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7.15.2025 Licensure Compact Arrangements Does NCQA require clinicians to be licensed in every state where they provide services to patients?

Yes. Applicable clinical staff must be licensed and verified in all states where they provide care to members. 

A licensure compact arrangement between states is acceptable if the clinician’s licensure was primary source verified in the clinician’s home state. NCQA reviews the compact agreement for evidence that the state (or states) accepts the home state’s license in lieu of state licensure. 

CM 2020