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How can you keep abreast of
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ABOUT THE INFORMATION IN THIS REPORT

The information in this nqtort was compiled through a survey of state counselor Iice...
ALABAMA

AL Board of Examiners in
Counseling

950 22nd Street North. 
Suite 765

Birmingham.  AL 35203
800/822-3307
205/45...
Amen can Psychological Assocranon

Practice Directorate,  Legal & Regulatory Affairs

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Where to help this
effort at TMHI
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Frustrated by Telehealth Licensing Laws? Promote Change Now by Writing One Simple Letter -- Marlene Maheu

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Frustrated by Telehealth Licensing Laws? Promote Change Now by Writing One Simple Letter
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Frustrated by Telehealth Licensing Laws? Promote Change Now by Writing One Simple Letter -- Marlene Maheu

  1. 1. ‘ ’: j="'Y| ‘=: "“J fi! ’.‘"; ‘ Ilu'JI1J»H3INll'- Frustrated by Licensure Laws? Te| eMenta| Health Institute Webinars Marlene M. Maheu, Ph. D. Executive Director Tele! /lental Health Institute, Inc.
  2. 2. __ __, _ . _ 415% in ‘ii What's happening with L licensure? -; ' - — —~A~—— —« -. .__—‘-. e;». .‘—; q:¢‘i k. _ _'. _.__. , ___, _._____. ,__. .:. :A a» ’ ’ ’~‘. —‘-‘.1. - “E-3’? ?-"“““-‘: ‘2-_e. -, , JR ,4 ii; 0 22 II ‘NQUe"'. J NQJIH 4rIl! ‘.‘. r
  3. 3. We are ”re-too| ing”
  4. 4. Essential functions _ of Iicensure & why i they are relevant to the stable growth A of our professions
  5. 5. l ’: '!’: "“. ‘=”'. “l ': !,"’. m nJ(~l»l~? -li3m'l(0- Licensure Definition Definition: official permission from a legal authority granting a professional the right to practice his/ her profession — Evidence of professional training and competence Exam, documentation of education and training Financial value — Barrier to entry — Credential clients/ patients seek
  6. 6. l ‘all: -l‘”; =:". ['l ‘lIl, "": l : »lLl»l~? -li3Ils°l1'- Licensing Myths lfyou are licensed, you are a good practitioner — Only establishes minimal competency a Licensu re is about giving money to the state — Many state boards don't have enough funding to prosecute many law-breakers — Licensure is about consumer protection Laws are pretty much the same across states — Licensing requirements can be quite different from one state to another (some are diametrically opposed)
  7. 7. l ’: (!= 'N‘= s"“J filfluw l~l“'rlll-’»ll‘lI'll' U. S./ Canadian Licensing Are the Most Advanced, But. .. * Outdated, Inconsistent and Inadequate Rules Often Prevail — slow to adapt/ reactionary / spotty enforcement 50 states 9* multiple boards for multiple disciplines, different laws for each board Difficulty finding consensus - often don't see the need because practitioners are not speaking up
  8. 8. l ’: j:‘l'l| ,=”"‘J llwum l~l'rlll~’»ll‘ll‘ll' 10 Licensing Board Facts 1. The essential functions of Iicensure and why they are relevant to the growth of our professions are: —Public Safety- Consumer Reporting Prosecution of ‘evil agents”
  9. 9. l ': "q: ‘l'l| .=: "~ l! :"'; ‘ nlu'—lulJ»lI3m-lI- 10 Licensing Facts (continued) 2. Laws are contradictory across and within states/ provinces and across national borders. 3. Laws are antiquated and have not adequately kept up with technology (i. e, . regulatory boards arejust now starting to focus on the older technologies of email, texting or video, but mobile health is now rapidly accelerating) 4. Most state/ provincial regulators have never participated in a formal training to understand advanced technology (i. e., email, texting, video, mHea| th, robotic, virtual reality, OR blending of multiple modalities).
  10. 10. l ’: j:‘l'l| .=”"‘J llwum l~l'rlll~’»ll‘ll‘ll' 10 Licensing Facts (continued) 5. Regulatory boards are not under a mandate to collaborate with other state/ provincial regulators. 6. Turf wars exist between states/ provinces that make it difficult if not impossible to get things changed. Differences often are based in: — Training required of different states for applicants — Enforcement cost of infractions
  11. 11. l la‘: -l“. .l= :’m'l lI, "": l : vl(~l»l~P-li3m°lU- 10 Facts (continued) 7. Limited Enforcement: ”Honor System” —System was been adequate until telehealth — Many regulatory decisions being made now —All of government is involved, from state/ provincial to federal to international —The ”ax” is already falling on some licensees — Issues go far beyond geographic limits
  12. 12. ' HF"". ="""" l': """ l~l'rlllA’»ll‘ll'll' 10 Facts (continued) 8. What's been stopping our regulators from creating federal Iicensure on par with driver's Hcenses? ° Disagreements about criteria for acceptance ° Enforcement — Size of states — Costs of enforcement — Long-standing turf wars * Territoriality ° Superiority / inferiority
  13. 13. ' HF"". ="""" l': """ Ilu'—lul~7»il3u 10 Facts (continued) 9. How many states require an in-person assessment for approved practice 32 states require in-person assessments for prescription writing Many states default to the medical code ifthey don't have a specific set of codes for allied professionals using technology
  14. 14. ' HF"". ="""" l': """ l~l'rlllA’»ll‘ll'll' 10 Facts (continued) 10. Which states require payment for telehealth on par with in-person treatment? http: //te| ehealth. org/ mandated-states
  15. 15. ‘ ‘fig . ._ O. .. - _ - . ..—. . it I = *2: %l# l'§t_ “Why won't our ". I state/ provincial board tell us . ;x '' I what's going on w/ Iicensure Pf‘ I . . ‘ J: I‘ portability? ” $.42’ 3%. , g ' '' ll; stag. I ‘W. "—"~o. A lg; . . lg ‘. A I i i 52 -. er. r E I ‘ ‘()4 AW ‘I I1 I I O 22 ll ‘NlMe"'. l€ helm im. !'‘. .‘. -, in:
  16. 16. ' HF""‘= """" ": ""'; ' l~l‘I'rlll~’>ll‘lI'll' Board Communications * Many boards are actively researching now 4* Many haven't yet decided some issues (conclusive research is not in on Iicensure portability) — Nurse Compact — stuck at 22 states * Budgetary limitations — Some don't answer the telephone or mail for months, if at all — Some issues are not their job to discuss with you (malpractice coverage)
  17. 17. l I= ,!. ’.I‘-‘E9!’-‘. ' ii’-‘. "'3‘ qW_, _“, Wm_ Are You Meeting Existing Licensure & Reimbursement Requirements? * Is the contact for intake or follow-up? * ls medication being prescribed? * Have you been trained in distance assessment, referrals, how to handle emergencies, breaks in the connection, intrusions, security breaches or lack of responsiveness? * Is your informed consent appropriate? * Are you meeting the local standard of care? -° Are you fully ”credentia| ed” beyond licensure? ° Where is your client/ patient? — Traditional setting/ home? (open or closed system)?
  18. 18. l I What are the core tenets of the FSMB's "Model Act" and what do they mean? "'§: ; ""6 _ : ._—_'. __' ' — ', '_; _'_. __' '__. .__s i T T: , 539-» _____: ,§_‘_fi_’J W. . . I ‘I, #39‘ A “'2 l" ; .I. ll. 0 25 II ‘NQHe"'. J Noam 4rIlE‘. ‘.r
  19. 19. ' ’: j’= ""'= ”m' ", """: ' n4!—lil~? IIlim°Iu- Model Policy by FSMB http: //Iibra ry. fsmb. org/ pdf/ FSM B_Telemedicine_Po| icy. pdf 1 Model Policy for the Appropriate Use of Telemedicine Technologies in the Practice of 2 Medicine 3 Report of the State Medical Boards ‘Appropriate Regulation of T elemedicine (SMART) Workgroup 5 Introduction The Federation of State Medical Boards (FSMB) Chair, Jon V. Thomas, MD, MBA, appointed the State Medical Boards’ Appropriate Regulation of Telemedicine (SMART) Workgroup to review the “Model Guidelines for the Appropriate Use of the Intemet in Medical Practice” (HOD 2002)' and other existing FSMB policies on telemedicine and to offer recommendations to state medical and osteopathic boards (hereinafter referred to as “medical boards” and/ or “boards”) based on a thorough review of recent advances in technology and the appropriate balance between enabling access to care while ensuring patient safety. The Workgroup was charged with —-—s I0-'OO®lO
  20. 20. 5 sections I «we sswicu €'ivi’= ‘"! !°r*€im ° 1 ggiggi z tiiiiW'°~ 1 : gi, :;3;: ,,. ,,, t . +2s. .~.2:= "* 1 . z—. ... ... ... ... .. a .83iFlltiauron 7. -; 'l'heD.0.lI . » . I ~ Col lalFI| . Island "' Now 5 '' "fill"? A T°"”""‘ v D'’“’'“"“* - « Eur‘; ‘t‘>cnn. ?y ' U. S. Medical Boards Draft Plan to Ease Huh to Out-of1State and Online Treatment By ROBERT PEAR JUNE 29. 2014 in 5" WASHINGTON - Officials rvprcaenting mate medical csgmyx ' boards Acres the country have drafted in model law that _ wouldmaltreitmucheasici-fcrdoclorslieenscdinonc Wlll y0U state to treat patients in other states. whether in person. C a | I yo U I- by videooonfcxtnce or onlino. 360 Savings’ liccrtsingindooadcgopensthcdoortogrmtcruscof account? tcluncdicine and could alleviate the doctor shortage. I growing problem as millions of people gain insurance co'l: ngc under the Affordable Can: Act. The plan. representing the biggest change in medical Dr. Huuinyuti Chltudlm/ ' RN53‘ -1 The draft legislation — in the form of an interstate federation that seeks M, ;, ,m, ,,, ,,, _. mmww, compact. it legally binding agreement among states — was (J0 "XP-“"‘l Wli<'n‘u d°WlDP€d by the Fedcratianot State Mcd. 'ical. Boa. tda. DClDfS can DHIC CC. ' * ‘ ‘ ' W‘ 1‘ ’ , ‘ V . “ composed ofthe Igctiaeslhat license and discipline ~ . II'III. doctors. ‘The proposed compact would crate it new pathway to E E (7 speed the licensing ofdoctors seeking to practice medicine _. . ; _ -. . . .- - . - 4 ‘wt-| Jr". ) In-> ~
  21. 21. l ’: (!= "'Y| ‘=”"‘J fi! ’.‘"; ‘ l~l'rlll-’»ll‘ll'll' Major Principles of FSMB Model Policy 4* Establishing a Treatment Relationship Online — Standard of care must be met — In-person encounteris not required — The establishment of a professional relationship requires that the first visit involve the "application of secure video conferencing or store-and-forward technology to provide or support healthcare delivery by replicating the interaction of a traditional encounterin person between a provider and a patient. ” — Such first visits cannot involve "audio-only, telephone conversation, e-mail/ instant messaging conversation or fax. ”
  22. 22. l ': j=""| ‘=”"‘J fi! :."w l<l'rlll-7>ll‘ll‘ll' Major Principles of FSMB Model Policy * Evaluation and Treatment — ”Treatment made online should be held to the same standard of appropriate practice as those in traditional settings. ”
  23. 23. l ’: nq: “"| .=: "“J l! :."”‘ l~l'rlll~’>ll‘ll'll' Major Principles of FSMB Model Policy * Online Prescribing Safeguards — Prescribing in a telehealth encounter should be at the discretion of the physician. (This guideline is in direct opposition to the Idaho Board's recent decision to discipline a physician for prescribing via telephone).
  24. 24. l ': j=""| ‘=”"‘J fi! :."w l<l'rlll-7>ll‘ll‘ll' Major Principles of FSMB Model Policy * Ensuring Privacy, Security, Documentation, and Continuity — HIPAA compliance is required (an Oklahoma physician was recently disciplined for a number of reasons, including the use of Skype, a non—H| PAA compliant technology) — Informed consent is required —A medical record is required, and — Interventions must support the continuity of care
  25. 25. l """“"| ‘=“"“*'f”“"“ .4u. i.: .iiI. ..-u- Major Principles of FSMB Model Policy * Licensure Portability — The model policy calls for states to allow physicians to practice across state lines.
  26. 26. Licensure Portability
  27. 27. l ’: j="'Y| ‘=: "“J fi! ’.‘"; ‘ l<l'rlll~’>llIll'll' Current Licensure Licensing Boards that may assertjurisdiction: * The one in the professiona| ’s state(s) of Iicensure * The one in the client/ client's state of location at time of call ° Both Safest Practice: * Provide services only where licensed * Require client to attest to his or her location on every call
  28. 28. l "—5»’~""’°""-' ""”'"‘ I4l—lIl. ?.lllIIol(I. Benefits of Licensure Portability * 215‘ Century life is more mobile than 50 years ago ~ Current system is cumbersome and expensive for professionals to be appropriately licensed * One license model is optimal (similar to driver's licenses)
  29. 29. K M‘ T” ‘ If V "SS leg, Why the FSMB's "Mode| Policy" j is pivotal for all health care ‘I! i professions, including the allied __. , " _; : ) disciplines, such as counseling, l psychology, social work & Q3! ) speech pathology. I? M l 0 j g it A ll l I 4 . O 22 II ‘NQUP’J Nona 4IIl! ‘.‘. r, MK
  30. 30. l ’: ’!', "‘J. ‘:“". “,‘ : I""‘~'m n‘vll~lIlJ-llliis-Ilt FSMB's Model Policy Leads the Way to Well—Reasoned, Comprehensive Conversations Regarding Licensure Updates in All Health Care Disciplines
  31. 31. Why is Iicensure crucial to reimbursement for telepractice? 0 man Yuourlt Neath man Inc
  32. 32. l ': (!= 'N‘= s"“J fi! :."w l<l'rlll-7>ll‘ll‘ll' Licensure & Reimbursement * Credentialing for telehealth by 3'0‘ party insurers requires the following for reimbursement: — Licensure — Proof of malpractice insurance — Ongoing CE training — History of regulatory infractions and remediation — Contracting — Meet criteria set by Center for Medicare & Medicaid Services (CMS)
  33. 33. Explain how malpractice coverage can automatically be nullified ifyou ignore licensing laws, despite your carrier's claims that you are "covered" for online practice. 0 man recoup-It mum Inna: Inc
  34. 34. l ': 'F""‘= """' fi': ""; ' l<l'rlll-7>ll‘ll‘ll' Malpractice Insurance Most malpractice policies can automatically be nullified, despite your carrier's claims that you are "covered" for online practice. Conditions for nullification include decisions based on your: - "Criminal Intent’’ — ”Crimina| Activity”
  35. 35. l ': 'F""‘= """' fi': ""; ' l<l'rlll-7>ll‘ll‘ll' Malpractice Insurance Some insurers will tell you that you are covered for online practice, but don’t mention that coverage is for regulatory suits only. ° Such policies leave you vulnerable for civil suits. : Such suits do not occur frequently in behavioral care, but when they do, they can be costly. s You may want your policy to cover you for both.
  36. 36. - — —~A~—— —« -. .__—¢-_—. ».. ‘—_—_q: ¢‘i , _. . . ___. . .7 ' ~__— I Why calling yourself a "coach" to practice over state or province lines when you are licensed can get you in more trouble than it is worth. 3. l l l. Al‘ ‘"2 ‘lg A l l! O 25 II ‘NQHe"'. ¥ Noam mu‘-
  37. 37. l ’: (!= """= """" fi"""; ' l~l‘. 'rlll-’>ll‘ll'll'- Coaching — Your Iicensure trumps your label for your work — Check your state codes for the definition of your profession — Write to your board and ask— if you dare ‘I Write anonymously
  38. 38. How can you keep abreast of these historical developments, including the single most powerful action you can take to create Iicensure portability movement in your own profession 0 man Y: -Inn-It mum Inna: Inc
  39. 39. ‘ ’: j:“"| ‘=”"‘J fi! :."”‘ Ilu'rl| lJ»ll3Ils'll' Take 1 Hour and Write a Letter * Include who you are and your discipline * Mention why Iicensure portability is important to you (give a case example) * Show that you've been to your state Board's website, and are looking for information ° Ask to be kept informed of future progress toward Iicensure portability ° Be respectful. * Use social media to tell your colleagues of your effort and ask them to write a letter, too
  40. 40. ‘ ’u= “'V| ‘=: "“J f! :."'; ‘ -4Hu1.>, ll3m-I1. ll. Send Your Letter to Your Legislators and Regulators * Get addresses from your state website °l Get addresses from your professional associations
  41. 41. CGOV Board of Behavioral Sciences . *1?’ - 4; ‘ilflf “. /1-35$ 2 Consumer information Regarding Online Psychotherapy Notice to Callfomla Consumers Regarding Psychotherapy on the Intemet The Board of Behavioral Sciences (BBS) would like to make the following recommendations to Calitomia consumers who choose to seek therapy or counseling over the Internet. individuals who provide psychotherapy or counseling, either in person. by telephone, or over the Internet, are required by law to be licensed. Licensing requirements vary by state, Individuals who provide psychotherapy or counseling to persons in Califomia are required to be licensed in Caiifomia. Such Iicensure permits the consumer to pursue recourse against the licensee should the consumer believe that the licensee engaged in unprofessional conduct. Be a cautious consumer when seeking therapy over the Intemet. or by any other means. by doing the following: ~> Verify that the practitioner has a current and valid license in the State of Caiifomia. '> Be sure you understand the fee that you will be charged for the services to be rendered and that you fully understand how and to whom the fee is to be paid. '1 Be sure you are satisfied with the methods used to ensure your communications with and by the therapist will be confidential. '> Be sure you are aware of the risks and benefits of doing therapy, over the Intemet or by any other means. so you can make an informed choice about the therapy or counseling to be provided. i‘ According to Business and Professions Code Section 2290.5. prior to the delivery of health care via telehealth, the health care provider at the originating site shall verbally inform the patient that telehealth may be used and obtain verbal consent from the patient for this use. The verbal consent shall be documented in the patient's medical record. All laws regarding the confidentiality of health care information and a patients right to his or her medical information shall apply to telehealth interactions. Business and Professions Code Section 2290.5 (a) For purposes of this division. the following definitions shall apply: (1) "Asynchronous store and fon. vard“ means the transmission ofa patlent's medical information from an originating site to the health care provider at a distant site without the presence of the patient. (2) “Distant site‘ means a site where a health care provider who provides health care services is located while providing these services via a telecommunications system. Consumer- Oriented information about Online Psychotherapy
  42. 42. vl (((_'i"""“""= “"“*' f! """‘ -4u. i.>. ii3m-u- II. Send Your Letter to Your Professional Associations Ask your professional associations for all suggested addresses Send your letter to your professional association's legal or ethical office — Nauonal —— State — Local
  43. 43. ABOUT THE INFORMATION IN THIS REPORT The information in this nqtort was compiled through a survey of state counselor Iicensure boards conducted in fall of 2009. State-by-state analysis of laws and administrative rules was also conducted to add to the survey data. especially for the two jurisdictions—Gcorgia and Puerto Rioo—that did not submit information in response to our request. Every t: lTon has been tmde to ettsure the accuracy of the information presented here. but. due to the complexity of laws and regulations. and the frequency with which state regulations can and do change. we cannot guarantee that this report is completely without error. Readers are encouraged to bring any errors. omissions. or changes to our atttattion. For any questions or corrections regarding this chart. please contact: Ametiatn C ourtseling Association Ethics and Professional Standards 5999 Stevenson Avenue Alexandria. VA 22304 Web site: wwmeounsellngflgg U. S. toll-free: 800/347-6647. x314 I DC area: 703/823-9800. x314 Fax: 703/823-3760 E-mail: stltttafilrnnntsttatnntz For additional inforrnation. or clarification or interpretation of any of the laws and regulations summarized in this report. please contact the appropriate state licensing board. Written and edited by Christie Lmn. AC A Olfec of Public Policy & Legislation. Nomad B. Smith, Ed. D. NCC, CCMHC. LPC (License £1920 Louisiam) reviewed and revised Appendix D: Accreditation. Certification and Licensure Defined and Conl'tdertu'alityIPrivileged Curnmunieation. Copyrightozolo by the Atneriean Counseling Association. Atnerleatt Coils: -III; Assoelatlol 5999 Stevenson Avenue Alexandria. VA 12301 (800) 341-6647 ! !!. £Il. Il: Ill-ll!
  44. 44. ALABAMA AL Board of Examiners in Counseling 950 22nd Street North. Suite 765 Birmingham. AL 35203 800/822-3307 205/458-8716 205/458-8718 (fax) www. abec. alabama. gorv Application packet (if mailed): 325 Application fee: S200 LPC License fee: $300 ALC License fee: S150 Liceuxurt Requlrenrenrsfar Pr0frs. rinnuI Ccmn. elar. r - 2010 Credential Tltle(s) Educational Experiential Exam Requirements Requirements Re - uired Licensed Professional Counselor (LPC) A person licensed to render professional counseling services in private practice for a tee. Associate Licensed Counselor (ALC) A person licensed to render professional counseling services In private practice for a fee while under board approved supervision. Masters degree or higher in counseling irom a CACREP or CORE accredited program. or the content equivalent. with a minimum of 48 graduate semester hours (or 72 graduate quarter hours) from a regionally accredited academic institution. 3,000 hours of supervised experience in professional counseling with board approved supervision. An applicant may subtract 1.000 hours of the required professional experience for every 15 graduate semester hours (or 22.5 quarter hours) obtained beyond the masters degree from a regionally accredited academic institution. provided that the coursework is clearly related to the field of professional counseling. This formula may be used for up to 2,000 hours.
  45. 45. Amen can Psychological Assocranon Practice Directorate, Legal & Regulatory Affairs Y5 (2sv SA§3J18) - Psychologsts who provide services via electronic means are deemed to be en I - nteleprastne although no specific statutory rules exsl on this issue) - Requres a tacelolace consutatnn between a paherl and physician when the physician has not seen the patient lolbwng an irrlral telemedicine service - Texas hrs uealed pilcl lelehealth progarrs tor other health prolessiors (Tex Gov’! Code $31 09171) Yes (U A C R432-1C0-32) » Grants hosplats the right to L5 engage in lelernedime praco A Ila hospital chooses to use lelerriedic. rrie, t1ie hospital rtselt must develop and implement governance pradfi . No" marlenemaheu ” Establishes rules goverr-ng rerrburserrerl pokcies when lelernedcine heath we services are provided to patients (Utah Code Am §2¥$—18-13) 9/6/2010 9:04:21 V-1 Option: ' Penalty for both Utah and Vermont ls harstl or: III: vclrluin cruaru ur Psychological Exarnners wehsie for disclosure iequlerrenls (per Rule 3 10) lor psychologsts who roiride SGMCES via the Telehealth 50-State Review Siate Psvc hologlst General Telehealdi Other Notable Telet-iealtti Provision Provision Activities Temporary I Guest Llcense Availability lromlhe lrrie the applpztion is approved - Licensed oil-ot-state pacttioner must be supervsed by a incensed Texas psyctnlogisl Yes (Utah Code Ann §58< 1- 337) - Licensed oil-otslale praottioneis may practice in the state only it called tor a wrisultatim b; an nditidual loensed in Utah -Services peitoirned mist be lmiled to the omsultalicn - Time period is not lo exceed the dualron ofthe omsultahon erenl < No speclc language requiring advanced nomination to the board Yes (CVRO¢0G0-270) - Licerised oil-otstale iradlionei may practice tor no more than 10 days or80 hous n arq 12-morih period March 2010 Penalties for Violation 3" Degree Felony (Utah Code Am §58-61601) - Posshle line up to £91m dolars AtI. ‘u‘0R - Possble irrnrsonrriert up to 5 years 1 General M-sdemeanor B V S A §i27, 26V 8 A §: ‘.iZICQ) - Possble line up lo 350?) dolars MDKJR - Posslole irqirisonrrrert ugto_l Disclaimer Ttns documail does not constilute legal advice and should not be rdied upon. as it rs not routinely updated and was prepared Wllhlnfflfln-'1L| Dn from other sources. whose accuracy was not indepmdmtly venfied by APA APA strongly encourages the reader to independently verify the information contained herein and/ or consili with independent legal counsel if the rader intends to use or otherwise rely on such information Because the lawand rdalcd mfomuatxon continually changcand because APA relied on other sources to compile infomauon contained haan, APA cannot guarantee the corxplcleness. currency or accuracy of this documcnl.
  46. 46. Amencan Psychological Association Practice Directorate, Legal 3: Regulatory Affairs Telehealth 50—Sl‘ate R9VieW Psychologist General Tdeliealh other Noublo Ternoonrv I Guest Pendtln hr Vlolatlon Teletuolth Provlulon Provlulon Actliiltln Licence Avallalillttv MASSACHUSETTS No No See [1050] on No General Msderneancv (ALMGL ch Mamachrsetts Board of 1125122 Regslrann ol Notettid Sedion IZ3 ererrat, Psychologists website‘ liter dra. persons elrghle tor - Possble one up to $500 MD/ OR hllglmmv mass gov/ loge lcensue under section lt9who - Posshle irrprsonrnert up to 3 l[>ocatennnd&l. =6&l. |)H provide consultative services tor months orneal I= Lroersee&L2=lZni a fee no rriore than me day a rmrlh lrom penalties for Lnlicensed pradrce outlined in Section 122 Eoca&b= termnalwiient&l : il. tiLtiiurit§_izi_iriz| i2r. J:l: dronic senic2s3vsrd= Eoc ca 4 MNBESOTA Yes [Mnn Stat §147 I132) " Mental health semixs ' 4 emeanor (Mm Stat providedhytvoway §l38941,$l90341) - Grants licensed out-otstate interactive video are ‘ Licensed oil-ol-stale oliyscians who annualty regster covered tor irisuarice psyctologrsts may practice n < Possble line up to 81003 ANDJOR with the side board the right to purposes (Min 813 the state loi no rmie than 7 - Posshle irrnisonmert up to I practice telemedicrre 2568 0325) cdendar days year - Carina open an otlice within the " Same rates apply loi - May piadice up to 30 days per state, meelwilti patierls in the rnsuarce repa/ ment as it year I apply ll‘! a guest slide. or receive phone cats in the lace-tolxe servrws Ioensue slae trom patrerts provided -Applcahon lor guest Iicensure » Mat suliied to tel icvie rrust be received at least 30 reslialion reuuemenls when i belorethe e eded ride at Dsclamier This document does not consutute legal advice and should not bereliad upon. as it is not routinely updated and was prepared with infomiatian iom other sources. whose accuracy was not rndependaitly var fled by APA APA strongly encourages the reader to independaztly verify the inforrriation curilairiedhemri and/ or corisilt with indiepenileni legal counsel if the reader intends to use or otherwise rely on such inforrnatiori Because the lawand related information continually change and because APA relied on other sources to compile infnrrration contained herein. APA carinot guarantee the corrptetmess. curre. ni: y or accuracy of this document
  47. 47. l ’: (!= 'l'l| ‘=”"ll llihuw l~l'rlll-’»ll‘ll‘ll' ll. Send Your Letter to Your Regulatory Association — Regulatory associations exist for all leading disciplines in behavioral health — They are very interested in helping all stakeholders
  48. 48. Association of Social Work Boards http: //www. aswb. org HOME ABOUTASWB CONTACTUS FREERFSOURCES MEMBERLOGIN Ij: §iASWB j» A'. '.ocia[iuri of Social Work Boards EXAMCANDIDATES LICENSEES MEMBERS l EDUCATORS PUBUC '¢< .1. Candidate Handbook ll‘ - . '. ~"‘r"f. “~"? "1’ ' as-we '~x-nlwovi Lluasrs; (-ernrut-owl READ MORE 5 READ MORE 5 READ MORE 9
  49. 49. ‘ ': /fl= “'Y| r=”"‘J : !,. "m I%'J| lJ»ll3Ils'll' American Association of State Counseling Boards http: //www. aascb. org/ aws/ AASCB/ pt/ sp/ home_page AMEHIEAH ASSUEIAIIUN > kw llllll Elillfillililll HUAHHS at-:3 . _ ! AAs<oB [ 7 WELCOME TO MSCB Welcome to the website of the American Association of State Cuunsollng Boards (MSCB). the orga nlzalion of slate boards Ihal regulate the practice of counseling. Founded In 1985. AASCB ls the resource for Information ' ( about counselor licensing and regulation. lest development. and standards for licensing. AASCB meets annually at a 7 _ . ’ conference where crltlcal issues related to counselor ”‘ Ilcvnslng are addressed by its Cornrnissiom. lf the website does not contain the lnfurmallon you are seeking, please Contact the AASCB ollice. NEWS AND ANNOUNCEMENTS _- 1 » 1 mp» CACREPI 20l3 Annual Report " V. »‘-SCH nn Llaison - M588 >1:-wsumr. Spring 2014 The 2014 AU Coda oi Ethlcs Approwd by lhc {W0 W-LERY Governing Council M583 is I prom: co-sponw ol -. i , - -, }_ A l. "s-on for the . -‘mi .3‘, i . ‘T*. Q .5 Future of Llxzlnsa n; c -' , C . . '~
  50. 50. ‘ ’: '!’: "“. ‘=”'. U : !,"’. m nJl~l»t~? -lilmtlth Association of State and Provincial Psychology Boards http: //www. asppb. net The Association of State and Provlnclal Psychology Board! ‘ flu do ml Il(lll)IllI {nun 9-arr)! ct vm lllll cnlntstnu uxuvn t. ' E“ 717330!‘ LSPPB l‘ mu as: -acmlton of psychology teens-ng board: an no Uflltlrd Status and Can. .c.1 and R29 snap rgq was formed in 7961 to serve the psychology txxaras in the two mum’; -s ASP98 created and nag ANNJAL Nldlfllalnl a 5‘. .t'1d. vd| zod wnnon exam, lho Exam-nation tor Professonal Prunes wt 1.4357 ', -Gr Psychoogy (EPPP). Much ls used by Iratnsmg boards to 319:1: candidates br ‘-cnnsuvo ard m, t., ,_. aw, 1110:2014 New Pm: :. rf‘. )rv5 ASPPB advocates tor tho .1<. ‘v. mccmnml or moo 7y by o'amg smlr. -rrx-‘ moowty prowams no Am _: G assal tn hcansuva of csycitolog-an corvwvzted ho so. -wing as I vDlf. L' lor those rasoons rte tor the rewlaton ol mo avacivss at psychoioqy. ASPP8 has emu: a Mace: Act Moo-3| ““”°“ Roguln'. uonI_ . Coon or Conduct and nu-ow-as ta’ mu um mm: odovuon try stale. u. ~m-. om- "_"“'*'°"" “"' t''''' we provmoal psydtolouy boards '~“"""Y This website was no utlnze garter»: tanqaage vmevv possible Hence. the more ‘Board’ :5 tnlnfldird to xndudo a aglmacs rcwlatflfl psycnotogy Tho mots: commonly used lorrn to: an , g._st. ..'_. ... ,a. § . , board at us)-cholom n Cm. -ran is ‘co eon‘ smu. :r1y, t.~ra member: a the Board mom‘) me "rm" ovum mllecnvely n: ‘ermd In as me ‘Council’ 4: canaca AP; Comm ,1 n. ~,-- . - _ ASPPB‘| Mission 5 Vlllon Slntornonln “ V msxzou - srvrzou To cnnanca services and supoort its member lul‘|5dlClt01'§ nn ml. -vq (hell goal cl aavancmg putnc wotvcron Dy cflonna oxmnovy axarrxuzon and crodbrim "0 D'V¢iIrns. Dfvvvcnq ntatn at U511 in programs and servvccs no 11-‘ our stakeholders. so-vrvg on tho source luv mu Mos‘. current and amurata mr'armu'. -on about me roquianon of osychokxtsts and mrivtoui -to
  51. 51. Where to help this effort at TMHI
  52. 52. V‘ y: ,_t= _", |=. ‘|v. ‘} : g1.‘Il: r I~lu'—l| l~7»ll llllll : - TMHI Advocacy Discussion Board Post your thoughts to Tl/ IHI Discussion Board htt : oo. I k'VQNF A Link to Purchase 1—CEU htt : oo. |V5z4kD

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