Each state has its own regulatory body and rules in allowing nurses to cross state lines and work without a license.   Some states are accepting a nurse with a license from any state, some are requiring a temporary license to be issued, and others have not adapted any new licensing rules and require a state license to be issued.  

For the most up to date Nursing License requirement per state, please visit the NCSBN website: https://www.ncsbn.org/State_COVID-19_Response.pdf

**Licensure accepted from other states remains at the discretion of each facility and not all facilities are recognizing temporary permits or non-licensed nurses.

Details of COVID 19 Emergency Declarations are listed below. 


The following are examples of flexibilities that states and territories may seek through a Section 1135 waiver request:

1135 waiver request:

  • Waive prior authorization requirements in fee-for-service programs

  • Permits providers located out of state/territory to provide care to another state’s Medicaid enrollees impacted by the emergency

  • Temporarily suspend certain provider enrollment and revalidation requirements to increase access to care.

  • Temporarily waive requirements that physicians and other healthcare professionals be licensed in the state in which they are providing services, so long as they have an equivalent licensing in another state.

  • Temporarily suspend requirements for certain pre-admission and annual screenings for nursing home residents

  • States and territories are encouraged to assess their needs and request these available flexibilities, which are more completely outlined in the Medicaid and CHIP DisasterResponse Toolkit. For more information and to access the toolkit, visit:https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/index.html. For questions please email: [email protected]

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