Section R. 338.1243 - Consent; scope of practice; standard of careRule 43.
(1) The licensee shall obtain informed consent for treatment before providing a telehealth service under section 16284 of the code, MCL 333.16284. Informed consent requires all of the following:(a) The licensee shall ensure that the patient understands that treatment is provided remotely using telehealth.(b) At the inception of care, any licensee who has contact with the patient shall identify himself or herself to the patient as an occupational therapist, occupational therapy assistant, or unlicensed individual.(c) The licensee shall ensure that the patient is mentally capable of giving informed consent for diagnosis, care, or treatment.(d) The licensee shall explain the alternatives, capabilities, and limitations of telemedicine and that the patient may decline to receive telehealth services.(2) If the patient is less than 18 years of age, or under the care of a legal guardian, a parent or legal guardian shall provide informed consent for the patient.(3) The licensee shall keep proof of consent for a telehealth service in the patient's up-to-date medical record and satisfy section 16213 of the code, MCL 333.16213.(4) A licensee who provides telehealth services shall comply with all of the following: (a) Act within the scope of his or her practice.(b) Exercise the same standard of care applicable to a traditional, in-person healthcare service.(c) Verify that telemedicine is appropriate to evaluate, diagnose, and treat the patient based on his or her unique presentation.(5) The licensee shall be able to examine the patient via a health insurance portability and accountability act (HIPAA) of 1996, Public Law 104-191, compliant, secure interactive audio or video, or both, telecommunications system, or through the use of store and forward online messaging.(6) Telehealth must be secure and comply with federal and state security and privacy regulations.Mich. Admin. Code R. 338.1243
2023 MR 8, Eff. 4/26/2023