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.
This state has licensure laws and or regulations for telepractice.
12 AAC 07.020. Telemedicine.
(a) A person who is licensed or registered under AS 08.11 may rovide telemedicine services to a client in the state if
(1) the telemedicine services are of the same scope, nature, and quality as those services provided in person;
(2) the quality of electronic transmissions used to provide telemedicine services allow the licensee or registrant to provide services equivalent to those provided in person;
(3) the licensee or registrant has the skill and ability to operate the equipment used to provide telemedicine services;
(4) the licensee or registrant assesses the patient’s level of comfort in receiving telemedicine
services and make appropriate adjustments to the treatment plan based on that assessment;
(5) the licensee or registrant ensures the presence of a telemedicine facilitator who is physically present with the client, when appropriate;
(6) the licensee or registrant ensures the client can contact a licensed health care provider in
person as part of the patient’s treatment plan;
(7) the licensee or registrant ensures the electronic transmissions used to provide telemedicine services have sufficient security to ensure the protection of the client’s medical records as if the patient was receiving in-person treatment; and
(8) the licensee or registrant does not provide telemedicine services solely through written correspondence, however, written correspondence may be used to supplement telemedicine
12 AAC 07.030. Consent to send records.
(a) A licensee or registrant licensed under AS 08.11 who provides telemedicine services under 12 AAC 07.020 shall document that person’s efforts to obtain the client’s consent to send all records to the client’s primary care provider, if that person is not the client’s primary care provider.
b) If a client provides consent under (a) of this section, the licensee or registrant under AS 08.11 who provides telemedicine services shall obtain that consent in writing signed by the client or the client’s legal guardian. (Eff. ____/____/_____, Register ____).
Citation: Alaska Department of Commerce Community and Economic Development, Order Adopting Changes to 12 AAC 07, Audiologists, Speech-Language Pathologists and Speech-Language Pathologist Assistants [PDF] (October 2019).
Grounds for imposition of disciplinary sanctions on an audiologist
(b) The department may not impose disciplinary sanctions on an audiologist for the evaluation, diagnosis, or treatment of a person through audio, video, or data communications when physically separated from the person if the audiologist
(1) or another licensed health care provider is available to provide follow-up care;
(2) requests that the person consent to sending a copy of all records of the encounter to a primary care provider if the audiologist is not the person’s primary care provider and, if the person consents, the audiologist sends the records to the person’s primary care provider; and
(3) meets the requirements established by the department in regulation.
(c) The department shall adopt regulations restricting the evaluation, diagnosis, supervision, and treatment of a person as authorized under (b) of this section by establishing standards of care, including standards for training, confidentiality, supervision, practice, and related issues.
Citation: Alaska Stat. § 08.11.080
The following fees are established for registration under AS 44.33.381 (telemedicine business registry) for businesses performing telemedicine services in this state; (1) initial registration fee, $50; (2) fee to report changes in the information on the initial registration, $50.
Citation: Alaska Admin Code tit. 12 § 02.106. [PDF]
(a) To be registered on the telemedicine business registry established and maintained under AS 44.33.381, and before providing telemedicine services to a recipient located in this state, a business performing telemedicine services must submit to the department
(1) a complete registration on a form provided by the department; the registration must include the business's name, address, and contact information;
(2) a copy of the business's valid business license issued under AS 43.70 and 12 AAC 12; and
(3) the applicable fee established in 12 AAC 02.106.
(b) A business performing telemedicine services must register with the name it is using to perform telemedicine services in this state. A business operating under multiple names to perform telemedicine services shall file a separate registration for each name.
(c) If the name, address, or contact information of a business on the telemedicine business registry changes, the business performing telemedicine services must submit to the department, not later than 30 days after the change or termination,
(1) a complete report, on a form provided by the department, of each change; and
(2) the applicable fee established in 12 AAC 02.106.
(d) A business that fails to comply timely with (c) of this section may not perform telemedicine services in this state and must submit a new application under (a) of this section before resuming the provision of telemedicine services to a recipient located in this state.
(e) If a business terminates the performance of telemedicine services in this state, the business shall notify the department, requesting that the department remove the business from the telemedicine business registry. If a business gives notification under this subsection, the business must submit a new application under (a) of this section before resuming the provision of telemedicine services to a recipient located in this state.
(f) In this section, "telemedicine services" has the meaning given in AS 44.33.381.
Citation: Alaska Admin Code tit. 12 § 02.600. [PDF]
Telesupervision is permitted for support personnel. This state has no regulations for telesupervision of clinical fellows or student interns.
8. "direct supervision" means supervision that is on-site or available by visual or real-time electronic means through which a supervising speech-language pathologist observes and guides a speech-language pathologist assistant while the assistant performs a clinical activity; "direct supervision" may include demonstration, coaching, and observation to the extent that the demonstration, coaching, or observation otherwise meets the requirements of this paragraph;
9. "immediate supervision" means supervision in the physical presence of the speech-language pathologist assistant during the provision of client services by the speech-language pathologist assistant;
10. "indirect supervision" means supervision by telephonic or electronic means or by intermittent on-site visits while located either inside or outside of the facility in which the speech-language pathologist assistant is located; "indirect supervision" may include demonstrations, record review, evaluation of audiotaped or videotaped client services, or communication by telephone or electronic mail to the extent that these activities otherwise meet the requirements of this paragraph;
11. "screening" means "a procedure"
Citation: Alaska Stat. § 08.11.200 [PDF]
No laws or regulations identified that include telepractice private insurance reimbursement for audiology or speech-language pathology.
The law includes audiology and speech-language pathology services.
7 AAC 110.620. Scope
(a) The department will pay for medical services furnished through telemedicine applications as an alternative to traditional methods of delivering services to Medicaid recipients as provided in AS 47.07.
(b) For a provider to receive payment under 7 AAC 110.620 - 7 AAC 110.639, the provider's use of telemedicine applications must comply with the standards set out in AS 47.07 and 7 AAC 105 - 7 AAC 160 for the medical service provided by the type of provider, including:
(1) provisions that affect the efficiency, economy, and quality of service; and
(2) coverage limitations.
7 AAC 110.625.
(a) The department will pay a provider for a telemedicine application if the provider provided the medical services through one of the following methods of delivery in the specified manner:
(1) live or interactive; to be eligible for payment under this paragraph, the service must be provided through the use of camera, video, or dedicated audio conference equipment on a real-time basis; medical services provided by a telephone that is not part of a dedicated audio conference system or by a facsimile machine are not eligible for payment under this paragraph;
(2) store-and-forward; to be eligible for payment under this paragraph, the service must be provided through the transference of digital images, sounds, or previously recorded video from one location to another to allow a consulting provider to obtain information, analyze it, and report back to the referring provider;
(3) self-monitoring or testing; to be eligible for payment under this paragraph, the services must be provided by a telemedicine application based in the recipient's home, with the provider only indirectly involved in the provision of the service.
(b) The department will only make a payment for a telemedicine application if the service is limited to
(1) an initial visit;
(2) a follow-up visit;
(3) a consultation made to confirm a diagnosis;
(4) a diagnostic, therapeutic, or interpretive service;
7 AAC 110.630. Conditions for Payment
(a) The department will pay for telemedicine applications provided by a treating, consulting, presenting, or referring provider for a medical service covered by Medicaid and provided within the scope of the provider's license.
(b) A treating or consulting provider must use applicable modifiers as described in 7 AAC 145.050 for billing for a telemedicine application.
(c) A presenting, referring, or consulting provider is subject to the conditions for payment that are described in 7 AAC 145.005.
(d) A presenting provider is only eligible to receive Medicaid payment for a live or interactive telemedicine application as described in 7 AAC 110.625(a) (1).
Citation: Alaska Admin Code tit. 7 § 110.620
Medical services to be provided.
...(b) In addition to the mandatory services specified in (a) of this section and the services provided under (d) of this section, the department may offer only the following optional services:...treatment of speech, hearing, and language disorders;
Citation: Alaska Stat. § 47.07.030.
If a state has not established regulations on supervision or telesupervision, then contact the licensure board for further guidance and ask for written verification.
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.