As used in this subpart:

1. (1) “Distant site” means the location of the licensee delivering services through telepractice at the time the services are provided;

2. (2)

   1. (A) “Originating site” means a site at which a patient is located at the time healthcare services are provided to him or her by means of telepractice.
   2. (B) “Originating site” includes the home of a patient;

3. (3)

   1. (A) “Professional relationship” means at a minimum a relationship established between a licensee and a patient when:

      1. (i) The licensee has previously conducted an in-person examination of the patient and is available to provide appropriate follow-up care, when necessary, at medically necessary intervals;
      2. (ii) The licensee personally knows the patient and the patient's relevant health status through an ongoing personal or professional relationship and is available to provide appropriate follow-up care, when necessary, at therapeutically necessary intervals;
      3. (iii) The treatment is provided by a licensee in consultation with, or upon referral by, another healthcare professional who has an ongoing professional relationship with the patient and who has agreed to supervise the patient's treatment, including follow-up care;
      4. (iv) An on-call or cross-coverage arrangement exists with the patient's regular treating healthcare professional or another healthcare professional who has established a professional relationship with the patient;
      5. (v) A relationship established under rules of the Arkansas State Medical Board may be utilized for telepractice certification; or

      6. (vi)

         1. (a) (a) The licensee has access to a patient's personal health record maintained by a healthcare professional and uses any technology deemed appropriate by the licensee, including the telephone, with a patient located in Arkansas to diagnose and treat the patient.
         2. (b) (b) For purposes of this subchapter, a health record may be created with the use of telepractice, consists of relevant clinical information required to treat a patient, and is reviewed by the licensee who meets the same standard of care for a telepractice visit as an in-person visit.

   2. (B) “Professional relationship” does not include a relationship between a licensee and a patient established only by the following:

      1. (i) An internet questionnaire;
      2. (ii) An email message;
      3. (iii) Patient-generated medical history;
      4. (iv) Text messaging;
      5. (v) A facsimile machine; or
      6. (vi) Any combination of means listed in subdivisions (3)(B)(i) – (v) of this section;
4. (4) “Remote patient monitoring” means the use of synchronous or asynchronous electronic information and communication technology to collect personal health information and medical data from a patient at an originating site that is transmitted to a licensee at a distant site for use in the treatment and management of medical conditions that require frequent monitoring;
5. (5) “Store-and-forward technology” means the asynchronous transmission of a patient's medical information from a healthcare professional at an originating site to a licensee at a distant site;
6. (6) “Telepractice” includes store-and-forward technology and remote patient monitoring; and
7. (7) “Telepractice service” means the application of telecommunication technology equivalent in quality to services delivered face-to-face to deliver speech-language pathology or audiology services, or both, at a distance for assessment, intervention or consultation, or both.