Hold More Than One License? You Need a Plan for Each

A telehealth physician with five state licenses showed me his "system" for tracking CME: one giant spreadsheet, color-coded, that he was quietly terrified of. Every state had a different total, a different cycle, different mandated topics, and a different deadline, all crammed into one tab. It mostly worked. It also nearly failed twice, because a single sheet can't make five fundamentally separate obligations feel separate.

If you hold more than one license, that's the core truth to internalize: your CME doesn't pool, and trying to manage it as one blended pile is how things slip. The structure that actually holds up is one plan per license.

Why nothing pools

Each license answers to its own board, on its own terms. Hold licenses in California and Minnesota and you owe 50 credits over two years for one and 75 over three for the other, with different required courses and different deadlines — neither set covers the other. Compacts don't change this: the IMLC speeds up licensing but each state keeps its own CME clock, and compact nurses still face practice-state CE. The APRN Compact isn't even active yet. There is no consolidation mechanism for the CME itself. Multistate practice multiplies the work, it doesn't merge it.

What "one plan per license" actually means

For each license, you build and maintain a self-contained record:

• The credit total and cycle length.
• The renewal date and the CME reporting deadline — which aren't always the same.
• Every mandated topic and its frequency, since one-time and recurring requirements differ by state.
• The credit type and any format rules the board demands.
• A separate certificate folder, since the same course may satisfy one state and not another.

Five licenses means five of these, not one blended mess. The upside is real: when one state's deadline approaches, you open that plan and the picture is clean — no untangling which of five overlapping requirements you're staring at. When one state audits you, that license's folder is your answer. Separation is what makes a heavy load manageable. It's the same logic behind tracking each license separately.

The overlap you can actually use

Plans being separate doesn't mean every hour is. Many accredited general hours can count toward multiple licenses at once — do the course once, claim it where it qualifies. The pieces that don't share are the state-specific mandated topics. So the efficient move is to maximize shared general hours across your plans while covering each state's unique requirements individually. You can't do that without knowing each plan's specifics, which is the whole point of keeping them distinct.

What this costs with us

Our pricing matches this structure exactly: a flat $99 per plan, per license renewal. One license renewing? One plan, $99. Five licenses on different cycles? Five plans, billed as each comes due — you're not paying for renewals that aren't happening. We read each state's current rule, map that license's exact total, credit types, mandated topics, and deadline, and hand you a clean plan for it. No subscription, no per-course markup, no surprise fees. The flat fee is laid out here.

What that $99 buys is clarity, not credit. We don't grant or sell CME, and we never log into your board portal or CE Broker — that stays with you. We tell you precisely what to earn for each license and by when, so the earning is the only thing left on your plate.

Stop managing five things as one

If your multi-license CME currently lives in one anxious spreadsheet, the fix is to break it apart — a real plan per license, each with its own deadline and checklist. Start by pulling each state's requirement from our CME requirements index. Or hand us your list of states and licenses and we'll build a separate plan for each. Tell us what you hold and we'll map every one, or see how the per-license pricing works first.