Iowa 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

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

  • Prior to the first telehealth visit, a licensee shall obtain informed consent from the patient specific to the services that will be provided in a telehealth visit. At a minimum, the informed consent shall specifically inform the patient of the following:
    • The risks and limitations of the use of technology to provide speech pathology or audiology services;
    • The potential for unauthorized access to protected health information
    • The potential for disruption of technology during a telehealth visit.

Reference: Iowa Admin. Code r. 645-300.2 [PDF]

Temporary Practice for Out-of-State Providers

Nonresidents may apply to the Board of Speech-Language Pathology and Audiology for a temporary permit to practice speech-language pathology or audiology for a period not to exceed 3 months whenever in the opinion of the Board the need exists; the individual must have substantially the same qualifications as those required for an Iowa license.

Reference: Iowa Admin. Code 645—300.7(147) Temporary permit [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. 

Support Personnel

No regulations.

Clinical Fellow

No regulations.

Student Intern

Not regulations.

Telepractice Reimbursement Laws and Regulations

Telepractice Private Insurance

Iowa 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 for audiology and speech-language pathology services.

Reference: Iowa HF 2305 [PDF] – an Act relating to insurance coverage for health care services delivered by telehealth, effective January 1, 2019.

Telepractice Medicaid

No permanent laws or regulations identified that include audiology or speech-language pathology. However, check with the state or ASHA to learn about emergency or temporary provisions.

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 Affairs Team. 

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