What Is PSYPACT? Getting an Online Accommodation Evaluation in Your State

If you've been researching telehealth psychology services — including workplace accommodation evaluations — you've probably come across the term PSYPACT. Here's what it means, why it matters, and how it affects your ability to get an ADA accommodation letter from a licensed psychologist without leaving your home.

What Is PSYPACT?

PSYPACT (the Psychology Interjurisdictional Compact) is an interstate agreement that allows licensed psychologists to practice telehealth across state lines without needing a separate license in each state. Before PSYPACT, a psychologist licensed in Ohio couldn't legally provide a telehealth consultation to a patient in Texas — they would need to be licensed in Texas as well.

PSYPACT solved this by creating a compact of participating states. A psychologist who holds a PSYPACT E.Passport can practice telehealth with patients in any of the 42 states (and Washington D.C.) that have joined the compact, using their home state license as the qualifying credential.

As of early 2026, PSYPACT-participating states include most of the U.S. — covering the vast majority of Americans who need telehealth psychology services.

Why PSYPACT Matters for Accommodation Evaluations

For workplace accommodation documentation specifically, PSYPACT is what makes a national telehealth service legally viable. Without it, a provider would need separate licensure in every state where they serve patients — which is expensive, slow, and practically limits services to single states.

PSYPACT-licensed providers at WorkWell Evals can conduct your accommodation evaluation and write your letter regardless of which participating state you're in. You don't need to find a local psychologist in your area. You don't need to drive to an office. You book online, complete your intake forms, attend a 15-minute video call, and receive your letter — all from wherever you are.

Which States Are Covered?

As of 2026, the 42 PSYPACT-participating states and D.C. include:

Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Washington D.C., Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

States not currently in PSYPACT include Alaska, California, Hawaii, Louisiana, Massachusetts, Montana, New York, and Vermont. If you're in one of these states, WorkWell can discuss whether any alternative licensing pathways apply.

What If My State Isn't in PSYPACT?

If you live in a state not currently participating in PSYPACT, your options include:

Providers licensed in your state: Some psychologists hold multiple state licenses and may be licensed in your state specifically. WorkWell can help determine if a provider is available for your state.

Social Work Compact: Licensed Clinical Social Workers (LCSWs) can provide accommodation documentation in many states, and the Social Work Compact covers approximately 40 states — some of which overlap with non-PSYPACT states. WorkWell's provider network includes both psychologists and LCSWs where applicable.

Counseling Compact: Licensed Professional Counselors (LPCs) are also qualified to write accommodation documentation, and the Counseling Compact covers approximately 30 states.

If you're in a non-PSYPACT state and not sure whether you're covered, contact us before booking and we'll confirm your options.

Does Provider Licensure Affect Whether My Letter Will Be Accepted?

This is a common concern — and the short answer is no, as long as the provider is licensed in a state that has jurisdiction over the telehealth session. Under the ADA, accommodation documentation is valid when it comes from a qualified professional who has "expertise in the medical condition and direct knowledge of the individual's impairment and functional limitations." The law doesn't require the provider to be licensed in the same state as your employer.

What matters is: (1) the provider is licensed as a psychologist, LCSW, or LPC in their home state, and (2) they have the appropriate interstate compact credential (PSYPACT, Social Work Compact, or Counseling Compact) to practice in your state.

All providers at WorkWell Evals meet this standard.

A Note on Telehealth vs. In-Person Evaluations

Some employees worry that a telehealth-based accommodation evaluation will be viewed as less legitimate than an in-person evaluation by their employer or HR team. This concern, while understandable, doesn't reflect how the ADA works in practice.

The ADA requires documentation from a qualified professional with knowledge of your condition — it says nothing about whether the evaluation was conducted in person or via video. Major healthcare systems, the VA, and most large employers routinely accept telehealth-based documentation. The quality and specificity of the letter matters far more than how the appointment was conducted.

The WorkWell Evals Provider Network

WorkWell works with doctoral-level psychologists (PhD/PsyD) who hold PSYPACT E.Passports, giving them access to practice across all 42 participating states. Our providers conduct focused workplace accommodation evaluations — not therapy, not comprehensive neuropsychological batteries — because that's what this type of documentation requires.

Providers are independent contractors who maintain their own clinical judgment and full autonomy over whether to approve, decline, or defer accommodation recommendations. WorkWell doesn't tell providers what to write. We provide the platform, the intake infrastructure, and the workflow — the clinical decisions are entirely theirs.

Getting Started

If you're in a PSYPACT-participating state, you can book your evaluation today. If you're unsure, check the list above or contact us to confirm.

The process is straightforward: complete intake online, fill out a clinical questionnaire, attend a 15-minute video consultation, and receive your accommodation letter within 1–2 business days of your appointment.

Book your evaluation at WorkWell Evals — $169, fully remote.

Related reading: How Much Does a Workplace Accommodation Evaluation Cost? · How to Request a Remote Work Accommodation Under the ADA · ADA Workplace Accommodation FAQ