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Iowa
Occupational Therapy Physical Therapy
Telehealth/Telemedicine/Telecommunications Definition
A 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.
Source:Iowa Admin. Code r. 645-208.3(1)
A 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.
Source:Iowa Admin. Code r. 645-201.3(1)
Modality
Occupational therapists may use live audio and video. Store-and-forward and non-real-time communication may be used to prepare for an occupational therapy session or to communicate with a patient between occupational therapy sessions.
Source:Iowa Admin. Code r. 645-208.3(2)
Physical therapists may use live audio and video. Store-and-forward and other non-real-time communication may be used to prepare for the physical therapy session or to communicate with a patient in between sessions.
Source:Iowa Admin. Code r. 645-201.3(2)
Location- Type of site/Geography
No reference found. No reference found.
Type of Service
The occupational therapist using telehealth must meet the same standard of care as when providing in-person occupational therapy and may only provide services in the areas of competence in which they are proficient.
Source:Iowa Admin. Code r. 645-208.3(6)
The physical therapist using telehealth must meet the same standard of care as when providing in-person physical therapy and may only provide services in the areas of competence in which they are proficient.
Source:Iowa Admin. Code r. 645-201.3(6)
Supervision
No reference found. No reference found.
Informed Consent
Prior to the first telehealth visit, the occupational therapist must obtain informed consent from the patient specific to the occupational therapy services that will be provided in the telehealth visit. The informed consent must inform the patient of the following, at minimum:
  • The risks and limitations of the use of technology to provide occupational therapy services;

  • The potential for unauthorized access to protected health information; and

  • The potential for disruption of technology during a telehealth visit.

Source:Iowa Admin. Code r. 645-208.3(5)
Prior to the first telehealth visit, the physical therapist must obtain informed consent from the patient specific to the physical therapy services that will be provided in the telehealth visit. The informed consent must inform the patient of the following, at minimum:
  • The risks and limitations of the use of technology to provide physical therapy services;

  • The potential for unauthorized access to protected health information; and

  • The potential for disruption of technology during a telehealth visit.

Source:Iowa Admin. Code r. 645-201.3(5)
Patient-Provider-Relationship/In-Person Exam Required
No reference found. No reference found.
Licensing
Occupational therapists must be licensed in the state of Iowa if providing telehealth services to patients located within the state.
Source:Iowa Admin. Code r. 645-208.3(4)
Iowa is part of the Physical Therapy Licensure Compact. Physical therapists licensed through the compact may provide services in other compact states and in Iowa.
Source:Iowa Code § 147C.1
Other
No reference found. No reference found.