News & Perspectives

Use of telehealth in early intervention (IDEA Part C) – Resources to consider during the COVID-19 public health emergency.

17. March 2020 PCG Human Services

Practice / Effectiveness:

A number of states are already using telehealth in early intervention Part C that has included funding from both Medicaid and Private health insurance. There are a few articles that have looked at the use of telehealth within early intervention Part C:

  1. Overview of States’ Use of Telehealth for the Delivery of Early Intervention (IDEA Part C) Services
    Jana Cason, DHS, OTR/L; Diane Behl, M.Ed.; Sharon Ringwalt, PhD, CCC-SLP

  2. Report on the Use of Telehealth in Early Intervention in Colorado: Strengths and Challenges with Telehealth as a Service Delivery Method
    Beth Cole, EDD , Katherine Pickard, PHD , Arlene Stredler-Brown, PHD, CCC-SLP International Journal of Telerehabilitation (Spring 2019)

  3. Telerehabilitation: An Adjunct Service Delivery Model for Early Intervention Services
    Jana Cason, DHS, OTR/L, International Journal of Telerehabilitation (Spring 2011)

  4. Tele-Intervention: The Wave of the Future Fits Families’ Lives Today
    Diane D. Behl, K. Todd Houston, W. Spencer Guthrie, and Nancy K. Guthrie, EP Magazine (Dec. 2010)

  5. A Multisite Study Evaluating the Benefits of Early Intervention via Telepractice
    Behl, Diane D. MEd; Blaiser, Kristina PhD; Cook, Gina PhD; Barrett, Tyson BS; Callow-Heusser, Catherine PhD; Brooks, Betsy Moog MS; Dawson, Pamela MEd; Quigley, Suzanne PhD; White, Karl R. PhD, Infants and Young Children (April / June 2017)

  6. The Development of Statewide Policies and Procedures To Implement Telehealth for Part C Service Delivery
    Beth Cole, MNM, Arlene Stredler-Brown, PhD, Becki Cohill, OTD, Kristina Blaiser, PHD, Diane Behl, PhD, Sharon Ringwalt, PhD, International Journal of Telerehabilitation (Fall 2016)


Other Resources Specific to Telehealth in Early Intervention:

  1. National Center for Hearing Assessment and Management (NCHAM) – Utah State University
    ‘A Practical Guide to the Use of Tele-Intervention in Providing Early Intervention Services to Infants and Toddlers Who Are Deaf or Hard of Hearing’ -

    Over the past 8-9 years, NCHAM has been supporting the knowledge base and research to determine the effectiveness of tele-Intervention (TI). They believe TI is a useful tool in serving families of children who are Deaf and Hard-of-hearing and applies to the use in promoting communication development. This guide has applicability across early intervention and has great resources on technology, sample consent form etc.

  2. Colorado Early Intervention – Telehealth ‘Live Video Visits’ Resources

    Colorado has a number of resources they have developed to implement what they have termed ‘live video visits’

  3. American Physical Therapy Association

    Includes a variety of resources on practice and billing and a blog post on telehealth ethics Best Practice and the Law (Aug 2019)

  4. American Occupational Therapy Association

    Including a position paper, webinar, ethics advisory

  5. American Speech-Language-Hearing Association

    including extensive information on key issues and resources (including HIPAA, funding)


Funding - Medicaid and Private Insurance:

  1. Center for Connected Health Policy – National Telehealth Policy Resources Center CCHP report that:

    a. All Fifty states and Washington, DC provide reimbursement for some form of live video in Medicaid fee-for-service.

    b. Twenty-three states limit the type of facility that can serve as an originating site.

    c. Forty states and DC currently have a law that governs private payer telehealth reimbursement policy.

  2. CCHP Current State Laws and Reimbursement Policies
    Interactive map and search options below including current laws and regulations for all fifty states and the District of Columbia regarding Medicaid and private insurance


HIPAA and Technology

  1. NOSORH (National Organization of State Offices of Rural Health) Infographic: Telehealth Technologies and Preparing to Select a Vendor

  2. Telehealth Technology Assessment Resource Center

    Includes a toolkit regarding video and how to select them and includes a webinar

  3. The Center for Connected Health Policy (CCHP)
    A public interest nonprofit organization that develops and advances telehealth policy solutions to promote improvements in health and health care systems. HIPAA and Telehealth Fact Sheet

  4. Webinar - Essential Elements of the HIPAA Security Law - Privacy and Security Assessment for Internet-based Technologies
    Valerie Watslaf et al, University of Pittsburg, School of Health and Rehabilitation Sciences

  5. VoIP for Telerehabilitation: A Pilot Usability Study for HIPAA Compliance
    Valerie R. Watzlaf, PhD, RHIA, FAHIMA Briana Ondich, BS, RHIA

Other Resources:

  1. National Consortium of Telehealth Resource Centers

    Includes map and links to the 12 Telehealth Resource Center that support all states and territories. Telehealth Resource Centers (TRCs) have been established to provide assistance, education, and information to organizations and individuals who are actively providing or interested in providing health care at a distance. Their charter from the Office for Advancement of Telehealth is to assist in expanding the availability of health care to rural and underserved populations. Their federal funding means the assistance they provide is generally free of charge.

  2. US Health Resources and Services Administration – Federal Office of Rural Health Policy

    The Office for the Advancement of Telehealth (OAT) promotes the use of telehealth technologies for health care delivery, education, and health information services and believes that telehealth is especially critical in rural and other remote areas that lack sufficient health care services, including specialty care.