Iowa Admin. Code r. 645-201.3 - Telehealth visits
A licensee may provide physical therapy services to a patient utilizing a telehealth visit if the physical therapy services are provided in accordance with all requirements of this chapter.
(1) Telehealth visit" means the provision of
physical 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 physical
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. 1936, 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 a physical therapy session or to communicate with a patient between
physical 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 physical therapy. A licensee shall
not utilize a telehealth visit if the standard of care for the particular
physical therapy services cannot be met using technology.
(4) Any physical therapist or physical
therapist assistant who provides a physical therapy telehealth visit to a
patient located in Iowa shall be licensed in Iowa or have a compact privilege
issued by the physical therapy compact commission.
(5) Prior to the first telehealth visit, a
licensee shall obtain informed consent from the patient specific to the
physical 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 physical 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 physical
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 physical therapy services are provided utilizing a telehealth
visit.
Notes
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