Nevada
Nevada Professions, Occupations and Businesses Sec. 629.515 “Valid license or certificate required; exception; restrictions; jurisdiction over and applicability of laws. 1.Except as otherwise provided in this subsection, before a provider of health care who is located at a distant site may use telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient, the provider must hold a valid license or certificate to practice his or her profession in this State, including, without limitation, a special purpose license issued pursuant to NRS 630.261. The requirements of this subsection do not apply to a provider of health care who is providing services within the scope of his or her employment by or pursuant to a contract entered into with an urban Indian organization, as defined in 25 U.S.C. § 1603. 2.The provisions of this section must not be interpreted or construed to: (a)Modify, expand or alter the scope of practice of a provider of health care; or (b)Authorize a provider of health care to provide services in a setting that is not authorized by law or in a manner that violates the standard of care required of the provider of health care. 3.A provider of health care who is located at a distant site and uses telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient: (a)Is subject to the laws and jurisdiction of the State of Nevada, including, without limitation, any regulations adopted by an occupational licensing board in this State, regardless of the location from which the provider of health care provides services through telehealth. (b)Shall comply with all federal and state laws that would apply if the provider were located at a distant site in this State. 4.As used in this section: (a)Distant site means the location of the site where a telehealth provider of health care is providing telehealth services to a patient located at an originating site. (b)Originating site means the location of the site where a patient is receiving telehealth services from a provider of health care located at a distant site. (c)Telehealth means the delivery of services from a provider of health care to a patient at a different location through the use of information and audio-visual communication technology, not including standard telephone, facsimile or electronic mail.” Social workers Bd. of Exam’rs for Social Workers’ regulations. CHAPTER 641B - SOCIAL WORKERS GENERAL PROVISIONS NAC 641B.124 Practice by electronic, telephonic or other means. (NRS 641B.160) The provision of social work services to a client within this State through any means, including, without limitation, electronic means or by telephone, regardless of the location of the social worker, constitutes the practice of social work and is subject to the provisions of chapter 641B of NRS and any regulations adopted pursuant to that chapter. (Added to NAC by Bd. of Exam’rs for Social Workers by R113-98, eff. 1-13-99) Nevada Professions, Occupations and Businesses Sec. 629.515 “Valid license or certificate required; exception; restrictions; jurisdiction over and applicability of laws. 1.Except as otherwise provided in this subsection, before a provider of health care who is located at a distant site may use telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient, the provider must hold a valid license or certificate to practice his or her profession in this State, including, without limitation, a special purpose license issued pursuant to NRS 630.261. The requirements of this subsection do not apply to a provider of health care who is providing services within the scope of his or her employment by or pursuant to a contract entered into with an urban Indian organization, as defined in 25 U.S.C. § 1603. 2.The provisions of this section must not be interpreted or construed to: (a)Modify, expand or alter the scope of practice of a provider of health care; or (b)Authorize a provider of health care to provide services in a setting that is not authorized by law or in a manner that violates the standard of care required of the provider of health care. 3.A provider of health care who is located at a distant site and uses telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient: (a)Is subject to the laws and jurisdiction of the State of Nevada, including, without limitation, any regulations adopted by an occupational licensing board in this State, regardless of the location from which the provider of health care provides services through telehealth. (b)Shall comply with all federal and state laws that would apply if the provider were located at a distant site in this State. 4.As used in this section: (a)Distant site means the location of the site where a telehealth provider of health care is providing telehealth services to a patient located at an originating site. (b)Originating site means the location of the site where a patient is receiving telehealth services from a provider of health care located at a distant site. (c)Telehealth means the delivery of services from a provider of health care to a patient at a different location through the use of information and audio-visual communication technology, not including standard telephone, facsimile or electronic mail.” Nevada is a PSYPACT PARTICIPATING STATE- NV AB 429 (Enacted on 5/26/2017) "To practice telepsychology under the authority of PSYPACT, you will need to apply for and obtain an E.Passport from the Association of State and Provincial Psychology Boards (ASPPB) and apply for and obtain an Authority to Practice Interjurisdictional Telepsychology (APIT) from the PSYPACT Commission." Refer to the source provided for all requirements and limitations. Assembly Bill No. 292 Sec 6 “Sec. 6. NRS 630.020 is hereby amended to read as follows: 630.020 “Practice of medicine” means: 1. To diagnose, treat, correct, prevent or prescribe for any human disease, ailment, injury, infirmity, deformity, or other – 5 – - condition, physical or mental, by any means or instrumentality, including, but not limited to, the performance of an autopsy. 2. To apply principles or techniques of medical science in the diagnosis or the prevention of any such conditions. 3. To perform any of the acts described in subsections 1 and 2 by using equipment that transfers information concerning the medical condition of the patient electronically, telephonically or by fiber optics, including, without limitation, through telehealth, from within or outside this State or the United States.” Refer to the source provided for all requirements and limitations. NV Revised Statutes Sec. 629.515(1) “Before a provider of health care who is located at a distant site may use telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient, the provider must hold a valid license or certificate to practice his or her profession in this State, including, without limitation, a special purpose license issued pursuant to NRS 630.261. The requirements of this subsection do not apply to a provider of health care who is providing services within the scope of his or her employment by or pursuant to a contract entered into with an urban Indian organization, as defined in 25 U.S.C. § 1603.” NV Revised Statutes Sec. 639.235(a) “A bona fide relationship between the patient and the person prescribing the controlled substance shall be deemed to exist if the patient was examined in person, electronically, telephonically or by fiber optics, including, without limitation, through telehealth, within or outside this State or the United States by the person prescribing the controlled substances within the 6 months immediately preceding the date the prescription was issued.” NV Revised Statutes Sec. 632.237(4) “An advanced practice registered nurse authorized to prescribe controlled substances may do so electronically, telephonically or by fiber optics, including telehealth, from within or outside Nevada or the United States.” NRS 629.515 ”Valid license or certificate required; exception; restrictions; jurisdiction over and applicability of laws.” “1. Except as otherwise provided in this subsection, before a provider of health care who is located at a distant site may use telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient, the provider must hold a valid license or certificate to practice his or her profession in this State, including, without limitation, a special purpose license issued pursuant to NRS 630.261. The requirements of this subsection do not apply to a provider of health care who is providing services within the scope of his or her employment by or pursuant to a contract entered into with an urban Indian organization, as defined in 25 U.S.C. § 1603.” “2. The provisions of this section must not be interpreted or construed to: (a) Modify, expand or alter the scope of practice of a provider of health care; or (b) Authorize a provider of health care to provide services in a setting that is not authorized by law or in a manner that violates the standard of care required of the provider of health care.” “3. A provider of health care who is located at a distant site and uses telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient: (a) Is subject to the laws and jurisdiction of the State of Nevada, including, without limitation, any regulations adopted by an occupational licensing board in this State, regardless of the location from which the provider of health care provides services through telehealth. (b) Shall comply with all federal and state laws that would apply if the provider were located at a distant site in this State.” “4. As used in this section: (a) “Distant site” means the location of the site where a telehealth provider of health care is providing telehealth services to a patient located at an originating site. (b) “Originating site” means the location of the site where a patient is receiving telehealth services from a provider of health care located at a distant site. (c) “Telehealth” means the delivery of services from a provider of health care to a patient at a different location through the use of information and audio-visual communication technology, not including standard telephone, facsimile or electronic mail.” (Added to NRS by 2015, 621) Refer to the source provided for all requirements and limitations. NV Revised Statutes Sec. 629.515(1) “Before a provider of health care who is located at a distant site may use telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient, the provider must hold a valid license or certificate to practice his or her profession in this State, including, without limitation, a special purpose license issued pursuant to NRS 630.261. The requirements of this subsection do not apply to a provider of health care who is providing services within the scope of his or her employment by or pursuant to a contract entered into with an urban Indian organization, as defined in 25 U.S.C. § 1603.” NV Revised Statutes Sec. 639.235(a) “A bona fide relationship between the patient and the person prescribing the controlled substance shall be deemed to exist if the patient was examined in person, electronically, telephonically or by fiber optics, including, without limitation, through telehealth, within or outside this State or the United States by the person prescribing the controlled substances within the 6 months immediately preceding the date the prescription was issued.” NV Revised Statutes Sec. 632.237(4) “An advanced practice registered nurse authorized to prescribe controlled substances may do so electronically, telephonically or by fiber optics, including telehealth, from within or outside Nevada or the United States.” Refer to the source provided for all requirements and limitations. Source: NV Dept. of Health and Human Svcs., Medicaid Services Manual, Section 3403, p. 1; 3403.5, p. 2 (Jul. 27, 2017) "The DHCFP reimburses for telehealth services. The originating site must be located within the state. "Telehealth" is defined as the delivery of service from a provider of health care to a patient at a different location through the use of information and audio-visual communication technology, not including standard telephone, facsimile, or electronic mail. Services provided via telehealth must be clinically appropriate and within the health care professional's scope of practice as established by its licensing agency. Services provided via telehealth have parity with in-person health care services. Health care professionals must follow the appropriate Medicaid Services Manual (MSM) policy for the specific service they are providing." "Licensed Clinical Psychologist (LCP), Licensed Clinical Social Worker (LCSW) and clinical staff employed and determined by a state mental health agency to meet established class specification qualifications of a Mental Health Counselor, Clinical Social Worker or Refer to the source provided for all requirements and limitations. “Before a provider of health care who is located at a distant site may use telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient, the provider must hold a valid license or certificate to practice his or her profession in this State, including, without limitation, a special purpose license issued pursuant to NRS 630.261. The requirements of this subsection do not apply to a provider of health care who is providing services within the scope of his or her employment by or pursuant to a contract entered into with an urban Indian organization, as defined in 25 U.S.C. § 1603.” Source: NV Revised Statutes Sec. 629.515(1) (Accessed Mar. 2020). “A bona fide relationship between the patient and the person prescribing the controlled substance shall be deemed to exist if the patient was examined in person, electronically, telephonically or by fiber optics, including, without limitation, through telehealth, within or outside this State or the United States by the person prescribing the controlled substances within the 6 months immediately preceding the date the prescription was issued.” Source: NV Revised Statutes Sec. 639.235(4). (Accessed Mar. 2020). “If a practitioner, other than a veterinarian, prescribes a controlled substance listed in schedule II, III or IV for the treatment of pain, the practitioner shall not issue more than one additional prescription that increases the dose of the controlled substance unless the practitioner meets with the patient, in person or using telehealth, to reevaluate the treatment plan.” Source: NV Revised Statutes Sec. 639.23911(2). (Accessed Mar. 2020). “Before prescribing a schedule II, III, or IV controlled substance to continue the treatment of pain of a patient who has used the controlled substance for 90 consecutive days or more, a practitioner must (among other requirements) meet with the patient in-person or through telehealth to review the treatment plan and determine whether continuation of treatment using the controlled substance is medically appropriate.” Source: NV Revised Statutes Sec. 639.23913. (Accessed Mar. 2020). “An advanced practice registered nurse authorized to prescribe controlled substances may do so electronically, telephonically or by fiber optics, including telehealth, from within or outside Nevada or the United States.” Source: NV Revised Statutes Sec. 632.237(4). (Accessed Mar. 2020). Refer to the source provided for all requirements and limitations. Originating Site Reimbursement: NV Dept. of Health and Human Svcs., Medicaid Services Manual, Section 3403.1, p. 1 (Jul. 27, 2017) "If a patient is receiving telehealth services at an originating site not enrolled in Medicaid, the originating site is not eligible for a facility fee from the DHCFP. Examples of this include, but are not limited to, cellular devices, home computers, kiosks and tablets." Source: NV Revised Statute Sec. 689A.0463 "1. A policy of health insurance must include coverage for services provided to an insured through telehealth to the same extent as though provided in person or by other means." Refer to the source provided for all requirements and limitations. We are not aware of any permission that allows for services delivered by Counselors, Social Workers, or Marriage and Family Therapists. Psychologists: Nevada is a member of the Psychology Interjurisdictional Compact (PSYPACT): https://www.asppb.net/mpage/legislative Refer to the source provided for all requirements and limitations.Counselors
Social Workers
Marriage and Family Therapists
Psychologists
Psychiatrists
Nevada Professional Regulation/Health & Safety Online Prescribing
Nurses
Nevada Professional Regulation/Health & Safety Online Prescribing
Medicaid Telehealth Parity Law
Psychological Assistant may bill and receive reimbursement for psychotherapy (via a HIPAA-compliant telecommunication system), but may not seek reimbursement for medical evaluation and management services. Refer to MSM Chapter 400, Mental Health and Alcohol and Substance Abuse Services, for medical coverage requirements."Nevada Professional Regulation/Health & Safety Online Prescribing
Private Pay Telehealth Parity Law
Permission for the Temporary Practice of Clinicians Licensed Outside the State
Note: As this is a free resource and Rules and Regulations regarding Telehealth are always changing, we appreciate any updates or corrections. They can be emailed to us at
Telemental health is not a separate service from mental health services. All state licensing boards require that licensed clinicians follow all the regulations for practicing under their license no matter what medium of communication is used. All licensing boards also require that clinicians only practice within the boundaries of their competence. This usually requires education, continuing education, and/or supervision in telemental health. Complete our telehealth training program to cover all the essential competencies of providing telemental health services and earn the THTC (Telemental Health Training Certificate).
Note: As this is a free resource and Rules and Regulations regarding Telehealth are always changing, we appreciate any updates or corrections. They can be emailed to us at [email protected] with a link to the source or a citation of the rule or regulation.
Telemental health is not a separate service from mental health services. All state licensing boards require that licensed clinicians follow all the regulations for practicing under their license no matter what medium of communication is used. All licensing boards also require that clinicians only practice within the boundaries of their competence. This usually requires education, continuing education, and/or supervision in telemental health. Complete our telehealth training program to cover all the essential competencies of providing telemental health services and earn the THTC (Telemental Health Training Certificate).