, open your ABPN card and choose Add a subspecialty (Consultation-Liaison, Addiction, Child and Adolescent, Forensic or Geriatric Psychiatry). ABPN counts one set of CME, self-assessment and Performance-in-Practice for every certificate you hold, so a subspecialty adds no CME; article exams are counted per certificate, 20 for each in every 3-year block, and the card shows your total. A second entry for the same board would double your CME target, and the Ledger now flags it if you have one.

The hours are still recorded, in full. Your record reads 27 / 25, not 25 / 25. Being over costs you nothing; being an hour under at renewal is a lapsed license, so nothing is ever quietly capped or discarded.

No, and that’s deliberate. We organize and format your complete record and hand you everything a board or CE Broker needs, but you (or your assistant, with your permission) submit it. We are not an accreditor and we do not validate credits, which keeps you in control. Always confirm acceptance with your board.

CE Broker reporting is mandatory for physicians in Florida, Louisiana, New Hampshire, New Mexico and Texas (Texas by rule from September 1, 2026), and for osteopathic physicians (DOs) in Oklahoma. Everywhere else, physicians self-report and attest at renewal. The Ledger keeps the details those submissions ask for in one place, but the submission itself is yours to make. If CE Broker’s free tier is all you need, we say so plainly.

Yes. Each state’s CME is tracked separately, because each state’s requirements apply in full whether the license came through the Compact or not. What the Compact does and doesn’t cover →

Thirteen physician certifying boards: ABIM, ABA, ABEM, ABFM, ABPN and ABR, their six AOA counterparts (AOBIM, AOBA, AOBEM, AOBFP, AOBNP, AOBR), and ABOG. For each one we track the credit rules, the in-cycle checkpoints and the documents the board asks for, so one certificate can count toward your states and your board. Don’t see yours? Request it in the Ledger with your cycle date. We track that date from the day you ask while we add the board’s rules.

Yes. Name a helper, such as an office manager, and choose how far their access goes: never more than you granted, and never control of your account. Every action a helper takes is on your own activity log, and you can change or revoke access any time. Groups and agencies managing many clinicians use the Roster, where you choose the group’s access level (1 to 4) and can lower or revoke it.

In Settings, under Who else can access your account. Every organization linked to your Ledger is listed with its level, 1 to 4. Change the level or revoke access with one click; it takes effect right away. When a group invites you, you choose the level before they see anything. Helpers you named are managed in the same place, and every action by any of them is on your activity log.

Yes, one account. When your account has the admin role, a Roster tab appears next to your Ledger tabs, and the Roster’s menu has Home to take you back. Start a Roster from your own account at pro.interstatemedicine.com/agency/start, or have an existing admin invite you as a co-admin. Your own record stays yours: the group sees it at the level you choose, like any other clinician on the roster.

That is the job. Each state’s requirements are checked against the board’s own rules, and every license shows the date they were last checked. When something changes in a state you hold, you hear about it by email while there is still time to act, rather than at renewal.

$5 a month, billed yearly at $60. Unlimited licenses and credits, documents read for you, your email-in address, board-change and renewal alerts, helper access and your credentialing packet. No per-license fee, no per-credit fee, and no upsell for the state you added last year. Join now and your $60 a year stays as long as you keep your membership.

$20 per clinician a month. Admins are free. The first 30 days are free with a card on file, and nothing is charged while your roster is empty. Add a clinician mid-month and the remaining days are on the next bill; remove one and the next bill is smaller (the current month is not refunded). Larger groups can ask about volume pricing at billing@interstatemedicine.com. See the Roster.

Your group is billed for you like everyone else on its Roster. Once you accept the group, your own plan is canceled with a refund for the unused part. Your record stays yours. If your group removes you, your Ledger stays free for 30 days, then you can keep it at $60 a year or $8 a month.

Yes: 30 days free with a card on file. We email you before any charge, and you can cancel online any time. Cancel before the trial ends, from inside your account, and you are not charged at all.

A guarantee makes you pay first and ask for your money back later. A trial asks for nothing: you use the whole product for 30 days, we email you before any charge, and if you cancel in time you are never billed. So we offer the trial instead of a guarantee. Once a paid term begins, fees are not refunded as a matter of course (see Terms §5.6). When a group starts covering you, your own plan is refunded for the unused part. If something went wrong, such as a charge after you canceled, a double charge, or a reminder email that never arrived, write to help@interstatemedicine.com. A person reads every message and will refund where it is warranted.

If you do nothing, the membership simply continues and the card is charged $60 for the year. If you cancel first, your account becomes read-only on the day the trial would have converted: every license, certificate and hour you filed stays exactly where it is and stays viewable, Download my data still gives you a complete copy of the whole record, and you can delete the account outright at any time. Nothing you entered is ever deleted for not paying.

We keep honest side-by-sides, including where the other option is the better answer: vs CME Agent · vs Mocingbird · vs CE Broker.

Yes, any time, and it is easy. Go to pro.interstatemedicine.com/cancel, sign in if asked, and press Cancel membership; Stripe, which runs our payments, confirms it on the next screen. Or email help@interstatemedicine.com and we will do it for you. Cancellation takes effect at the end of the current term and your access continues until then. Subscription fees are not refundable once a term has begun. See Terms §5.2 and §5.6.

Yes: the opioid & controlled-substance planner, and every state requirement page on this site. No account, no card, no expiry.

Your account goes read-only. Your full history and every certificate stay viewable, and Download my data always works, so you can take a complete copy at any time. Adding records and running reports pause until you renew. You can also delete the account outright, even while lapsed.

We don’t collect patient records, so nothing here is protected health information under HIPAA, but license numbers, dates of birth and certificates are treated as sensitive regardless: encrypted in transit and at rest, behind access controls, with limited retention. When you upload a document, its text is pulled out on your device first; that text and an image of the first page then go to our AI reader, which suggests the details and is never sent your account information. Nothing you upload is filed until you confirm it, and a Social Security number is never stored. Full detail in the Privacy Policy and on our Security page.

It was built by a physician licensed in more than one state, because no existing tracker did the cross-state math. We are not an accreditor.

Tell us: that is genuinely useful. Every requirement on this site is checked against the board’s own rules and carries its citation and the date it was last checked, and when something is off we verify it against the board and correct it. Send it here →