Travel is an unavoidable reality for many therapists, whether for conferences, training, or networking events. While there are benefits to travel, it comes at the cost of not being able to offer therapy to clients. Telehealth may be an option, but the legal landscape varies from state to state.
Here’s a guide to navigating the complexities of offering telehealth while traveling.
Can A Therapist Offer Telehealth When Traveling To Another State?
Whether you can provide telehealth services while traveling depends on the specific regulations of each state.
Check The Rules In The State You’re Traveling From
State licensing laws generally assume that therapy occurs where the client is located. If the client is in Oregon and the therapist is in Arizona, the therapy session is generally seen to have taken place in Oregon.
The state where the client is located is known as the “originating site”, while the state where the therapist has traveled to is known as the “distant site”.
Check The Rules In The State You’re Traveling To
Next, consider the regulations in the state you’re visiting. Although the originating site (where the client is located) largely dictates the rules, the distant site (where the therapist is located) can impose restrictions or require notifications.
Common limitations may include:
- Temporary Practice: Many states allow for temporary practice, permitting you to work in that state for a limited time.
- State Notification: You might need to inform the licensing board of the state you’re visiting about your actions.
- Client Notification: Some states require clients to sign specific disclosures before sessions can proceed.
If you can’t find the necessary information online, contacting the state licensing board directly can prevent unintentional violations.
In some states, teletherapy across state lines is prohibited. In such cases, consider reaching out to the state board for permission. Although success is not guaranteed, it is worth the effort.
Speak To Your Insurer
Once you understand your legal boundaries, consult your insurer. While they can’t prevent you from practicing across state lines, they can advise on potential issues. Ensure you have appropriate coverage, especially if you’re offering telehealth for the first time or as a temporary measure.
What About A Crisis?
Telehealth enables therapists to maintain contact with clients during travel, helping to avoid income loss and treatment disruption. However, in a crisis where a client poses a danger to themselves or others, prioritize client safety over regulatory compliance. Ethically, providing the best care should be your primary concern, and you should be able to defend this choice if necessary.
Can A Therapist Offer Telehealth When Traveling To Another Country?
When traveling internationally, similar rules apply. First, check the regulations where your client is located, and then review the rules in your destination country.
Additional Considerations
State guidelines are just part of the equation. Before conducting a telehealth session across state lines, consider these factors:
- HIPAA Compliance: Ensure secure internet and video connections to maintain client confidentiality, even on the go.
- Informed Consent: Inform your clients of your travel plans, as these can impact the care they receive. Informed consent might be required by the state you’re traveling to.
- Service Quality: Ensure that your level of service remains consistent, whether in the office or on the road, to avoid accusations of malpractice.
Conclusion
Telehealth allows therapists to continue working while traveling without sacrificing earnings. However, it’s essential to understand and comply with the regulations of both your home state and the state you’re visiting.
