North Carolina 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 laws and/or regulations for telepractice. 

TELEPRACTICE

(a) For purposes of this Rule, the following words shall have the following meanings:   

  (1) "Patient site" means the patient's physical location at the time of the receipt of the telepractice services.

  (2) "Provider" means a licensed speech and language pathologist or audiologist who provides telepractice services.

  (3) "Provider site" means the licensees physical location at the time of the provision of the telepractice services.

  (4) "Telepractice" means the use of telecommunications and information technologies for the exchange of encrypted patient data, obtained through real-time interaction, from patient site to provider site for the provision of speech and language pathology and audiology services to patients through hardwire or internet connection. Telepractice also includes the interpretation of patient information provided to the licensee via store and forward techniques.

   (b) Telepractice shall be obtained in real time and in a manner sufficient to ensure patient confidentiality.

   (c) Telepractice is subject to the same standard of practice stated in 21 NCAC 64 .0205 and 21 NCAC 64 .0216 as if the person being treated were physically present with the licensee. Telepractice is the responsibility of the licensee and shall not be delegated.

   (d) Providers must hold a license in the state of the provider site and shall be in compliance with the statutory and regulatory requirements of the patient site.

   (e) Licensees and staff involved in telepractice must be trained in the use of telepractice equipment.

   (f) Notification of telepractice services shall be provided to the patient and guardian if the patient is a minor. The notification shall include the right to refuse telepractice services and options for alternate services delivery.

  (g) Telepractice constitutes the practice of speech and language Pathology and Audiology in both the patient site and provider site.

Citation: 21 N.C. Admin. Code 64.0219 [PDF]  

Telesupervision State Licensure Board Laws and Regulations

Telesupervision is not be permitted for clinical fellows and the regulations are unclear for support personnel and student interns. The language indicates the possibility of telesupervision depending on interpretation. Contact licensure board for clarification.

Support Personnel

Not clearly defined.

Clinical Fellow

Not permitted.

SUPERVISION OF PROFESSIONAL EXPERIENCE

(a) The Board interprets G.S. 90-298(c) to mean that supervision satisfactory to the Board requires four hours each month of direct, on-site observation of the applicant’s work with patients, in addition to other methods of supervision such as review of tape recordings, review of records, and review of staff meetings.

    Citation: 21 N.C. Admin. Code 64.0206 [PDF]

    Student Intern

    Not clearly defined.

    Telepractice Reimbursement Laws and Regulations

    Telepractice Private Insurance

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

    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.

    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.

    ASHA Corporate Partners