Section 263.9 - Providing Physical Therapy, Occupational Therapy, and Speech and Language Pathology as a Telehealth Service(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 program provider 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 documents the oral consent in the individual's record.(c) A program provider must ensure that a service provider of physical therapy, occupational therapy, or speech and language pathology performs services in person, as required by the Texas Medicaid Provider Procedures Manual. Such services 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.26 Tex. Admin. Code § 263.9
Adopted by Texas Register, Volume 48, Number 08, February 24, 2023, TexReg 1098, eff. 3/1/2023