| (a) Except as described in subsection (c) of this section,
a service provider of physical therapy, occupational therapy, or speech
and language pathology may provide physical therapy, occupational
therapy, or speech and language pathology to an individual as a telehealth
service.
(b) If a service provider of physical therapy, occupational
therapy, or speech and language pathology provides physical therapy,
occupational therapy, or speech and language pathology to an individual
as a telehealth service, a DSA must ensure that the service provider:
(1) uses a synchronous audio-visual platform to interact
with the individual, supplemented with or without asynchronous store
and forward technology;
(2) does not use an audio-only platform to provide
the service; and
(3) before providing the telehealth service:
(A) obtains the written informed consent of the individual
or LAR to provide the service; or
(B) obtains the individual or LAR's oral consent to
receive the telehealth service and document's the oral consent in
the individual's record.
(c) A DSA must ensure that a service provider of physical
therapy, occupational therapy, or speech and language pathology performs
certain services in person, as required by the Texas Medicaid Provider
Procedures Manual. Such services must include:
(1) a service that requires a physical agent modality
or hands-on therapy, such as a paraffin bath, aquatic therapy, manual
therapy, massage, and ultrasound;
(2) orthotic management and training, initial encounter
and subsequent encounters;
(3) prosthetic management or training for an upper
or lower extremity, initial encounter and subsequent encounters;
(4) a wheelchair assessment and training; and
(5) a complex rehabilitation technology assessment.
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