States with Telepractice Regulations

Delaware - State Code of Ethics provision states that: licensees shall not evaluate or treat a client with speech, language, or hearing disorders solely by correspondence.  Correspondence includes telecommunication.

District of Columbia - It is a violation of the regulations if an audiologist or speech-language pathologist provides services in DC without a DC license, regardless of whether the professional providing services is physically located in the District of Columbia or another jurisdiction.  The policy does not address persons who are located in DC but who are providing services outside of the District.

Georgia - Any person in the state or physically located in another state or country who, using telecommunications and information technologies through which speech-language pathology information and auditory-vestibular system information is transmitted, is considered to be engaged in the practice of speech-language pathology or audiology in the state and as such must have a full state license and shall be subject to the regulation of the board.

Iowa - Provision of speech-language pathology and audiology services through telephonic, electronic or other means, regardless of the location of the SLP or audiologist, shall constitute the practice of speech-language pathology or audiology and shall require Iowa licensure.

Kentucky - 2007 Revised Statute establishes provisions for telehealth (including informed consent, confidentiality and other aspects of consumer protection) and defines it as “use of interactive audio, video, or other electronic media to deliver health care.  It includes the use of electronic media for diagnosis, consultation, treatment, transfer of health or medical data, and continuing education.”

Louisiana - Ethical prescription which allows telepractice provided appropriate licensure is held for the jurisdiction in which the service is rendered and delivered.

Maine  - Indirect supervision is defined to include demonstration, record review, review and evaluation of audio or videotaped session, interactive television and supervisory conferences that may be conducted by phone.  CE may include courses to enhance the efficacy of telepractice.

Maryland - Telehealth means the use of telecommunications and information technologies for the exchange of information from one site to another for the provision of health care to an individual from a provider through hardwire or Internet connection.

Ohio - Licensees may practice via telecommunication within the state where not prohibited by law.

Oklahoma - Statute (revised) requires licensure for audiology and speech-language pathology services delivered in the state through telephonic, electronic, or other means, regardless of the location of the practitioner.  Also within (Rules 680:15-1-4) ethical proscriptions:  Licensees must not provide clinical services except in a professional relationship.  They must not evaluate or treat solely by correspondence or telepractice.  This does not preclude follow-up correspondence with persons previously seen, or providing them with general information of an educational nature.

Texas - Effective 2011, Texas permits telehealth, defined as the application of telecommunication technology to deliver speech-language pathology and/or audiology services at a distance for assessment, intervention, and/or consultation. Providers must be licensed in Texas.  The initial contact between the provider and client shall be at the same physical location to assess the client's candidacy for telehealth, including behavioral, physical, and cognitive abilities to participate in services provided via telecommunications.

Washington - Prohibits sale of hearing aids by telephone or mail.

Wyoming - The provision of speech pathology or audiology services in this state, through telephonic, electronic or other means, regardless of the location of the speech pathologist or audiologist, shall constitute the practice of speech pathology or audiology and shall require licensure provided in this chapter.

 
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