South 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

The South Carolina Board of Examiners in Speech Language Pathology and Audiology has established a policy regarding telepractice [PDF].

The Board endorses the guidelines developed by ASHA, subject to the following considerations specific to South Carolina law.

First, the Board does not believe it is unprofessional conduct for a licensee to utilize telepractice so long as the initial evaluation is conducted in person and the licensee has determined during the initial evaluation that subsequent treatment is appropriate for telepractice. Should the licensee determine that the client is ineligible for subsequent treatment via telepractice during the initial evaluation or at any point during the course of treatment, traditional in-person treatment shall resume as the licensee deems necessary for the treatment and care of the client. Telepractice services may be provided by the initial evaluator licensee or another qualified speech-language pathology or audiology licensee pursuant to a treatment plan arising out of the initial, in person evaluation.

Second, the Board maintains that practice occurs where the client is located. Accordingly, anyone providing services that fall within the scope of practice of speech-language or audiology as defined in the Practice Act to clients located in the State of South Carolina must be licensed in South Carolina, as well as the jurisdiction in which the licensee is physically located at the time services are offered.

However, the Board only has jurisdiction to discipline practitioners in South Carolina who are engaged in a scope of practice for which a license is required and who are licensed. For example, individuals who are exempt from licensure pursuant to § 40-67-300 are not subject to disciplinary action by this Board and, therefore, are exempt from the guidance provided by this statement on telepractice as well. If, however, an otherwise exempt individual is licensed by the Board, he or she is subject to the Board’s jurisdiction at all times.

Finally, the Board acknowledges that healthcare technology is advancing very quickly. The Board urges its licensees to bear in mind that the quality of care and client safety must be the licensee’s primary concern at all times. It is the Board’s responsibility to promote access to care and facilitate efficient and affordable treatment whenever possible, while maintaining the highest professional standards. These guidelines are offered to the Board’s licensees with these principles in mind.

Telesupervision State Licensure Board Laws and Regulations

This state has no laws or regulations for telesupervision of support personnel, clinical fellows or student interns. The regulations indicate the possibility for telesupervision of support personnel with indirect supervision. Contact licensure board for clarification.

Support Personnel

Not clearly defined.

Speech-Language Pathology Assistants

(H) Indirect Supervision. 

In addition to direct supervision, indirect supervision is required a minimum of 5% (e.g., 2 hours per 40-hour work week) and must include review of written records and may include demonstrations, review and evaluation of audio- or video- taped sessions, and/or supervisory conferences. 

Citation: S.C. Code Regs. 115-2(H) [PDF]

Clinical Fellow

No regulations.

Student Intern

No regulations.

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.


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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