Sb vc week 3 legal issues 508_workwise template

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CASATmedia

Health & Medicine

Learning Objectives
• Gain knowledge of jurisdictional issues in Tele-Behavioral Health.
• Understand the need for a secure environment for practice of Tele-
Behavioral Health.
• Demonstrate the ability to discuss informed consent and confidentiality as
it pertains to Tele-Behavioral Health.

What do you know?
Tele-Behavioral Health guidelines in your
region or state

HIPPA Compliance in Behavioral Telehealth
• How does the Platform Secure the Virtual Environment
• ZOOM Security Measures

Informed Consent
• Nature of Treatment
• Risks
• Benefits
• Alternatives
• Opportunity for Questions
What are the risks and benefits of behavioral telehealth?
Informed Consent

• Duty to warn-Second Life issues
• Therapist/Counselor Liability
insurance to cover Behavioral
Telehealth
• Fee Structure
• Invalid pre-screening of clients
Legal Issues to Consider

Legal Issues to Consider (continued)
• Truth in advertising - Who is providing the service?
• Competence - What is the counselors qualifications?
• Dual relationships - subsequent sessions outside of agency.
• Valid treatment - How to inform?
• Consistent standards for licensure

Acceptance of Tele-Behavioral Health
• Reimbursement and Funder Issues
 Insurance
 Medicaid
 CFBHN
 Grants
• Judicial Issues

Additional Information on
State Regulations/Reimbursement
• http://www.telehealthresourcecenter.org/toolbox-module/cross-state-
licensure
• Epstein, Becker, Green-50 State Survey of Telemental/Telebehavioral
Health
• https://www.healthit.gov/providers-professionals/faqs/are-there-state-
licensing-issues-related-telehealth
• https://www.zurinstitute.com/telehealth_across_state_lines-
zur.html#overview
• http://cchpca.org/state-laws-and-reimbursement-policies
• http://www.ncsl.org/documents/health/telehealth2015.pdf

Focus: Clinical Principles and Standards
Expectation and Learning Activity:
Read the article, Training therapists to work
effectively online and offline within digital
culture (Anthony, 2015)
Be prepared to identify/share 3 key points for
discussion.
Sneak Peek at next week….

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