Iowa 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 licensure regulations for telepractice. 

Speech pathology and audiology services subject to regulation

The provision of speech pathology or audiology services in Iowa through telephonic, electronic, or other means, regardless of the location of the speech/language pathologist or audiologist, shall constitute the practice of speech pathology or audiology and shall require Iowa licensure.

Citation: Iowa Admin. Code r. 645-300.2 [PDF]

Telesupervision State Licensure Board Laws and Regulations

This state has no laws or regulations for telesupervision of support personnel, clinical fellows, or student interns. 

Support Personnel

No regulations.

Clinical Fellow

No regulations.

Student Intern

Not 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 for audiology and speech-language pathology services.   

Section 1. NEW SECTION.  514C.32  Health care services delivered by telehealth — coverage.

1. As used in this section, unless the context otherwise  requires:

    a.  "Health care professional" means the same as defined in  section 514J.102.

    b.  "Health care services" means the same as defined in section 514J.102 and includes services for mental health conditions, illnesses, injuries, or diseases.

    c.  "Telehealth" means the delivery of health care services through the use of interactive audio and video. "Telehealth" does not include the delivery of health care services through an audio-only telephone, electronic mail message, or facsimile transmission.

2. Notwithstanding the uniformity of treatment requirements of section 514C.6, a policy, contract, or plan providing for third-party payment or prepayment of health or medical expenses shall not discriminate between coverage benefits for health care services that are provided in person and the same health care services that are delivered through telehealth.

3. Health care services that are delivered by telehealth must be appropriate and delivered in accordance with applicable law and generally accepted health care practices and standards prevailing at the time the health care services are provided, including all rules adopted by the appropriate professional licensing board, pursuant to chapter 147, having oversight of the health care professional providing the health care services.

 Citation: Iowa HF 2305 [PDF] – an Act relating to insurance coverage for health care services delivered by telehealth, effective January 1, 2019. 

Telepractice Medicaid

No laws or regulations identified that include audiology or speech-language pathology.  

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.


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.   


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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