Mental Health Telehealth Evaluations: What's Available in Your State

Last updated: 4/18/2026

Short answer: if you live in one of 42 US states, you can be evaluated by a licensed psychologist via telehealth — across state lines, without an in-person visit, and without your provider needing to be physically located in your state. The compact that makes this possible is called PSYPACT (the Psychology Interjurisdictional Compact). This article covers what it is, which states are covered, and what it means for getting an ADA workplace accommodation letter. For our deeper PSYPACT primer, see What Is PSYPACT? Getting an Online Accommodation Evaluation in Your State.

The 42 states where telehealth psychology evaluations are available

PSYPACT is administered by the Association of State and Provincial Psychology Boards (ASPPB). Once a state joins, psychologists with PSYPACT authorization (the E.Passport credential) can practice telehealth in that state regardless of where they're physically based. As of early 2026, the compact covers 42 states.

Covered states (verify the live list at the PSYPACT State Map before relying on this for a specific situation): Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming.

Not currently covered: California, New York, Hawaii, Massachusetts, Oregon, Iowa, Louisiana, New Mexico, and Montana. If you live in one of these, telehealth psychology evaluations from out-of-state providers are limited; you'd need to find a psychologist licensed specifically in your state.

What this means for your ADA accommodation letter

Your ADA accommodation letter must come from a provider qualified to evaluate your specific condition. PSYPACT lets that provider be hundreds of miles away, evaluate you over secure video, and produce documentation that meets EEOC standards. Your employer cannot reject the letter solely on the basis that the evaluation was conducted via telehealth — the standard for evaluation method is established clinical practice, and telehealth psychology has been mainstream for years.

What employers can require: that the provider has the appropriate credentials, that they're licensed (or PSYPACT-authorized) to practice in your state, and that the documentation describes functional limitations as the EEOC requires. For a complete walkthrough of the documentation standard, see What an ADA Mental Health Accommodation Letter Should Include.

How to verify your psychologist is licensed in your state

For PSYPACT psychologists, the canonical source is the PSYPACT Directory. Search by name; the directory shows which jurisdictions the provider is authorized in.

PSYPACT-authorized psychologists won't appear in individual state licensing databases — those check single-state licenses. The PSYPACT directory is the source of truth for telehealth practice authority.

For non-PSYPACT providers, look up the state psychology board for the state where they're licensed. Our companion piece on credential verification — Which Credentials Are Best for an ADA Accommodation Letter? — covers the full credential picture beyond just psychologists.

What happens if you move during the process?

If you relocate to a state still covered by PSYPACT, you can continue with the same provider. If you relocate to a non-PSYPACT state, you'll generally need to transition care to a provider licensed in your new state.

For employees on RTO mandates considering a job-related move, this is worth thinking about ahead of time. Our coverage of major mandates includes Microsoft RTO Mandate: ADA Accommodation Rights and Amazon, Dell, JPMorgan RTO Mandates: How to Request a Remote Work Accommodation. If you anticipate relocating, choose a provider whose coverage works for both your current and likely future state.

Why telehealth often works better for accommodation evaluations

Same-week scheduling is normal for telehealth psychology. In-person psychiatry typically has 8-12 week waits for new patients in most metro areas — see our timeline guide How Long Does It Take to Get an ADA Accommodation Letter?.

For accommodation evaluations specifically, the patient's home work environment is often the relevant context — and telehealth lets the provider observe it directly.

For people whose accommodation request is grounded in difficulty with commuting itself — anxiety on public transit, panic disorder, chronic illness with mobility components — requiring an in-person visit is itself a barrier. Our condition-specific guides for anxiety, depression, and chronic conditions explain how the accommodation logic ties to the functional limitations.

How WorkWell handles state coverage

WorkWell Evals operates exclusively with PSYPACT-authorized providers. When you start the eligibility check, the first question identifies your state and routes you appropriately. If your state isn't covered, we'll tell you immediately rather than wasting your time. For broader context on the rights you're working with, the Washington University-hosted resource on workplace accommodation rights is a good starting point regardless of where you live.

Check if you're eligible for a telehealth evaluation in your state

Sources and further reading

• PSYPACT, Official State Coverage Map

• PSYPACT, Provider Directory

• Association of State and Provincial Psychology Boards, About PSYPACT

• U.S. EEOC, Enforcement Guidance on Reasonable Accommodation

• U.S. EEOC, Work at Home/Telework as a Reasonable Accommodation

• Washington University in St. Louis, ADA Workplace Accommodation Resources

Frequently asked questions

Is my state covered by PSYPACT?

Check the live list at the PSYPACT State Map. As of early 2026, 42 states are covered.

What if I cross state lines for work — does my home state or work state matter?

Generally your physical location during the evaluation is what matters, not your work state.

Does my employer's HQ state matter for the evaluation?

No. Your employer's state is irrelevant for the provider's licensing requirements.

Can I be evaluated if I'm temporarily abroad?

Generally no. PSYPACT and state licenses cover US-based practice. Most providers will not conduct evaluations with patients located outside the US.