Nurse Triage Services in All 50 States and DC
A triage nurse has to be licensed where the patient is located. PCTS RNs are licensed in all 50 states and the District of Columbia, so one triage service covers your patients wherever they call from. Here is how each state is covered.
Compact status last verified October 14, 2026. See the licensure guide for how the Nurse Licensure Compact works.
Covered by a compact license
These states have implemented the Nurse Licensure Compact. A nurse with a multistate license can triage patients located in any of them.
Covered by a state license
These jurisdictions are outside the compact, or have not yet implemented it. The nurse needs that state's own license. PCTS RNs hold one in every one of them.
States that need their own license
These are the states where triage coverage most often breaks down: a vendor whose nurses hold only compact licenses cannot legally triage your patients here.
Coverage by state
| State | How PCTS covers it | Details |
|---|---|---|
| Alabama | Multistate compact license | Compact state since Jan. 1, 2020 |
| Alaska | Alaska license | Not in the compact — Alaska details |
| Arizona | Multistate compact license | Compact state since Jan. 19, 2018 |
| Arkansas | Multistate compact license | Compact state since Jan. 19, 2018 |
| California | California license | Not in the compact — California details |
| Colorado | Multistate compact license | Compact state since Jan. 19, 2018 |
| Connecticut | Multistate compact license | Compact state since Oct. 1, 2025 |
| Delaware | Multistate compact license | Compact state since Jan. 19, 2018 |
| District of Columbia | DC license | Not in the compact — District of Columbia details |
| Florida | Multistate compact license | Compact state since Jan. 19, 2018 |
| Georgia | Multistate compact license | Compact state since Jan. 19, 2018 |
| Hawaii | Hawaii license | Not in the compact — Hawaii details |
| Idaho | Multistate compact license | Compact state since Jan. 19, 2018 |
| Illinois | Illinois license | Not in the compact — Illinois details |
| Indiana | Multistate compact license | Compact state since July 1, 2020 |
| Iowa | Multistate compact license | Compact state since Jan. 19, 2018 |
| Kansas | Multistate compact license | Compact state since July 1, 2019 |
| Kentucky | Multistate compact license | Compact state since Jan. 19, 2018 |
| Louisiana | Multistate compact license | Compact state since July 1, 2019 |
| Maine | Multistate compact license | Compact state since Jan. 19, 2018 |
| Maryland | Multistate compact license | Compact state since Jan. 19, 2018 |
| Massachusetts | Massachusetts license | Compact pending — Massachusetts details |
| Michigan | Michigan license | Not in the compact — Michigan details |
| Minnesota | Minnesota license | Not in the compact — Minnesota details |
| Mississippi | Multistate compact license | Compact state since Jan. 19, 2018 |
| Missouri | Multistate compact license | Compact state since Jan. 19, 2018 |
| Montana | Multistate compact license | Compact state since Jan. 19, 2018 |
| Nebraska | Multistate compact license | Compact state since Jan. 19, 2018 |
| Nevada | Nevada license | Not in the compact — Nevada details |
| New Hampshire | Multistate compact license | Compact state since Jan. 19, 2018 |
| New Jersey | Multistate compact license | Compact state since Nov. 15, 2021 |
| New Mexico | Multistate compact license | Compact state since Jan. 19, 2018 |
| New York | New York license | Not in the compact — New York details |
| North Carolina | Multistate compact license | Compact state since Jan. 19, 2018 |
| North Dakota | Multistate compact license | Compact state since Jan. 19, 2018 |
| Ohio | Multistate compact license | Compact state since Jan. 1, 2023 |
| Oklahoma | Multistate compact license | Compact state since Jan. 19, 2018 |
| Oregon | Oregon license | Not in the compact — Oregon details |
| Pennsylvania | Multistate compact license | Compact state since July 7, 2025 |
| Rhode Island | Multistate compact license | Compact state since Jan. 8, 2024 |
| South Carolina | Multistate compact license | Compact state since Jan. 19, 2018 |
| South Dakota | Multistate compact license | Compact state since Jan. 19, 2018 |
| Tennessee | Multistate compact license | Compact state since Jan. 19, 2018 |
| Texas | Multistate compact license | Compact state since Jan. 19, 2018 |
| Utah | Multistate compact license | Compact state since Jan. 19, 2018 |
| Vermont | Multistate compact license | Compact state since Feb. 1, 2022 |
| Virginia | Multistate compact license | Compact state since Jan. 19, 2018 |
| Washington | Multistate compact license | Compact state since Jan. 31, 2024 |
| West Virginia | Multistate compact license | Compact state since Jan. 19, 2018 |
| Wisconsin | Multistate compact license | Compact state since Jan. 19, 2018 |
| Wyoming | Multistate compact license | Compact state since Jan. 19, 2018 |
Compact status changes as states pass and implement legislation; confirm current status at NurseCompact.com. This page is not legal advice.
One triage service, every state
Each call is routed to an RN licensed where the patient is located, using Schmitt-Thompson protocols aligned to your standing orders. Your answering service stays the entry point; the clinical calls come through to our nurses.
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