Licensing and Practicing Over
State & Provincial Lines: 

is It Ok to Cross the Line? 

Te| eMenta|  Health Institute Webi...
We are
”re—too| ing”
Nothing has changed and yet
everything is different. 

— Jean—Pau|  Sarte
When Practicing
Remotely,  All
Existing Legal
and Ethical Rules
Apply
l
! 

l

 

Essential functions
of licensure & why
they are relevant to
the stable growth
of our professions
Licensure Definition

Definition:  official permission from a legal
authority granting a professional the right to
practic...
Licensing Myths

° lfyou are licensed,  you are a good practitioner
— Only establishes minimal competency

° Licensure is ...
U. S./ Candian Licensing is Most

Advanced,  But. ..

° Outdated,  Inconsistent and Inadequate
Rules

— slow to adapt/  re...
General Considerations

Where is the client/ patient? 
Traditional setting /  home? 
Is the contact for intake or follow—u...
Practicing Over A  
State Lines
Interjurisdictional
Licensure Issues

 

 

1
llipvwmrks . 
I

.  .. .uu. E kl‘
lnter—jurisdictional
Practice

Licensing Boards that may
assertjurisdiction: 
+ The one in the
professiona| ’s state(s)
of...
lnter—jurisdictional
Practice (cont. )

Special telehealth and in many cases, 
"te| emedicine” laws have led the way
Presc...
Other Legal & Ethical
Issues Related to
Licensure

 

 

,5" ~_f7.__. _ ’ __. .._. ._. ___. ._. ._. _
if —— t" " "
 ~- A —...
Where Do You Report? 
Duty to Report /  Duty to Warn

° (v) Failing to comply with the child
abuse reporting requirements ...
Sample Clinical Issue:  Abuse Reporting

° How you will proceed if someone writes to you, 
with name and email address,  a...
Best Practices in Counselor Preparation

Cultural/ Linguistic
Competence
Multicultural Issues & Diversity

 

_

-1
-. 

. “
I
1

.  ‘H 3.
,  .
‘ILL’;  _ ‘#5’ ‘. ~ 2. . "‘"’*‘ ; §"“~_, -.»'£. 

....
Multicultural / Multlingual Issues

Issue How to measure? 

+ Global nature of the * Search online for various
| nternet- ...
Licensu re
Portability
Legislation: 

What's Going On? 

'a; 'a; :_n ,9 «new. 

,  1: , . : ‘- ,  -V. -.. c '-‘.
Why Won't State/ Provincial Boards Tell
You What's Going On? 

* They haven't yet decided some issues (conclusive
research...
16 Licensing Board Facts

1. The essential functions of licensure
and why they are relevant to the
growth of our professio...
16 Licensing Facts (continued)

2. Laws are contradictory across and within
states/ provinces and across national borders....
16 Licensing Facts (continued)

5. Regulatory boards are not under a mandate to

collaborate with other state/ provincial ...
16 Facts (continued)

7. Limited Enforcement:  ”Honor System”
—System was been adequate until telehealth
— Many regulatory...
16 Facts (continued)

8. What's been stopping our regulators from
creating federal licensure on par with driver's
Hcenses?...
16 Facts (continued)

9. How many states require an in-person
assessment for approved practice

° 32 states require in-per...
16 Facts (continued)

10. Which states require payment for
telehealth on par with in-person
treatment? 

http: //te| eheal...
16 Facts (continued)

11. Which states/ provinces are leaders in the licensure
portability movement (licensing over state ...
16 Facts (continued)

12. Why calling yourself a "coach" to practice
over state lines when you are licensed can get
you in...
16 Facts (continued)

13. Your malpractice coverage can
automatically be nullified,  despite your
carrier's claims that yo...
16 Facts (continued)

14. The one essential question to ask
your malpractice carrier about your
coverage for telepracticez...
16 Facts (continued)

15. In the marketplace,  behavioral and
mental health professionals face
competition from coaches an...
16 Facts (continued)

16. Licensure is pivotal for
reimbursement.  Licensure is one of
the minimal requirements for
reimbu...
Legislative Change
U. S. Legislation to Watch

The ”TELEmedicine for MEDicare Act”,  or
HR 3077, was introduced Sept.  10, 2013 in
the U. S. ...
U. S. Legislation to Watch

Federal Trade Commission (FTC) Announcement
of Public Workshop,  "Examining Health Care
Compet...
r
‘ 10 Ways to Get
L,  Free Licensure
' Info
10 Ways to Get Free Licensure Info

1. Center for Connected Health Policy: 
http: //cchpca. org/ 

2. Robert Waters Center...
10 Ways to Get Free Licensure Info

4. Follow Association of State and Provincial
Psychology Boards

www. ASPPB. ORG —Psyc...
10 Ways to Get Free Licensure Info

5. Visit my blog:  www. te| ehea| th. org/ biog

 | _:u'((; (u,  iuwn, 
(  I-: .;<.  I...
10 Ways to Get Free Licensure Info

6. Join the "TeleMental Health | nstitute” Linkedln Group

 

Yap Cor~t'it: uto's in t...
10 Ways to Get Free Licensure Info

6. Sign up for TMHI News
www. te| ehea| th. or

lrl-phullr,  mu -rm It-II ! §~; ~.r. h...
10 Ways to Get Free Licensure Info

7. Visit your state licensing board (. gov)
_ Skip ! 
'6 DEPARTMENT OF CONSUMER AFFAIRS
V I

-90 BOARD OF PSYCHOLOGY

-iiiiiw iiiiiiiiiiir.  ,'ii: .pii: .iii' ilrlllr...
10 Ways to Get Free Licensure Info

8. Contact your professional association
(ethical or legal office)
Telepsychology Legal Review

50—State review of Telehealth
(apapracticecentral. org/ advocacy/ sta
te/ 'te| ehea| th—s| id...
Amen can Psychological Association

Practice Directorate,  Legal & Regulatory Affairs

Y5 (2sv 3A§3J18)

- Psydiologsts wh...
Amencan Psychologrcal Assoctau on

Pracnce Dxrect-state,  Legal & Regulatory Affaxrs Telehealth  Review March 2010
Sate Ps...
Amencan Psychotogncanl Assocranon

Practnce Dnrectorare.  Legal & Regulatory Affanrs   Review March 2010
Psychologist Gene...
ABOUT THE INFORMATION IN THIS REPORT

The inforrnatian in this report was compiled through a survey ofstale counselor lltc...
ALABAMA

AL Board oi Examiners in
Counseling

950 22nd Street North. 
Suite 765

Birmingham.  AL 35203
800/822-3307
205/45...
10 Ways to Get Free Licensure Info

9. Write to: 

- Malpractice carrier
— Ethics boards (local,  state,  national)

10. S...
. ’ll'1cml: 
Questions?  uoui

Marlene M.  Maheu,  Ph. D.
www. suggort. telehea| th. org

619-255-2788
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Webinar: Licensing and Practicing Over State and Providence Lines: Is It Ok to Cross the Line?

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Webinar: Licensing and Practicing Over State and Providence Lines: Is It Ok to Cross the Line?

  1. 1. Licensing and Practicing Over State & Provincial Lines: is It Ok to Cross the Line? Te| eMenta| Health Institute Webinars Marlene M. Maheu, Ph. D. Executive Director Te| eMental Health Institute, Inc. r:1maheu(: _'0le| el/ lental Hea| th. or; ‘-, £119 255 2/88
  2. 2. We are ”re—too| ing”
  3. 3. Nothing has changed and yet everything is different. — Jean—Pau| Sarte
  4. 4. When Practicing Remotely, All Existing Legal and Ethical Rules Apply
  5. 5. l ! l Essential functions of licensure & why they are relevant to the stable growth of our professions
  6. 6. 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 ° Financialvalue — Barrier to entry — Credential clients/ patients seek
  7. 7. Licensing Myths ° lfyou are licensed, you are a good practitioner — Only establishes minimal competency ° Licensure 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 (diametrically opposed)
  8. 8. U. S./ Candian Licensing is Most Advanced, But. .. ° Outdated, Inconsistent and Inadequate Rules — slow to adapt/ reactionary/ spotty enforcement ° Associations, APAS, ACA, EAPA, NASW, etc. ° 50 states multiple boards for multiple disciplines, different laws for each board
  9. 9. General Considerations Where is the client/ patient? Traditional setting / home? Is the contact for intake or follow—up? Is 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? Do you need to be ”credentialed” beyond licensure?
  10. 10. Practicing Over A State Lines
  11. 11. Interjurisdictional Licensure Issues 1 llipvwmrks . I . .. .uu. E kl‘
  12. 12. lnter—jurisdictional Practice Licensing Boards that may assertjurisdiction: + The one in the professiona| ’s state(s) of licensure * 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
  13. 13. lnter—jurisdictional Practice (cont. ) Special telehealth and in many cases, "te| emedicine” laws have led the way Prescription—writing initiatives led to developmentof laws in the 90's 0 O Reimbursementpractices for Medicare7 Medicaid 32 states now mandate in-person assessment priorto distance contact Special informed consent laws also rapidly evolving Regulatory Case Oklahoma case of Dr. Trow O O No in-person assessment _ ‘L p < No informed consent " No HIPAA-compliant *1. technology(he used I Skvpel O. .r P ' , wt-a Y, - VI| ‘'‘~ : ;-‘A : .‘; ,
  14. 14. Other Legal & Ethical Issues Related to Licensure ,5" ~_f7.__. _ ’ __. .._. ._. ___. ._. ._. _ if —— t" " " ~- A ——j- — -__, , . S ,1?? ? -at; -=—“*¥; /?V "T? "“’-ax, ,;_L—7,, i
  15. 15. Where Do You Report? Duty to Report / Duty to Warn ° (v) Failing to comply with the child abuse reporting requirements of Section 11166 of the Penal Code. 0 (w) Failing to comply with the elder and adult dependent abuse reporting requirements of Section 15630 of the Welfare and Institutions Code. CA Business and Professions Code Sections 4989.54 (cont. )
  16. 16. Sample Clinical Issue: Abuse Reporting ° How you will proceed if someone writes to you, with name and email address, and gives you reason to believe they are abusing a child, a spouse, or an elder when in another state? ° Have your license # and all related "policies” posted on your site, including your HIPAA policy if you interact with patients online — make changes in writing
  17. 17. Best Practices in Counselor Preparation Cultural/ Linguistic Competence
  18. 18. Multicultural Issues & Diversity _ -1 -. . “ I 1 . ‘H 3. , . ‘ILL’; _ ‘#5’ ‘. ~ 2. . "‘"’*‘ ; §"“~_, -.»'£. . ~ v , L. ,. .; ‘Ls’? :. L ‘_‘ ’ “ ‘I-, ’c. .’; « . , 4 4’ X’, a. ‘ ‘ - F. " vx , L I { "' -. _ J. .. J’ 6.» _ wu _. r I , ~
  19. 19. Multicultural / Multlingual Issues Issue How to measure? + Global nature of the * Search online for various | nternet- worldwide instruments that might be audiences valid for your population ° Multicultural issues are * Look for English proficiency quite visible in the tests document, but English as a — Free second language issue are — Easyto take 9 nOt me| ‘ItlOnE‘Cl — Get to know the norms * Spoken English is different from written English Rarely mentioned anywhere
  20. 20. Licensu re Portability Legislation: What's Going On? 'a; 'a; :_n ,9 «new. , 1: , . : ‘- , -V. -.. c '-‘.
  21. 21. Why Won't State/ Provincial Boards Tell You What's Going On? * They haven't yet decided some issues (conclusive research is not in on licensure portability) — Nurse Compact — Federation of State Medical Boards — Association of State and Provincial Licensing Boards * Budget 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)
  22. 22. 16 Licensing Board Facts 1. The essential functions of licensure and why they are relevant to the growth of our professions are: —Public Safety- ° Consumer Reporting ° Prosecution of ”evil agents”
  23. 23. 16 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 are starting to focus on email, texting or video but mobile health is 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).
  24. 24. 16 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 practically impossible to get things changed. Differences often are based in: Training required of different states for applicants Enforcement cost of infractions
  25. 25. 16 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/ provincialto federal to international —The "ax” is already falling on some licensees — Issues go far beyond geographic limits
  26. 26. 16 Facts (continued) 8. What's been stopping our regulators from creating federal licensure on par with driver's Hcenses? ** Disagreements about criteria for acceptance 6 Enforcement — Size of states — Costs of enforcement — Long-standing turf wars ~ Territoriality - Superiority / inferiority
  27. 27. 16 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
  28. 28. 16 Facts (continued) 10. Which states require payment for telehealth on par with in-person treatment? http: //te| ehealth. org/ mandated—states
  29. 29. 16 Facts (continued) 11. Which states/ provinces are leaders in the licensure portability movement (licensing over state lines)? — Depends on the discipline s Psychiatry: 12 states share telemedicine licenses * Psychology: Ohio, Kentucky, California, Massachusetts are some that already have laws, many other states have laws in development * Quebec, Canada for psychology, social work & counseling
  30. 30. 16 Facts (continued) 12. Why calling yourself a "coach" to practice over state lines when you are licensed can get you in more trouble than its worth —— Your licensure 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 ° Write anonymously
  31. 31. 16 Facts (continued) 13. Your malpractice coverage can automatically be nullified, despite your carrier's claims that you are "covered" for online practice. — ’’Criminal Intent’’ — ”Crimina| Activity"
  32. 32. 16 Facts (continued) 14. The one essential question to ask your malpractice carrier about your coverage for telepracticez — Will you cover me for civil as well as regulatory infractions? — Another question: Under which conditions will you NOT cover my actions in telepractice?
  33. 33. 16 Facts (continued) 15. In the marketplace, behavioral and mental health professionals face competition from coaches and other groups that are unregulated or have equally poor regulatory systems. Restricting us won't work in the long run.
  34. 34. 16 Facts (continued) 16. Licensure is pivotal for reimbursement. Licensure is one of the minimal requirements for reimbursement. Without it, carriers do not acknowledge a practitioner's eligibility for payment.
  35. 35. Legislative Change
  36. 36. U. S. Legislation to Watch The ”TELEmedicine for MEDicare Act”, or HR 3077, was introduced Sept. 10, 2013 in the U. S. House of Representatives by Reps. Devin Nunes, R—Ca| if. , and Frank Pallone, D- N. J. Nicknamed the TELE—MED Act.
  37. 37. U. S. Legislation to Watch Federal Trade Commission (FTC) Announcement of Public Workshop, "Examining Health Care Competition" https: //ftcpublic. com mentworks. com/ ftc/ hea| thcareworkshop/
  38. 38. r ‘ 10 Ways to Get L, Free Licensure ' Info
  39. 39. 10 Ways to Get Free Licensure Info 1. Center for Connected Health Policy: http: //cchpca. org/ 2. Robert Waters Center for Telehealth and eHealth Law has white papers about regulatory issues: htt : cte| .or
  40. 40. 10 Ways to Get Free Licensure Info 4. Follow Association of State and Provincial Psychology Boards www. ASPPB. ORG —Psycho| ogy www. AASCB. org — Counseling www. FSMB. org - Medical (Psychiatry) www. ASWB. org[ - Social Workers
  41. 41. 10 Ways to Get Free Licensure Info 5. Visit my blog: www. te| ehea| th. org/ biog | _:u'((; (u, iuwn, ( I-: .;<. I . I
  42. 42. 10 Ways to Get Free Licensure Info 6. Join the "TeleMental Health | nstitute” Linkedln Group Yap Cor~t'it: uto's in this Group ( TELEMENTAL HEALTH Q INSTITUTE Your group contribution leu'e' Are you profiting from telehealth yet? TMHI News Roundup. 3/31114 Lulr‘ mmm vane: Lcsw Lugs; Achvfly 1% L‘: iii: L:1:: ::: ;:; ; I offer psychotherapy in private practice in Seattle. WA. I am interested in maintaining confidentiality in health care
  43. 43. 10 Ways to Get Free Licensure Info 6. Sign up for TMHI News www. te| ehea| th. or lrl-phullr, mu -rm It-II ! §~; ~.r. h:t! e,L£L! 1cl. ~s~r_. <nr~. w I uv | I)MI> AIIOUI M (X. PAHIPI ll‘: SI RVIK E‘. || UlN| N(. ll! '5-(MIR! I‘: '-. UP! 'l 1| ‘u ( UNI/ ( I I Weimmr SIgn—up Newsletter Sign—up Aim '. v~l>tIi. us uwvr mun-Iy i«>| ,xtx Jimtn rhvr. i;. u!| y‘<h. mt1mu As a FR“ Huimx in! Yt1i)ST"Hl)L]11>l um lt'V/ ’s| v'HtJl tvqal, Iv 5.ilu: _y‘, Mini: .; | r--wmtii or pt .1: (nu: arms r: -1.11-, -ti In ilhlv‘-('di. |i<: |‘y in-u-m» tIi«- Trix-, u; >«, -r‘. i:~«mv Lisr n. ‘ ‘>i)U£v. w.‘t-mr: le= !»= men: a| he-alth nnliiit‘ - filllhéiilil)3|‘i’|7l1]ii': ‘€ht‘Y iw, HIH'. Ife= !xm= x1F‘»2I»= reri: ~ It }H. ‘e‘ y4'viu'J¢"7 H4x>p¢in1.uv-, vwLivre- oiy-H In paw | n.ilvi<. l~. , p's‘, ': imiuqzxts xourw-luvs, ~.i: r1.1iv. -nrkvvs, t>'T¢*n= !‘. rW~. ior ! e‘| t"ipoJV. ‘!| rv. ’1. iimur1pteu~<ie= i1t~*dre>snu'u- mm; um! ah miml muiisvlni-, ~, . at1inirmtmI-hrs, IT upw mirsrx, am! ran hwlpvuu | v'ItVl new rum! -‘is in '-U| >'. 'i‘. ’|‘v! (7H aums Hm-inn] (ether <. t.'iké'hr>| i1-= r‘. He= (_‘, itc"<r in! i'. ie'—h1n. ¢r mpt . '|i1flOlll‘. l'f‘H1v‘Hf‘. ‘ -ymmtifi, fl‘. -fX: i4TlF-T)‘ server! .1ndLiIHg. i VJ[ir‘l‘, 'Df '. iIc1e's bnnuwx and | kJ, .1l(. ‘ u= <<miir«_]s t)»»i<; '. ' Km lmc-in ‘S hum v: <ivn In erwmii Ynuil aixn h.1. 'é" . H < ass In . i|| i,mv. ivd1v-3». uipvr 'I<, ‘Li3|‘, ' ptitiisiiemi Tm‘: -Mp, -ir. ii'I4:-aim 'J Y H! A[)1li«. }CJlJl[VUTPliVISiIVi! i]y -as isstzias. ,i mi» -. -,. '~ki-, - iim. ii. ulit: m «ii L157 ix-: .ikiiu)in: ~.-/ s otmntrr "mm" " - it i. r‘4irii iri<‘iiri1', -i. ri. u1 -vi W1"
  44. 44. 10 Ways to Get Free Licensure Info 7. Visit your state licensing board (. gov)
  45. 45. _ Skip ! '6 DEPARTMENT OF CONSUMER AFFAIRS V I -90 BOARD OF PSYCHOLOGY -iiiiiw iiiiiiiiiiir. ,'ii: .pii: .iii' ilrlllrtllllk . iii<iiriwi Miiriisil-‘iiiu. |nv[54‘RegtIli! tl0lTS ‘lfolllflhyiHt‘(]I‘= ll-Ill: ’: ""L‘_‘gl')[i‘"| l"n ' . .- 11! is . ‘, t'«{_lfJ R cl. . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. The 2009 Law: and Regulations book is now available This book contains provisions torn the California Business and Professions Code, Pend Code. Welfare and lnstitu as well as Title 16. Division 111 of the California Code of Regulations relating to the profession regulated by the California Board of Psychology The electronic version all copy of the booldet, the cost per copy is $10. To order. please dovrriload and complete the 9g_ei_Lm and return to the Board along with a check or money order Recent Legislation I New legislation regarding training in aging and Iongterm care I New legislation regarding training in spousal/ partner abuse I Notice to All Licensed Psychologists Re AB 938 and New Supplemental Fee Pnaposed Regulations I Delegation of Functions and Unprolessiorial Conduct I Continuing Education Requirements II Renewal of License » Disclosure of Discipline 8 Cnrninu Convictions W l Mil‘ l l’“‘~“ Recently. -pyrord It-gulotloeu ~. i.-«vicar. F _ Applications - Elective October 23. 2004 Califomia Psychology Laws and Ethics Examination - Elective April 1, 2008 Citation and Fine Amount - Efiectiin August ‘It. 2005 Continuing Education Exemptions ~ Elfective January 9. 2005 Continuing Education - Independent (Distance) Leaning - Ellectrve December 16, 2006 Continuing Education - Laws and Ethics - Elective January 19. 2007 Continuing Education Courses - Aprxoiied Sponsors - Elective Jllusry 1. 2006 Continuing Education Requirement - Proration of CE - Elective December 21, 2005 Continuing Education Training Requirements - Efiectne October 24. 2004 Consumer information - Eiective March 30. 2007 Disciplmary Guidelmes - Elective January 4. 2007 Distance Learning Continuing Education - Etfectwe January 1. 2005 Examination Name Change - Effective May 12, 2006 Postdoctoral Supervised Professional Expenence (California Psychology lntemship Council (CAPiC)) - Elective December 30, 2008
  46. 46. 10 Ways to Get Free Licensure Info 8. Contact your professional association (ethical or legal office)
  47. 47. Telepsychology Legal Review 50—State review of Telehealth (apapracticecentral. org/ advocacy/ sta te/ 'te| ehea| th—s| ides. pdf) APA Good Practice Summer 2010
  48. 48. Amen can Psychological Association Practice Directorate, Legal & Regulatory Affairs Y5 (2sv 3A§3J18) - Psydiologsts who provide services via electronic means are deemed to be en I I nleleprastce although no specific statutory rules exsl on this issue) - Requres a lacelolace consiilatnn between a paliert and physician when the physician has not seen the patient loltawng an irrlial telemedicine service - Texas hrs ueeted pilcl telehealth progarrs tor other health prolessioro (Tex Govt Code $31 0Qt7t) Yes (U A C R432-1C0-32) » Grants hosptats the right to L5 engage in lelernedicne piaco A It a hospital chooses to use lelerriediririe, the hospital itsell must develop and implement governance pratfi . No" marlenematieu ” Establishes rules goveinng rerrburserrert potcies when telernedcirie heath we services are provided to patients (Utah Code Am §2¥$—t8-13) 9/6/2010 9:04:21 V-1 Option: ' Penalty for both Utah and Vermont ls harsll or: ill: 'l. 'tltlJtlI cruaru ur Psychological Exainneis wehste for disclosure requlerrents (per Rule 3 to) lor psycholoosts who rovide services via the Telehealth 50-State Review State Psvc hologlst General Telehealth Other Notable Tetet-iealth Provlslon Provision Activities Temporary I Guest Llcense Availability lromlhe trrie the application is approved - Licensed oil-oi-slate practtionei must be supervsed by a licensed Texas psychologist Yes (Utah Code Ann §58< t- 337) - Licensed oil-olstale nacttioneis may practice in the state any it called tor a consultalim b; an ndvidual toensed in Utah - Services peitorrred mist be lmiled to the ocnsultalicn - Time period is not to exceed the dualion ollhe cmsultatiori event < No speclc language requiring advanced notification to the board Yes icvRoweo.27o) - Licensed nu-olstale padtionei may practice lor no more than to days oi80 hous ri ari1l2-morthpeiiod March 2010 Penalties for Violation 3" Degree Felony (Utah Code Am §58-61601) - Posshle line up to £91m dolais AtI. ‘u‘0R - Possble irrnrsorirnert up to 5 years 1 General l. 'i-sderrieanoi B V S A §127, 26V 8 A §: ‘.iZICQ) - Possble line up to $50?) dolars AtDiUR - Pussble irrpiisonrriert ugto_t Disclaimer Tlns documait does not constitute legal advice and should not be rdied upon. as it is not routinely updated and was prepared with infomiation from other sources. whose accuracy was not independently verified by APA APA strongly encourages the reader to independently verify the information contained herein and/ or consill with independent legal counsel if the radcr intends to use or otherwise rely on such information Because the lawand rdaled infomiation continually changeand because APA relied on other sources to compile mfomation contained haari, APA cannot guarantee the conplcteness. c-urrmcy or accuracy of this document.
  49. 49. Amencan Psychologrcal Assoctau on Pracnce Dxrect-state, Legal & Regulatory Affaxrs Telehealth Review March 2010 Sate Psvchologlst General Telehealth Other Notable Temporary I Guest Penaldes for Violation Telehealth Provision Provision Activities License Availability MASSACHUSETTS MINBESOTA rolessronals Yes [Mnn Stat §l47 033) - Grant‘. lrcensed oututstale phys-clans who annualry regster vvth thestate board the rrghtlo practice telemedlwe - Cannot open an otlnce unlhrn the stde, rneetwrlh pallerts rn the stale, or recewe php_n_e_cdts If! the stale lrompatm-rls' _—' » Nut subqed to leléafilétllare reslratrcn re urernenls when See pol 9/ on Massachusetk. Board of Regslrdnn at Psychologrsls webslte‘ - W r-uuf‘ " Mental lrealth services prrmdad by twomxay mlera me errleo are otrrered tor lnsuanoe putpuses (Mun Ste! 2588 06?-3] “ Same rates apply for lnsuanoe rep agmenl as it laae-tolacesmrces prtmded No General t. 'tsdl= .rrtancI [I<l. Mf3L oh 1t2,§1L_ Note that Sectxon I23 exerrols, nler aha, pevscns ellghle tor - Possble hne up to $500 ANDJOR Icensue under sectron I19 who -Possble lrrprsonmerl up to 3 provide mrrsultatrve serncz. tor mmths <1l>3E no more than me day a rmrlh from penalhes lur Lnlr. ensed przaztrce outllned rn Secncn t22 Tlstieky Nome 9/6/2010 8:56:25 5 marlenemaheu Optron- ‘ __ Lf phone calls -L 16234) c lne anxfu -nt penallr-35 Gross Mrsdemeanor (Mm Slat §r3s: +41, $19 will - Posshle tlne up to 31003 Al«l0r‘UR -Pcrssblermprsonrrert up to t yen ‘ Yes (Mm Stat grmlsl a Licensed all-ol-stale [5YCmlU}l'Sl$ may praclloe n the state tor no rmre than 7 calendar days - l. ‘l. ry practrne up to 31) days per year I apply ta a guest Ioensue -Appicatron tor guest lrcensure must be renewed at least 33 Eesclamwr Thas docummt does not constitute legal advrce and should not be relied upon. as rt rs not rouuncly updated and was prepared WIt. hInf0i'l'n'1‘d0n iom other sources. whose accuracy was not mdependently venfied by APA APA sl. mngJy encourages the radar to xndependartly venty the mformauon cantamedhaetn and/ or conazlt wrth mdepmdent legal counsel rflhe reader mlends to use or othemsse rely on such Information Because the lawand related Informal: on contmually change and because APA relred on other sources to compxle mfr. -muuon coniatned hercm. APA cannot guarantee the curzpletmess. currency or accuracy ofthls domment
  50. 50. Amencan Psychotogncanl Assocranon Practnce Dnrectorare. Legal & Regulatory Affanrs Review March 2010 Psychologist General Telehealth Other Notable Temporary I Guest Penalties for Vlolntion Telehealth Provlslon Provlslon Aotivttles Lloense Avallabilttv - Am onl-rtstate physncsan pentorrrnrg care on an mstate - Requnred $50[1$t0(D Irne CALIFORNIA Yes (Cal Bts &Prol Code 51290‘ 5) - Statute explncrtl; ncludes psychnlagrsts under the ‘Incarnate’ detnnrtncn, and telemedncme statute apples to the protessnon patnent must hold an Arkansas rrednzal Incense - Does not use the terns telehealth ortelemedune Yes (Cal Bus &P: ol Code owns: :; , - Statute defnnes lelemedncne - Applne-5 to adwntles between patnent am ptactntnonet - Practrtnmer rrust be lncensed nn CA tor statute to apuy - Requnres lncertrale to acqure verbal andwrntten consent from palnent - Exernnilon-3 tor ernergenq sntuatnons Yes (Cal Bus 8. Prd Coo: $9121 incensed mi-ol-state psy chologlsts may practice lot a pernod not to exceed 33 days n Calnlonrua - Stdue doa not rndude a pre- regrstratton nemnnremerl - No possnole nmpnsomnent General lttsderreana (Cal Bus & Prd Code §29FO) - Poo-shle fine up to SKID &NDIOR — Possble In-prsonmert up to 6 months Yes(C RS $23109 - Statute nnc. hdes'the delarery ol lelerneournf 5 an actnntdlng under the pradnce ol rnenicnne - Accordngfil. a ptrysnaran must hol; t an nn-state Incense to use telemedcrne procedures Tlsticky Note maztenemaheu Note conditions ’ 9n»; /201:3 a-59:35 l-‘ On: -tncnn: ' Class 2 Msdemeanon (tnrst-cltersej or Class 6 Felony [subsequent otterse) (C R S §12-432213] Class 2 Msderneanon - Requ-red $2': 'A}$tlID lrne or3-l2 months rmnsorment Cl bctn Illasss Felony - Requnred $1k~$t0’Jktne - Requnned 12-I8 morttn nnprsmnvznt CONNECTICUT General Msderneana (Conn Gen Stat §2llt9G) Disclaimer Thns document does not commute legal adv: cc and should not be rated upon. as 1! rs not routmdy updated and was prepared wnth mformatxon from other sources, 9/nose ac curacy was not mdependcntly vatfied by APA APA strongly encourages me reader to tndependemly vernfy the mformatton contamed bemn and/ or consult Wflh Independent legal counsel If the reader nntends to use or otherwnse rely on such nnformau on Because the Lawand related nnt'ormal. ron contmually change and because APA rebed on otha sources to compnle nntonrauon contamed hcran. APA cannot guarantee the corrpleteness. currency or accuracy oflhrs document
  51. 51. ABOUT THE INFORMATION IN THIS REPORT The inforrnatian in this report was compiled through a survey ofstale counselor lltcllxtlft. ‘ board» conducted in fall M2009. State-by-stale analysis of lain‘ and adminiamtite niles was also conducted to add to the survey data. especially for the mo jurisdietiom. —Georgia and Pucrto Rico-that did not submit infomiation in response to our request. Every effort has been miidc to ensure 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 in eompletely without error. Readers are encouraged to bring any errors. omissions. or changes to our attention. For any questions or corrections regarding this cliart. please contact: American Counseling Asxociattion Ethics and Professional Stiindzinis 5999 Stevenson Avenue Alexandrizi. VA 22304 Web site: www. eounsellng. og U. S. tol| ~l'nce: X00/3-17-6647. xll-8 I DC amt: 703/823-9800. x314 Fax: 703/823-3760 E-mil: nhlncemnmnlnnnm For additional informsition. or clarific. -ttiori or interpretation of any of the laws and regulations . sumrn. trized in this report. pleave contact the : ippropriate state licensing board. Written and edited by Christie Lum. ACA Ofliee of Public Policy & Legislation. Howard B. Sinitlt. Ed. D. NCC. CCMHC. LPC (License M920 Louisiana) reviewed and revised Appendix D: Aecredil. 'ition. Cenification and Licensure Defined and (. 'onfiderttiality/ Pri‘ileg. 'ed ('tinimunii: .ition. Copyrighu‘Z0l0 by the American Counseling Association. Amerlcan Counseling Assoclatlott 5999 Stevenson Avenue Aleundrln. VA 12304 (800) 341-6647 muuiiiinxllnuin
  52. 52. ALABAMA AL Board oi Examiners in Counseling 950 22nd Street North. Suite 765 Birmingham. AL 35203 800/822-3307 205/458-8716 205/458-8718 (lax) www. abec. alabama. gorv Application packet (if mailed): 325 Application fee: S200 LPC License lee: $300 ALC License fee: S150 Liceuxurt Requlremenrsfar Pr0frs. tinnuI C0llIl. (l0I'. ‘ - 2010 Credential Titieis) Educational Experiential Exam Requirements Requirements Re - uired Licensed Professional Counselor (LPC) A person licensed to render proiessionai counseling services in private practice tor a tee. Associate Licensed Counselor (ALC) A person licensed to render professional counseling services in private practice for a tee 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 tor 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 oi professional counseling. This formula may be used for up to 2,000 hours.
  53. 53. 10 Ways to Get Free Licensure Info 9. Write to: - Malpractice carrier — Ethics boards (local, state, national) 10. Speak/ write to your state legislators (their offices)
  54. 54. . ’ll'1cml: Questions? uoui Marlene M. Maheu, Ph. D. www. suggort. telehea| th. org 619-255-2788

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