# CPTS Teleconsultation: Nurse Software 2026 > Rolling out nurse-assisted teleconsultation in a CPTS: nurses' role, interoperable practice software, shared equipment and ACI/ARS funding. 2026 guide. [ Back to blog ](/en/blog) # Teleconsultation in a CPTS: software and nurse coordination P Promotal MedConnect June 16, 2026 8 min read [Image: Teleconsultation in a CPTS: software and nurse coordination] Your CPTS wants to improve access to care across its territory, and nurse-assisted teleconsultation now tops the list of practical levers. But between choosing the software, dovetailing with local nurses' practice tools, pooling equipment and securing funding, the project quickly runs into organizational questions. This guide answers the most common one: how to roll out teleconsultation in a CPTS without building a parallel system, by relying on nurses as the pivot and on a genuinely interoperable [telemedicine software platform](https://promotal-medconnect.com/logiciel/plateforme-telemedecine). ## Why CPTS roll out assisted teleconsultation A CPTS (territorial professional health community) organizes a territory's community-based health professionals around a population. Its funding framework is the ACI (interprofessional agreement) signed on June 20, 2019, contracted by the Assurance Maladie and supported by the ARS. There are now more than 800 CPTS in France (2025), a sign of rapid growth. Among the ACI's core missions, **improving access to care** comes first: easing access to a treating physician, organizing unscheduled care, directing patients without a treating physician. Indeed, amendment 2 (signed December 20, 2021) broadened this access-to-care mission and raised the performance-based remuneration ceiling (by around 30% depending on the source), while adding prevention indicators. Contractual negotiations continue through 2025-2026, with an amendment 3 to the ACI being signed in some CPTS — though its precise financial content should not yet be treated as settled. Assisted teleconsultation fits this mission naturally: it brings a medical opinion to the patient where they live, without the physician traveling. For a CPTS, it is a direct way to cut delays and reduce forgone care. The [telemedicine solution for CPTS](https://promotal-medconnect.com/solutions/cpts) is precisely about equipping and coordinating a territory's professionals around this use case. ## The pivotal role of nurses Nurses, and especially self-employed nurses (IDEL), are ideally placed to carry assisted teleconsultation: they are already present at the patient's home, in the practice, in care homes or on the CPTS premises. Let's recall a fundamental distinction, because the whole rollout depends on it: - **Teleconsultation**: a physician delivers a remote consultation to a patient. It is a telemedicine act, physician-led. - **Assisted teleconsultation**: not a separate legal act, but a teleconsultation during which a professional — often a nurse — is physically beside the patient to assist and perform certain clinical procedures. - **Telecare (télésoin)**: care delivered remotely by the nurse themselves, with no physician (amendment 9 framework). - **Tele-expertise**: one professional remotely requests another professional's opinion; the patient is not present. During an assisted teleconsultation, the physician leads the consultation and the nurse accompanies the patient. Our [guide to assisted teleconsultation](https://promotal-medconnect.com/teleconsultation-assistee) details this workflow, and the [guide to nurse-assisted teleconsultation for IDEL](https://promotal-medconnect.com/blog-posts/teleconsultation-assistee-infirmier-idel-guide-2026) walks through the role step by step. For the territory's nursing teams, the [nurses solution](https://promotal-medconnect.com/solutions/infirmiers) gathers the practical use cases. ## Who bills what: physician-side and nurse-side fees On the physician side, the teleconsultation is billed like an in-person consultation: **€25** for a general practitioner and **€30 or more** for a specialist, respecting the coordinated care pathway and the applicable caps on remote activity. On the nurse side, the act of assisting a teleconsultation (amendment 6) is coded by the place where it occurs: CodePlace of deliveryFee TLLDedicated / fixed venue (nurse's office, MSP, telecabin…)€12 TLDAt the patient's home€15 This must be distinguished from **telecare (TLS)**, which is not an assisting act: it is care delivered remotely by the nurse themselves, with no physician, under amendment 9 (the flagship case: remote wound-dressing follow-up). Its valuation refers to the equivalent act; check ameli.fr for the exact conditions. Note that contractual fees may change depending on the amendments in force. For the detail of nurse fees, see our [guide to nurse assisted-teleconsultation fees](https://promotal-medconnect.com/blog-posts/cotation-teleconsultation-assistee-infirmier-2026). **Tele-expertise** completes the picture: a nurse can be the requester and bill €10, capped at 3 acts maximum per patient per year; the requested physician who provides the opinion bills €25, with the patient not present. Our [tele-expertise](https://promotal-medconnect.com/logiciel/teleexpertise) page and our [nurse tele-expertise guide](https://promotal-medconnect.com/blog-posts/teleexpertise-infirmier-definition-cotation-2026) set out this framework. ## The central challenge: practice software and coordination This is where most CPTS projects stall. Two building blocks must be distinguished: - the **nurse's practice software** — the nurse's own working tool (records, telecare, billing); - the CPTS's **shared coordination tool** — the territorial platform that orchestrates care pathways and information sharing. The real challenge is not to replace one with the other, but to guarantee their **interoperability**, and their interfacing with the national base services: Mon espace santé / DMP, MSSanté and the SAS (care access service), in the spirit of France's digital health Ségur program. A platform that spares the physician double data entry, displays **device data in real time** during the video call, and produces the prescription and report on the fly avoids the parallel system that coordinators dread. The MedConnect platform was designed for this use case: HDS-hosted video conferencing, real-time feed from connected devices, patient record, prescription, Carte Vitale billing and an AI scribe. It is published by a French manufacturer certified **HDS and ISO 27001**, with CE-marked devices and GDPR-compliant operation — a trust foundation for information sharing within a CPTS. Explore the [teleconsultation equipment](https://promotal-medconnect.com/materiel-telemedecine) and the associated [software platform](https://promotal-medconnect.com/logiciel/plateforme-telemedecine). ## Shared equipment: kit, cart, backpack A CPTS does not equip every professional identically: it pools resources by use case. MedConnect offers three formats, all connected to the same platform and carrying up to more than 20 connected medical-grade devices (12-lead Cardioline touchECG, Riester Ri-Sonic digital stethoscope, dermatoscope, otoscope, vital-signs monitor, pulse oximeter, portable ultrasound, spirometer, biology analyzer, bladder scanner): - the [teleconsultation kit](https://promotal-medconnect.com/mallette-telemedecine), for home visits and IDEL — from €3,000 excl. tax; - the [telemedicine cart](https://promotal-medconnect.com/chariot-telemedecine), for facilities and the territory's [care homes (EHPAD)](https://promotal-medconnect.com/solutions/ehpad) (on quote); - the [ultra-light backpack](https://promotal-medconnect.com/sac-telemedecine), for maximum mobility. For cardiology use cases common in care homes and under-served areas, the connected ECG opens the door to [tele-cardiology](https://promotal-medconnect.com/specialites/tele-cardiologie). As for venues, recall the HAS requirements: favor a place where a health professional already practices, a dedicated space accessible during the act, a reception area free of commercial activity, ensured confidentiality and a responsible person present for room preparation and patient accompaniment. ## Funding the rollout: ACI, ARS and equipment grants Funding combines several levers. At CPTS level, the ACI funds the structuring according to the community's size (four population tiers, from under 40,000 to over 175,000 inhabitants), with a fixed part and a variable performance-based part; the ceilings depend on size and on the amendment in force — refer to the current ACI rather than a fixed figure. The digital and coordination component falls within this envelope, with the ARS supporting the project. At each nurse's level, the Assurance Maladie pays, via the annual practice modernization allowance, **€350/year** for video-connection equipment and **€175/year** for connected medical devices — declared annually on amelipro, and paid even if the allowance's core indicators are not met. Combined with ARS funding within a CPTS project, these levers can bring the net cost of equipment down to a very low level, sometimes as low as €0 depending on the project. Our [telemedicine funding](https://promotal-medconnect.com/financement-telemedecine) page details the arrangement. ## FAQ ### Does the whole CPTS need a single software? No. The goal is not to impose a single tool, but to ensure interoperability between each nurse's practice software and the CPTS's shared coordination tool, plus interfacing with Mon espace santé / DMP, MSSanté and the SAS. A platform compliant with France's digital health Ségur program makes this connection easier. ### What is the difference between assisted teleconsultation and telecare for a nurse? In assisted teleconsultation, the physician leads the act and the nurse accompanies the patient; the assisting act is coded TLL (€12, dedicated venue) or TLD (€15, at the home), under amendment 6. Telecare (TLS) is care delivered remotely by the nurse themselves, with no physician, under amendment 9; refer to ameli.fr for its conditions and valuation. ### Can teleconsultation equipment really cost the CPTS €0? The Assurance Maladie grants (€350/year video-connection + €175/year connected devices) and ARS funding within the CPTS project can sharply reduce the net cost, down to €0 depending on the project. The MedConnect kit starts at €3,000 excl. tax; the cart is priced on quote. The arrangement depends on the ACI amendment in force and the territorial project. ## Related articles [ [Image: Nurse-Assisted Teleconsultation (IDEL): The Complete 2026 Guide] Nurse-Assisted Teleconsultation (IDEL): The Complete 2026 Guide 8 min read ](/en/blog-posts/teleconsultation-assistee-infirmier-idel-guide-2026)[ [Image: Billing assisted teleconsultation by a nurse (2026)] Billing assisted teleconsultation by a nurse (2026) 7 min read ](/en/blog-posts/cotation-teleconsultation-assistee-infirmier-2026)[ [Image: Nurse Teleexpertise: Definition, Framework and Billing (2026)] Nurse Teleexpertise: Definition, Framework and Billing (2026) 8 min read ](/en/blog-posts/teleexpertise-infirmier-definition-cotation-2026) ## Discover our telehealth solutions [ Telehealth platform Video consultation, AI scribe, patient records ](/en/software/telehealth-platform) [ Telehealth cart Integrated diagnostic devices ](/en/telehealth-cart) [ Diagnostic equipment Connected ECG, stethoscope, dermatoscope ](/en/diagnostic-equipment) ### Ready to discover MedConnect? 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