Iowa Admin. Code r. 645-123.5 - Telehealth appointments
A licensee may conduct a telehealth appointment so long as the services are provided in accordance with this rule.
(1) A "telehealth appointment" is one wherein
the licensee provides testing or adjustment services to a client using
technology where the hearing aid specialist and the client are not at the same
physical location during the appointment.
(2) Conducting a telehealth appointment with
a client who is physically located in Iowa during the appointment, regardless
of the location of the hearing aid specialist, requires Iowa
licensure.
(3) When conducting a
telehealth appointment, a licensee will utilize technology that is secure,
HIPAA-compliant (Health Insurance Portability and Accountability Act of 1996,
PL 104"191, August 21, 1996, 110 Stat 1936), and that includes, at a minimum,
audio and video equipment that allows for two-way, real-time interactive
communication between the licensee and the client. The licensee may use
non-real-time technologies to prepare for an appointment or to communicate with
clients between appointments.
(4) A
licensee who conducts a telehealth appointment will be held to the same
standard of care as a licensee who provides in-person services. A licensee will
not utilize a telehealth appointment if the standard of care for the particular
service cannot be met using telehealth technology.
(5) Prior to the first telehealth appointment
with a client, the licensee will obtain informed consent from the client that
is specific to the service or services that will be provided in the telehealth
appointment. The informed consent will specifically inform the client of, at a
minimum, the following:
a. The risks and
limitations of the use of technology to the specific service;
b. The potential for unauthorized access to
protected health information; and
c. The potential for disruption of technology
during a telehealth appointment.
(6) A licensee will only conduct a telehealth
appointment if the licensee is competent to provide the particular service
using telehealth technology. A licensee's competence to provide a particular
service using telehealth technology will be established by the licensee's
education, training, and experience.
(7) A licensee who conducts a telehealth
appointment will note in the client's record that the service or services were
provided through a telehealth appointment.
Notes
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