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.

Five one-hour modules on responsible opioid prescribing, pain management and substance use disorder, up to 5 hours (credit designation pending), taken as a set or singly, with one certificate that lists every state you selected. Faculty: Omar Shakeel, MD; jointly provided with PACE. The activity is in final accreditation review. Credit cannot be claimed until accreditation is issued. Course details and the launch list →

Select your states in the planner and the course-fit panel answers that directly, including the states where it would not. Eight boards: FL, KY, LA, MA, OR, TN, UT, WV: accept only a board-approved or state-specific activity for at least one mandate, so no general accredited course clears them, ours included.

The content, yes; Florida’s course requirement, no. 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. Hour 1 of our activity carries a dedicated segment on it: why the CDC’s 2022 guideline excludes sickle cell disease and what that exclusion actually obliges you to do, managing a vaso-occlusive crisis, dosing from the patient’s own plan rather than a weight-based table, and the under-treatment these patients routinely meet. Florida’s two hours, though, must come from a board-approved course offered by a Florida statewide professional association of physicians (Fla. Stat. § 456.0301(1)(a)), so a general accredited activity like ours does not satisfy that line. Its hours count toward Florida’s general 40. As with the rest of the activity, credit cannot be claimed until accreditation is issued.

Price, coverage, and completeness. We cover all 50 states and DC board-agnostically, deduplicate across every source into one clean record so nothing is double-counted or missed, and do the cross-state math to show the least CME that keeps you compliant everywhere. Your assistant can help, free. Flat annual price, no per-state add-ons.

Two ways. Every member gets a private upload address, or you can upload it directly. When a certificate arrives from an address you have approved, AI reads it and, if every check passes (your name on it, not already on file, the hours and date clear), files it for you the next time you open the Ledger, with an Undo. Anything it is not sure of waits for you to look at. When you upload a document yourself, you see what was found before anything is recorded: the activity, the hours, the name on the certificate, and every state requirement it would count toward, in each board’s own wording. Untick anything you don’t want. Unknown senders are quarantined; a name that doesn’t match yours is held and flagged rather than filed.

Everything a credentialing office asks for, each with its own renewal date: state licenses and the renewal itself, DEA and state controlled-substance registrations, board certifications, BLS/ACLS/PALS cards, malpractice coverage, CAQH attestation, facility reappointments, TB/flu/N95 dates, work history and case logs. Drop in a filled CAQH application and it comes in as rows you tick. You can also track a new state license application and each payer enrollment in progress, print a CV from your record, and add every expiration date to your calendar. 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, Oklahoma and Texas (Texas by rule effective 1 September 2026). The Ledger produces a CE Broker worksheet with everything those submissions ask for. There is no bulk-upload route for individual licensees, so the submission itself is yours to make. If CE Broker’s free tier is all you need, we say so plainly.

Yes. The Ledger knows whether each license renews directly through its state board or centrally through the IMLC portal and gives you the right link, fees and steps for each, while still tracking every state’s CME separately, because each state’s requirements apply in full. What the Compact does and doesn’t cover →

Thirteen today: ABIM, ABA, ABEM, ABFM, ABPN and ABR with their AOA counterparts (AOBIM, AOBA, AOBEM, AOBFP, AOBNP, AOBR), plus ABOG: modeled in depth, including credit rules, in-cycle checkpoints, and the documents each board asks for, so one certificate can count toward your states and your board. Don’t see yours? Request it inside the Ledger with your cycle date and it’s tracked the same day while we build out the rules.

Yes, and it’s included. An individual membership carries three helper seats, free. Each helper gets exactly the access you grant (Compliance only, Full profile or Manage), never control of your account, and you can change or revoke it in one click. Every action a helper takes is on your own activity log. Agencies and groups managing many clinicians use the Teams admin portal, with roles, groups and per-provider billing.

That is the job. Requirements are monitored continuously against the boards’ own rule text, every state is fully re-reviewed each quarter, and when something changes in a state you hold, you hear about it while there is still time to act, rather than at renewal.

$60 a year, flat. Unlimited licenses, unlimited credits, three helper seats, email-in certificate capture, board rule-change alerts, per-state gap analysis, the renewal cockpit, and audit exports. No per-license fee, no per-credit fee, and no upsell for the state you added last year.

Yes: 30 days, and nothing is charged during them. You add a card at sign-up so the membership can continue without interruption if you keep it, but the first charge is on day 31. Cancel at any point before then, from inside your account, and you are not charged at all. We email you on day 14, on day 21 and the day before the charge, so the date is never a surprise.

Because a trial is the better version of the same promise, and we would rather make one promise properly than two loosely. A money-back guarantee asks you to pay first, discover it is not for you, then ask a stranger for your money back and wait. A trial removes all three steps: you have the whole product for 30 days, you are told three times before the charge lands, and if you cancel you were never billed. So the guarantee is gone and the trial replaced it. Once a term has begun, subscription fees are not refundable as a matter of course. See Terms §5.6. If something genuinely went wrong (you were charged after canceling, billed twice, or never received the warning emails) write to help@interstatemedicine.com and we will look at it and refund where it is warranted. A real person reads that address.

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, you can still export 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.

Comparable multi-state trackers list at $89.99 to $360 a year. 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; adding and exporting pause until you renew. You can download a complete copy of your data, or 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 traced to the board’s own rule text and carries its citation, and when something is off we verify it against the board and correct it. Send it here →