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Colorado Telepractice Requirements for Audiologists and Speech-Language Pathologists

The information below is collected from state licensure boards or regulatory agencies responsible for regulating the professions of audiology and/or speech-language pathology. The information is reviewed on an annual basis. Please be advised that laws, regulations, and policies may change at any time, so always check with your state for the most up-to-date information.

Telepractice State Licensure Board Requirements

This state has no licensure laws or regulations for telepractice. The absence of laws or regulations does not imply telepractice is allowed. Please contact the board for further information.

Telesupervision State Licensure Board Laws and Regulations

This state has no laws or regulations for telesupervision.

Support Personnel

No regulations.

Clinical Fellow

No regulations.

Student Intern

No regulations.  

Telepractice Reimbursement Laws and Regulations

Telepractice Private Insurance

The law is not clearly defined indicating that any healthcare provider and service may be covered. It is left up to interpretation and/or will be determined by the payers. Clinicians will have to contact payer sources to determine if and how telepractice is covered.   

Telehealth - Definitions.

(1) It is the intent of the general assembly to recognize the practice of TELEHEALTH as a legitimate means by which an individual may receive healthcare services from a provider without in-person contact with the provider. (2) (a) On or after January 1, 2017, A health benefit plan that is issued, amended, or renewed in this state shall not require in-person contact between a provider and a covered person for services appropriately provided through Telehealth, subject to all terms and conditions of the health benefit plan.

(2)(b)(I) Subject to all terms and conditions of the health benefit plan, a carrier shall reimburse the treating participating provider or the consulting participating provider for the diagnosis, consultation, or treatment of the covered person delivered through telehealth on the same basis that the carrier is responsible for reimbursing that provider for the provision of the same service through in-person consultation or contact by that provider.

(II) A carrier shall not RESTRICT or deny coverage of a health care service that is covered benefit SOLELY:

(A) Because the service is provided through telehealth rather than in-person consultation or contact between the participating provider or, subject to section 10-16-704, the nonparticipating provider and the covered person where the health care service is appropriately provided through telehealth. 

Citation: Colo. Rev. Stat. § 10-16-123 (2017)

Telepractice Medicaid

The laws and regulations include audiology and speech-language pathology telepractice services for health care and school settings.

Medical Assistance - Providers

8.200.2.C Physician services that may be provided by a non-physician provider when ordered by a provider acting under authority described in Sections 8.200.2.A and 8.200.2.B.

1. Registered occupational therapists, licensed physical therapists, licensed audiologists, certified speech-language pathologists, and licensed physician assistants may provide services ordered by a physician.

Medical Assistance - Benefits

8.200.3.B Telemedicine is the delivery of medical services and any diagnosis, consultation, treatment, transfer of medical data or education related to health care services using interactive audio, interactive video or interactive data communication instead of in-person contact.

Citation: 10 Colo. Code Regs. § 2505-10 8.200 [PDF]

Telemedicine – reimbursement – disclosure statement

(1) On or after July 1, 2006, in-person contact between a health care or mental health care provider and a patient shall not be required under the state's medical assistance program for health care or mental health care services delivered through telemedicine that are otherwise eligible for reimbursement under the program.  The services shall be subject to reimbursement policies developed pursuant to the medical assistance program.

Citation: Colo. Rev. Stat. § 25.5-5-320 

ASHA Guidance

Telepractice State Licensure

  • Obtain a license from the state in which you reside and from the state in which the patient/client resides.
  • If a state has not established regulations on telepractice, then contact the licensure board for further guidance and ask for written verification.
  • It is the responsibility of the clinician to review the regulations on the state licensure board website in their entirety and regularly for updates or changes.

Telesupervision

If a state has not established regulations on telesupervision, then contact the licensure board for further guidance and ask for written verification.

Reimbursement for Telepractice Services

Audiologists and speech-language pathologists should keep in mind that while a state may have passed telepractice reimbursement laws and/or regulations, this does not guarantee that payers will reimburse for these services. Learn more about considerations for audiologists and speech-language pathologists

Resources

For further information on telepractice requirements for audiologists and speech-language pathologists, please visit these websites:

Questions regarding state advocacy issues? Call ASHA at 800-498-2071 and ask for the State Advocacy Team.

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