Delaware 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

Delaware allows telepractice. The provider must hold a state license and adhere to the same requirements as in-person practice:

  • Before services are provided through telepractice, the provider is required to obtain written, informed consent from the client, or other appropriate person with authority to make health care treatment decisions for the client
  • The provider must document in the file or record which services were provided by telepractice

Reference: 24 Del. Admin. Code. §3700.10.0 [PDF]

Temporary Practice for Out-of-State Providers

Non-residents who are not licensed in this state may provide speech-language pathology or audiology services if such services are performed for not more than 30 days in any calendar year and in cooperation with a licensed individual, if the person meets the requirements for licensure in this state, holds a valid license in another state with equivalent requirements, or holds a CCC.

Reference: Delaware, Board of Examiners of Speech/Language Pathologists, Audiologists & Hearing Aid Dispensers Rules, § 3719 Exemptions. January 2019. 

Telesupervision State Licensure Board Laws and Regulations 

This state has no laws or regulations for telesupervision. 

Support Personnel 

No Regulations. Check with the state or ASHA to learn about emergency or temporary provisions

Clinical Fellow 

No Regulations. Check with the state or ASHA to learn about emergency or temporary provisions

Student Intern 

No Regulations. Check with the state or ASHA to learn about emergency or temporary provisions

Telepractice Reimbursement Laws and Regulations

Telepractice Private Insurance

Delaware mandates coverage of telehealth in state-regulated health plans, but there is no specific requirement for the coverage of audiology and speech-language pathology services within these plans. The law is not clearly defined indicating that any healthcare provider and service may be covered. It is left up to interpretation and/or will be determined by the payers. Clinicians will have to contact payer sources to determine if and how telepractice is covered. Check with the state or ASHA to learn about emergency or temporary provisions.

Reference: Del. Code tit. 18 § 3370 

Telepractice Medicaid

Delaware mandates Medicaid coverage of telepractice.  The laws and regulations include audiology and speech-language pathology telepractice services for health care and school settings.

Reference: Delaware, Medicaid Provider Manual Section 16.2

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.


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.

ASHA Corporate Partners