Welcome to the world of telepractice! As a speech-language pathologist or audiologist, understanding the guidelines for telepractice in Virginia is crucial. The Virginia Board of Audiology and Speech-Language Pathology has adopted new guidance effective November 9, 2023, and we're here to break it down for you in a fun and easy way.
What is Telepractice?
Telepractice refers to the use of telecommunications and information technologies to deliver speech-language pathology or audiology services. This method links a client and clinician for assessment, intervention, or consultation. Think of it as having a therapy session via video call!
Providing Services to Clients in Virginia
If you are licensed in another state but wish to provide services to clients located in Virginia, you must hold a Virginia license. You also need to comply with all relevant laws and regulations governing practice in Virginia.
Regulations for Telepractice
Telepractice is considered a method of service delivery. Therefore, the current applicable regulations apply to all methods of service delivery, including telepractice. As a licensee, you are responsible for ensuring that the type of service can be delivered via telepractice at the same standard of care as in-person service.
Responsibilities of Practitioners
To provide the same standard of care as an in-person visit, practitioners must:
- Determine the appropriateness of telepractice for each client and situation.
- Ensure confidentiality and privacy of clients and their transmissions.
- Maintain appropriate documentation, including informed consent for telepractice.
- Be responsible for any unlicensed assistant or facilitator used at the client site.
- Ensure that equipment used for telepractice is in good working order and properly maintained.
- Comply with Virginia and federal requirements regarding maintenance of patient records and confidentiality of client information.
- Ensure that confidential communications stored electronically cannot be accessed by unauthorized individuals when disposing of electronic equipment and data.
Determining Appropriateness of Telepractice
When determining if telepractice is appropriate, consider the following factors:
- The quality of electronic transmissions for both the patient and practitioner should be as good as in-person services.
- Use technology for which you have been trained and are competent.
- Consider the client's behavioral, physical, and cognitive abilities.
- Assess the client's ability to safely and competently use electronic transmission equipment.
- The scope, nature, and quality of services provided via telepractice should be comparable to in-person sessions.
Providing Services to Clients in Other States
If you are licensed in Virginia but wish to provide services to clients in another state, you need to contact the board for that state to determine its licensure requirements. The Virginia Board does not have jurisdiction over practice in other states.
Reimbursement for Telepractice Services
The Virginia Board has no jurisdiction over billing and reimbursement for services provided by telepractice. It's best to check with the relevant authorities or insurance providers regarding reimbursement policies.
For more information, please follow this link.
