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Legal and Jurisdiction
Issues
Week 3
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
CFR 42 Part 2
Confidentiality
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
Learning Activity - Mock Zoom Session
• 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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Sb vc week 3 legal issues 508_workwise template

  • 2. 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.
  • 3. What do you know? Tele-Behavioral Health guidelines in your region or state
  • 7. HIPPA Compliance in Behavioral Telehealth • How does the Platform Secure the Virtual Environment • ZOOM Security Measures
  • 8. Informed Consent • Nature of Treatment • Risks • Benefits • Alternatives • Opportunity for Questions What are the risks and benefits of behavioral telehealth? Informed Consent
  • 9. Learning Activity - Mock Zoom Session
  • 10. • 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
  • 11. 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
  • 12. Acceptance of Tele-Behavioral Health • Reimbursement and Funder Issues  Insurance  Medicaid  CFBHN  Grants • Judicial Issues
  • 13. 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
  • 14. 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….