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42.6.7.3 Provider and Supervision Requirements
Speech therapy services are eligible for reimbursement when they are provided by an ASHA-certified SLP who holds a Texas license or an ASHA-equivalent SLP (has a master's degree in the field of speech language pathology and a Texas license). Speech therapy services are also eligible for reimbursement when provided by an SLP with a state education agency certification, a licensed SLP intern, and a grandfathered SLP who is acting under the supervision or direction of an SLP.
The supervision must meet the following provisions:
• The supervising SLP must provide supervision that is sufficient to ensure the appropriate completion of the responsibilities that were assigned.
•The direct involvement of the supervising SLP in overseeing the services that were provided must be documented.
•The SLP who provides the direction must ensure that the personnel who carry out the directives meet the minimum qualifications set forth in the rules of the State Board of Examiners for Speech-Language Pathology and Audiology which relate to Licensed Interns or Assistants in Speech-Language Pathology.
CMS interprets "under the direction of a speech-language pathologist," as an SLP who:
•Is directly involved with the individual under his direction.
•Accepts professional responsibility for the actions of the personnel he agrees to direct.
•Sees each student at least once.
•Has input about the type of care provided.
•Reviews the student's speech records after the therapy begins.
•Assumes professional responsibility for the services provided.
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