# 26 Tex. Admin. Code § 259.360: 26 TAC § 259.360. Providing Physical Therapy, Occupational Therapy, and Speech and Language Pathology as a Telehealth Service

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_360

## Section

- **Citation:** 26 Tex. Admin. Code § 259.360
- **Heading:** 26 TAC § 259.360. Providing Physical Therapy, Occupational Therapy, and Speech and Language Pathology as a Telehealth Service
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Texas Administrative Code / Title 26 HEALTH AND HUMAN SERVICES / Part 1 HEALTH AND HUMAN SERVICES COMMISSION / Chapter 259 COMMUNITY LIVING ASSISTANCE AND SUPPORT SERVICES (CLASS) PROGRAM AND COMMUNITY FIRST CHOICE (CFC) SERVICES / 26 TAC § 259.360

## Text

(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 DSA 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 document's the oral consent in
 the individual's record.
(c) A DSA must ensure that a service provider of physical
 therapy, occupational therapy, or speech and language pathology performs
 certain services in person, as required by the Texas Medicaid Provider
 Procedures Manual. Such services must 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.

## Nearby sections

- [26 Tex. Admin. Code § 259.351 26 TAC § 259.351. DSA: Compliance with Rules](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_351.md)
- [26 Tex. Admin. Code § 259.353 26 TAC § 259.353. DSA: Protection of an Individual](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_353.md)
- [26 Tex. Admin. Code § 259.355 26 TAC § 259.355. Qualifications of DSA Staff Persons](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_355.md)
- [26 Tex. Admin. Code § 259.357 26 TAC § 259.357. Training of DSA Staff Persons, Service Providers, and Volunteers](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_357.md)
- [26 Tex. Admin. Code § 259.359 26 TAC § 259.359. DSA: Service Delivery](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_359.md)
- [26 Tex. Admin. Code § 259.360 26 TAC § 259.360. Providing Physical Therapy, Occupational Therapy, and Speech and Language Pathology as a Telehealth Service](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_360.md)
- [26 Tex. Admin. Code § 259.361 26 TAC § 259.361. Respite and Dental Treatment](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_361.md)
- [26 Tex. Admin. Code § 259.363 26 TAC § 259.363. DSA: Documentation of Services Delivered and Recordkeeping](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_363.md)
- [26 Tex. Admin. Code § 259.365 26 TAC § 259.365. Employment Assistance and Supported Employment](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_365.md)
- [26 Tex. Admin. Code § 259.369 26 TAC § 259.369. DSA: Reporting Allegations of Abuse, Neglect, or Exploitation of an Individual](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_369.md)
- [26 Tex. Admin. Code § 259.371 26 TAC § 259.371. DSA: Requirements Related to the Abuse, Neglect, and Exploitation of an Individual](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_371.md)
- [26 Tex. Admin. Code § 259.373 26 TAC § 259.373. DSA: Requirement for Translation](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_373.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C259_S259_360. Check the current official text before relying on it. Not legal advice.