Iowa Admin. Code r. 481-806.3 - Telehealth visits
A licensee may provide occupational therapy services to a patient utilizing a telehealth visit if the occupational therapy services are provided in accordance with all requirements of this chapter.
(1) "Telehealth visit" means the provision of
occupational therapy services by a licensee to a patient using technology where
the licensee and the patient are not at the same physical location for the
occupational therapy session.
(2) A
licensee engaged in a telehealth visit shall utilize technology that is secure
and HIPAA-compliant, pursuant to the Health Insurance Portability and
Accountability Act of 1996, PL 104"191, August 21, 1996, 110 Stat. 193 6, and
any amendments as of December 8, 2023, and that includes, at a minimum, audio
or video equipment or both, that allows two-way real-time interactive
communication between the licensee and the patient. A licensee may use
non-real-time technologies to prepare for an occupational therapy session or to
communicate with a patient between occupational therapy sessions.
(3) A licensee engaged in a telehealth visit
shall be held to the same standard of care as a licensee who provides in-person
occupational therapy. A licensee shall not utilize a telehealth visit if the
standard of care for the particular occupational therapy services cannot be met
using technology.
(4) Any
occupational therapist or occupational therapy assistant who provides an
occupational therapy telehealth visit to a patient located in Iowa shall be
licensed in Iowa.
(5) Prior to the
first telehealth visit, a licensee shall obtain informed consent from the
patient specific to the occupational therapy services that will be provided in
a telehealth visit. At a minimum, the informed consent shall specifically
inform the patient of the following:
a. The
risks and limitations of the use of technology to provide occupational therapy
services;
b. The potential for
unauthorized access to protected health information; and
c. The potential for disruption of technology during a
telehealth visit.
(6) A
licensee shall only provide occupational therapy services using a telehealth
visit in the areas of competence wherein proficiency in providing the
particular service using technology has been gained through education,
training, and experience.
(7) A
licensee shall identify in the clinical record when occupational therapy
services are provided utilizing a telehealth visit.
Notes
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