![]() Clinical Fellows can check ASHA's state licensure information or contact their state licensure board. In states that do not license Clinical Fellows, they may be authorized to practice, but their services might not be reimbursable when the payer, such as Medicare, requires licensure. The vast majority of states currently require and provide provisional licensure for Clinical Fellows. ![]() ![]() State Law RequirementsĪs of 2017, all states and the District of Columbia require licensure for SLPs. More information regarding Medicaid requirements is available in ASHA's Medicaid Toolkit. State Medicaid AgenciesĮach state Medicaid agency also varies in terms of its personnel qualifications, so verification of these requirements with your state’s Medicaid agency is critically important. Requirements such as the CCC and licensure vary widely among private payers, so it is best to check with each payer with which you contract to determine the personnel qualifications. Additional information on Medicare supervision requirements is available on ASHA’s website. As noted below, all states currently license SLPs but not all states license Clinical Fellows. The Social Security Act, which governs the Medicare program, requires licensure (if the state licenses SLPs) and does not explicitly require the SLP to have the ASHA CCCs in order to be reimbursed. Does the payer require licensure? A few states do not currently license Clinical Fellows and so payers may require a higher level of supervision by a licensed speech-language pathologist (SLP) in order for the unlicensed Clinical Fellow to be eligible to treat patients and be reimbursed.ĭetailed information on payer policy considerations for unlicensed Clinical Fellows is available on ASHA’s website.Does the payer require the ASHA Certificate of Clinical Competence (CCC)?.Payers can have different requirements for provider qualifications, so the following questions should be considered for each payer: ASHA’s Board of Ethics Issues in Ethics statements, specifically Responsibilities of Individuals Who Mentor Clinical Fellows in Speech-Language Pathology. ![]() These ethics-related resources may also be helpful:
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