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COVID-19

 

On this page:

  • TPA Updates
  • Information for Practitioners
    • FAQs
    • Current Regulations & Guidelines
    • NEW: Small Business Resources
    • Additional Resources
  • Helpful Mental Health Resources
    • TPA Blog
    • Coping with Anxiety During COVID-19
    • Talking with Your Kids During COVID-19

 

TPA Updates 

5/19: Read Texas mental health professionals’ recent letter to HHS requesting an extension of telehealth regulations: Letter to HHS

 

5/13: Read the letter from TPA and APA to Governor Abbott requesting he sustain telehealth services beyond the national emergency: Letter to Governor Abbott


5/13: Read Texas mental health professionals’ letter to Governor Abbott requesting an extension of telehealth services: Letter to Governor Abbott

 

4/10: Update from TPA President Megan Mooney, PhD

 

4/3: Update from TPA President Megan Mooney, PhD

 

3/31:Read our letter to Governor Abbott calling for clarification in TDI's emergency rulemaking regarding psychological and neuropsychological testing: TPA's Letter to Governor Abbott

 

3/31: Texas Psychologists Laud Statewide Mental Health Hotline

 

3/27: Update from TPA President Megan Mooney, PhD

 

3/25: TPA Announces The Pro Bono Project: COVID-19

 

3/24: Read our letter to Governor Abbott and Texas DSHS calling for DSHS to re-establish its database of mental health professionals: TPA's Letter to Governor Abbott

 

3/20: Update from TPA President Megan Mooney, PhD

 

3/16: Read our letter to TDI Commissioner Sullivan calling for immediate access to telehealth: TPA's Letter to TDI

 

3/16: Read Texas mental health professionals’ recent letter to Governor Abbott lauding expanded access to telehealth: Letter to Governor Abbott

 

 

FAQs

 

FAQs from TPA


 

Current Regulations & Guidelines

 

Regulatory Considerations

Regulatory waivers have provided a significant amount of flexibility to providers and clients. Psychologists should be aware not only of the new flexibilities, but also when those flexibilities end.

State law prohibits declarations lasting longer than thirty days. At this time it is assumed, but unknown if, the Governor will issue another proclamation extending his Disaster Declaration again. A federal emergency declaration, on the other hand, lasts a year unless it is terminated early by the President.

The following are a list of waivers with their current expiration dates.

Interjurisdictional Practice – This law allows providers in other states to render aid in Texas during a declared disaster. This authority will end when the Governor’s Disaster Declaration expires, which is currently August 9th.

Remote Supervision – TSBEP rule allows 50 percent of supervised experience to be performed remotely; this waiver allows all supervised experience to be performed remotely. This waiver will expire when the disaster declaration expires, which is currently August 9th.

Medicaid Audio-Only Services – This waiver allows psychologists to bill for therapy services, as well as CANS, ANSA, and the Uniform Assessment, provided through a telephone. It expires July 31st.

TDI Emergency Rule – This emergency rule requires state-regulated insurance plans to cover services provided through telehealth. It expires Sept. 12.

Medicare Services – These waivers allow psychologists to provide many of their typical services through audio-only telephones. The waivers also add new services to the list of services that can be provided through traditional telehealth platforms. The waivers will expire when the federal emergency declaration expires in 2021.

HIPAA – The Office for Civil Rights (OCR) at the Department of Health and Human Services has indicated that it will not be enforcing HIPAA rules for telehealth communications against providers who in good faith use non-HIPAA compliant non-public facing remote communication apps or services to deliver services to patients. OCR has said that these flexibilities will continue throughout the public health emergency, and there is no specific expiration date.

 

TSBEP

New: Important License Information

Due to the seemingly overnight need to adopt telehealth practices, TPA and TSBEP would like to remind you that licensed psychologists have specific requirements from TSBEP regarding displays of license information that presumes in-person contact with clients. If you are providing telehealth, TPA strongly urges you to post the following information on your website: 

[Insert Name] is a Licensed Psychologist with the Texas State Board of Examiners of Psychologists (TX License #[Insert Number]; Expires [Insert Date]).  For information on how to verify a license, please go to www.tsbep.texas.gov.   For information on how to file a complaint, please go to the following page:  https://www.tsbep.texas.gov/how-to-file-a-complaint-enforcement.

TSBEP Guidelines on the Practice of Telepsychology

 

Governor Abbott Waives Certain Regulations for Telehealth & Telemedicine

APA

APA Practice Resources During COVID-19

APA Guidelines for the Practice of Telepsychology


HIPAA

The Office for Civil Rights at the federal HHS announced it will exercise its enforcement discretion and will waive potential penalties for HIPAA violations. This opens the door for providers to offer FaceTime or Skype, when used in good faith. (TPA recommends these as a last resort.)  Guidelines have been released.

 

Medicare

CMS announced expanded access to Medicare telehealth services. Beginning on March 6, Medicare will temporarily pay providers to provide telehealth services to Medicare beneficiaries across the country. On March 30, CMS issued additional telehealth guidelines, below. Limited services may now be provided by telephone. Accelerated and advance payments are also now available.

Medicaid

Texas HHS is now providing weekly COVID-19 informational updates. Here you can find a link to additional provider information. For additional questions, please write to Medicaid_COVID_Questions@hhsc.state.tx.us.

 

Interjurisdictional Practice 

ASPPB has been working with member jurisdictions (states and provinces) to determine interjurisdictional practiceHere you can find a list of states/provinces and their responses to the interjursidictional practice questions. ASPPB will update every afternoon. Additionally, the APA has compiled a State-by-State Guide

 

Information for Clinical Psychologists

Society of Clinical Psychology Telepsychology Resources

Taylor and Francis Free Content

 

Pearson

 

Information for Forensic Psychologists

Supreme Court Coronavirus Update (4/1)


 

Small Business Resources

 

The CARES Act established four new, temporary assistance programs:

  • Paycheck Protection Program - provides loan forgiveness for retaining employees by temporarily expanding the traditional SBA 7(a) loan program). You can submit your application now.
  • EIDL Loan Advance - will provide up to $10k of economic relief to businesses that are currently experiencing temporary difficulties. This money will be distributed within three days of applying.
  • SBA Express Bridge Loans - enables small business who currently have a business relationship with an SBA Express lender to access up to $25k quickly
  • SBA Debt Relief - provides a financial reprieve to small businesses during the pandemic

 

Small Business Guidance & Loan Resources, US Small Business Administration

 

Summaries

The Small Business Owner's Guide to the Cares Act, US Senate Committee on Small Business and Entrepreneurship

Side-by-Side Explanation of EIDL and PPP, NFIB

Summary of PPP Forgivable Loans, NFIB

 

  

Texas Workforce Commission


 

Additional Resources

 

TPA

A Psychologist's Toolkit to Offering Telepsychology, TPA

 

Ron Palomores, PhD, et al. (2016). Critical Concerns When Incorporating Telepractice in Outpatient Settings and Private PracticeJournal of Child and Adolescent Psychopharmacology, 26(3), 252-259.

 

American Psychological Association

COVID-19 Information and Resources

Pandemics

Self Care Resources

 

American Professional Agency

ALERT: COVID-19 and Telehealth Resources

 

The Trust

COVID-19 Resources for Practitioners

 

Headspace

Headspace is offering a free Headspace Plus membership for healthcare providers in public health settings through the end of 2020.



 

 

Coping with Anxiety During COVID-19

 

TPA

Listen to these tips from TPA President Dr. Megan Mooney on CBS News at 5pm-Tyler.

TPA Member Blog on COVID-19

 

American Psychological Association

 

CDC

Manage Anxiety and Stress

 

National Child Traumatic Stress Network

Taking Care of Yourself

 

American Society for Suicide Prevention

Mental Health and COVID-19

 

Dr. Don Meichenbaum 

Roadmap to Resilience


 

Talking with Your Kids During COVID-19

 

CDC

      

National Child Traumatic Stress Network

 

University of Colorado School of Medicine

COVID-19 Resources Specific for Individuals with I/DD and ASD and their Families

 

Child Mind Institute

Resources for Parents

 

Attachment, Regulation, and Competency

The Attachment, Regulation and Competency (ARC) Framework

   

The Foundation Trust

COVID-19 Pandemic Coping Strategies for Youth with a History of Complex Trauma 

 
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