Hawaii 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 of support personnel, clinical fellows, or student interns. Contact the licensure board.

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 health care provider and service may be covered.  It is left up to interpretation and/or will be determined by the payers.  Clinician will have to contact payer sources to determine if and how telepractice is covered.

Coverage for Telehealth 

(a) It is the intent of the legislature to recognize the application of telehealth as a reimbursable service by which an individual shall receive medical services from a health care provider without face-to-face contact with the health care provider.
(b) No accident and health or sickness insurance plan that is issued, amended, or renewed shall require face-to-face contact between a health care provider and a patient as a prerequisite for payment for services appropriately provided through telehealth in accordance with generally accepted health care practices and standards prevailing in the applicable professional community at the time the services were provided.  The coverage required in this section may be subject to all terms and conditions of the plan agreed upon among the enrollee or subscriber, the insurer, and the health care provider.
(c) Reimbursement for services provided through telehealth shall be equivalent to reimbursement for the same services provided via face-to-face contact between a health care provider and a patient.
(e) All insurers shall provide current and prospective insureds with written disclosure of coverage and benefits associated with telehealth services, including information on copayments, deductibles, or coinsurance requirements under a policy, contract, plan, or agreement. The information provided shall be current, understandable, and available prior to the issuance of a policy, contract, plan, or agreement, and upon request after the policy, contract, plan, or agreement has been issued. 

Citation: Haw. Rev. Stat. § 431:10A-116.3 

Telepractice Medicaid

Requires the state''s Medicaid managed care and fee-for-service programs to cover services provided through telehealth. Audiology and speech-language pathology telepractice services may be covered in the schools and health care. The law is not clearly defined indicating that any health care provider and service may be covered. It is left up to interpretation and/or will be determined by the payers. Clinician will have to contact Medicaid to determine if and how telepractice is covered.

Coverage for Telehealth

Coverage for telehealth. 
(a) The State's medicaid managed care and fee-for-service programs shall not deny coverage for any service provided through telehealth that would be covered if the service were provided through in-person consultation between a patient and a health care provider.
(b) Reimbursement for services provided through telehealth shall be equivalent to reimbursement for the same services provided via face-to-face contact between a health care provider and a patient.  Nothing in this section shall require a health care provider to be physically present with the patient at an originating site unless a health care provider at the distant site deems it necessary.
(c) There shall be no geographic restrictions or requirements for telehealth coverage or reimbursement under this section.
(d) There shall be no restrictions on originating site requirements for telehealth coverage or reimbursement under this section.

(g) "Health care provider" means a provider of services, as defined in title 42 United States Code section 1395x(u), a provider of medical and other health services, as defined in title 42 United States Code section 1395x(s), other practitioners licensed by the State and working within their scope of practice, and any other person or organization who furnishes, bills, or is paid for health care in the normal course of business, including but not limited to primary care providers, mental health providers, oral health providers, physicians and osteopathic physicians licensed under chapter 453, advanced practice registered nurses licensed under chapter 457, psychologists licensed under chapter 465, and dentists licensed under chapter 448.

Citation: Haw. Rev. Stat. § 346-59.1 

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 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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