Texas 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

Texas allows telepractice. The provider must hold a state license and adhere to the same requirements as in-person practice. Other restrictions apply. Notification of telehealth services shall also be provided to the client, the guardian, the caregiver, and the multi-disciplinary team, if appropriate. The notification shall include, but not be limited to: the right to refuse telehealth services, options for service delivery.

Reference: 16 Tex. Admin. Code § 111.210

Temporary Practice for Out-of-State Providers

No permanent rules. Check with the state or ASHA to learn about emergency provisions.  

Telesupervision State Licensure Board Laws and Regulations

Telesupervision is permitted for support personnel under indirect or direct supervision. Telesupervision is permitted for student interns under indirect supervision, not under direct supervision. There are no rules or regulations for clinical fellows, contact the licensure board. 

Reference: 16 Tex. Admin. Code § 111.51

Support Personnel

Permitted.

Clinical Fellow

Permitted.

Student Intern

Permitted.

ASHA Guidance

Telepractice State Licensure

• Obtain a license from the state in which you reside and verify the requirements from the state in which the patient/client resides, which may include in-state licensure. 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:

• ASHA Practice Portal: Telepractice
• Texas Department of Licensing Speech-Language Pathologists and Audiologists
• State Telepractice Requirements and Telesupervision Regulations Maps [PDF]

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