Indiana 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

This state has no licensure laws or regulations for telepractice. The absence of laws or regulations does not imply telepractice is allowed. Check with the state or ASHA to learn about emergency or temporary provisions

Temporary Practice for Out-of-State Providers

Nonresidents who do not possess a state license but who meets the qualifications and requirements for application for licensure may offer services for no more than 5 days per calendar year in cooperation with a state-licensed individual. Persons licensed in another state with equivalent standards or a CCC holder or its equivalent may offer services for no more than 30 days per calendar year in cooperation with a state licensed individual.

Reference: Indiana Code 25-35.6-1-4. (see section 4, “Persons and practices not affected”).

Telesupervision State Licensure Board Laws and Regulations

This state has no laws or regulations for telesupervision of support personnel, clinical fellows or student interns. Not permitted based on requirement for onsite observation.

Support Personnel

Not specified. Check with the state or ASHA to learn about emergency or temporary provisions.

Clinical Fellow

Not specified. Check with the state or ASHA to learn about emergency or temporary provisions.

Student Intern

Not specified. Check with the state or ASHA to learn about emergency or temporary provisions.

Reference: Ind. Code  §25-35.6-1-2.

Telepractice Reimbursement Laws and Regulations

Telepractice Private Insurance

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: Ind. Code §16-36-1-348.5.

Telepractice Medicaid 

The law indicates coverage for healthcare professionals, including SLPs, as defined under IC 16-27-1 home health agency.  Federal laws referenced are more vague and may be left up to interpretation under  42 U.S.C. 1396d(l)(2)(B) for qualified health care center and under 42 U.S.C. 1396d(l)(1)) rural health clinic as other licensed practitioner of the healing arts. Coverage is conditional on settings or by Medicaid office for all other situations.

Reference: Ind. Code §16-27-1-1 “Health Care Professional”, Ind. Code § 12-15-5-11.

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.

Telesupervision

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.  

Resources

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

• ASHA Practice Portal: Telepracitce 
• Indiana Professional Licensing Agency
• State Telepractice Requirements and Reimbursement Maps [PDF]
• State Telesupervision Regulations Maps [PDF]

Questions regarding state advocacy issues? Call ASHA at 800-498-2071 and ask for the State Advocacy Team.