Licensure follows the patient
The location that matters for telehealth is generally the patient’s, not yours. Sitting in one state and caring for a patient in Ohio generally means you need authority to practice in Ohio — via compact privilege or an Ohio license. See telehealth: patient in another state.
The law that governs this in Ohio
Caring for a patient located in Ohio is practice in Ohio, so it is Ohio’s own nurse practice act that defines what you may do and the Ohio Board of Nursing that applies it. That act is Ohio Rev. Code ch. 4723.
The compact itself is separate law. Ohio adopted it at Ohio Rev. Code § 4723.11, which is what allows a multistate license issued elsewhere to reach Ohio at all — the practice act still decides what you may do once it does.
Compact status is not the only consideration
Even where a multistate license reaches Ohio, your employer and the Ohio Board of Nursing may impose additional requirements, and some roles carry their own rules. Compact status answers one question — it is not a blanket authorization to practice remotely.
APRN telehealth is separate
The compact covers RN and LPN/LVN licenses only. If you work as an APRN, your advanced-practice authority is granted state by state and is not carried by a multistate RN license — a point that catches out a lot of remote NP roles.
Since when has a compact license worked in Ohio?
Nurses holding another state’s multistate license have been able to practice in Ohio since January 1, 2023. That is recent enough that employer handbooks, agency briefings, and articles written before then still describe Ohio as non-compact — so if you are told you need an Ohio license, check the date on the guidance.