April 15, 2020

Due to COVID-19 the following CLASS professional and specialized therapy services may be provided by telehealth. This is effective through April 30, 2020.

  • Physical therapy
  • Occupational therapy
  • Speech and language pathology
  • Recreational therapy
  • Music therapy
  • Behavior support
  • Dietary services
  • Cognitive rehabilitation therapy

Acceptable telehealth formats are synchronous audiovisual interaction or asynchronous store and forward technology. Use these along with synchronous audio interaction between the client and the distant site provider.
The Office of Civil Rights has relaxed HIPAA requirements to allow for the use of video capabilities to deliver services by telehealth. Texas Medicaid recognizes OCR’s HIPAA enforcement discretion as it relates to telehealth platform requirements.
Therapies must have a treatment plan with goals and outcomes that support being provided through telehealth. Revision of therapy hours may be added to an IPC and authorized by HHSC per the process outlined in IL 20-12.
CLASS therapies not eligible for delivery via telehealth are:

  • Massage therapy
  • Hippotherapy
  • Therapeutic horseback riding
  • Aquatic therapy

Contact your program policy mailbox at CLASSPolicy@hhsc.state.tx.us with questions about this alert.