Virginia 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 Virginia Board of Audiology and Speech-Language Pathology (2019) has issued the following guidance related to the use of telepractice for audiologists and speech-language pathologists:

In order to provide audiology or speech-language pathology services to a client in the Commonwealth of Virginia via telepractice, a practitioner must hold a Virginia license and comply with relevant laws and regulations governing practice.

Telepractice is considered a method of service delivery. The current, applicable regulations apply to all methods of service delivery, including telepractice. The licensee is responsible for using professional judgment to determine if the type of service can be delivered via telepractice at the same standard of care as in-person service.

The Virginia Board does not have jurisdiction over practice in another state. An audiologist or speech-language pathologist seeking to practice via telepractice with a client in another jurisdiction should contact the board for the other state to determine its licensure requirements.

Reference
Virginia Department of Health Professions. (2019). Virginia Board of Audiology and Speech-Language Pathology Guidance for Telepractice [Guidance Doc. No. 30-12]. 
http://www.dhp.virginia.gov/media/dhpweb/docs/aslp/guidance/30-12.pdf [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. Contact licensure board for clarification. However, the Virginia Board of Audiology and Speech-Language Pathology guidance on telepractice states that practitioners must "be responsible for the performance and activities of any unlicensed assistant or facilitator who may be used at the client site, in accordance with Virginia regulation, 18VAC30-21-140."

Support Personnel

Not clearly defined.

Clinical Fellow

Not clearly defined.

Student Intern

Not clearly defined.

Telepractice Reimbursement Laws and Regulations

Telepractice Private Insurance 

Coverage for Telemedicine Services

C. An insurer, corporation, or health maintenance organization shall not exclude a service for coverage solely because the service is provided through telemedicine services and is not provided through face-to-face consultation or contact between a health care provider and a patient for services appropriately provided through telemedicine services.

D. An insurer, corporation, or health maintenance organization shall not be required to reimburse the treating provider or the consulting provider for technical fees or costs for the provision of telemedicine services; however, such insurer, corporation, or health maintenance organization shall reimburse the treating provider or the consulting provider for the diagnosis, consultation, or treatment of the insured delivered through telemedicine services on the same basis that the insurer, corporation, or health maintenance organization is responsible for coverage for the provision of the same service through face-to-face consultation or contact.

Citation: Va. Admin. Code § 38.2-3418.16 (2015)

Telepractice Medicaid

The law includes speech-language pathology services in school based settings.  

The Virginia Department of Medical Assistance Services (DMAS) provides for coverage of speech-language therapy and telepractice in their Local Education Agency Provider Manual [PDF].  

DMAS coverage of school based telepractice for speech-language therapy is effective beginning September 1, 2011. “Telepractice,” as it is used here, is the delivery of speech-language therapy services by a DMAS qualified provider through the use of videoconferencing to a child at a location remote from the therapist. DMAS reimbursement covers the SLP’s services provided from a remote location when a qualified school aide is with the child during the telepractice session.

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.

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