North Carolina 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

North Carolina allows telepractice. The provider must hold a state license and adhere to the same requirements as in-person practice. Notification of telepractice services shall be provided to the patient and guardian if the patient is a minor. The notification shall include the right to refuse telepractice services and options for alternate services delivery.

Reference: 21 N.C. Admin. Code 64.0219 [PDF], page 7

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 for clinical fellows is not expressly permitted but may be allowed in accordance with the standard rules for supervision of the professional experience. Audiology and SLP assistants are allowed to engage in telepractice under the same level of direct supervision as normally required by state rules. Contact the licensure board for clarification. Check with the state or ASHA to learn about emergency or temporary provisions. 

Reference: 21 N.C. Admin. Code 64.0206, 64.0208 and 64.0219 [PDF]

Support Personnel

Allowed on a limited basis.

Clinical Fellow

Allowed in accordance with the standard rules for supervision of the professional experience.

Student Intern

Unclear.

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.

ASHA Guidance

Telepractice State Licensure

• Obtain a license from the state in which you reside and verify the requirements fromthe 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.

Resources

For further information on telepractice requirements for audiologists and speech-language pathologists, please visit these websites:

• ASHA Practice Portal: Telepractice
• North Carolina Board of Examiners for Speech and 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.