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CCC REQUIRED?Does language about the CCC need to be removed in order to ensure clarity?RegulationReference
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AlabamaNOYESA qualified Speech Therapist must have a Certification of Clinical Competence in Speech Language Pathology or be eligible for certification and licensed by the Alabama Board of Examiners for Speech, Language Pathology, and Audiology.https://medicaid.alabama.gov/content/Gated/7.6.1G_Provider_Manuals/7.6.1.4G_Oct2023/Oct23_37.pdf
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AlaskaNONO 7 AAC 115.400. Speech-language pathology enrollment requirements.
(a) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing speech-language pathology services, a provider must be
(1) a speech-language pathologist who
(A) is enrolled in accordance with 7 AAC 105.210;
(B) provides documentation of an active license to practice speech-language pathology in the jurisdiction in which the individual provides services; if services are provided in this state, the individual must hold an active license under AS 08.11; and
(C) if providing speech-language pathology services out of state, is enrolled in the Medicaid program in the jurisdiction in which the individual provides services; or
(2) an outpatient speech therapy program operated by a tribal health program. 		https://www.akleg.gov/basis/aac.asp#7.110%20article1
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ArizonaNO, unless supervising Link to petition for review: https://docs.google.com/forms/d/e/1FAIpQLSeRmkGWwEpEUHbNcwLC1PnqTE1_H7D4Krh72CsS9yYXd-LyAg/viewformYES, to remove the CCC requirement related to supervision languagePer Fee for Service Provider Billing Manual:
“A qualified Speech-Language Pathologist (SLP) must be licensed by the Arizona Department of Health Services (ADHS) or a Speech-Language Pathologist who has a temporary license from ADHS and is completing a clinical fellowship year. He/she must be under the direct supervision of an ASHA certified Speech-Language Pathologist. AHCCCS registration will be terminated at the end of two years if the fellowship is not completed. A qualified Speech-Language Pathology Assistant (SLPA) must be licensed by the Arizona Department of Health Services (ADHS). The SLPA must be identified as the servicing provider and bill for services under his/her individual NPI number. (A group ID number can be utilized to direct payment). SPLA's may only perform services under the supervision of a SLP and within their scope of service as defined by regulations. AHCCCS covers medically necessary speech therapy services provided to all members who are receiving inpatient care at a hospital (or a nursing facility) when services are ordered by the member's PCP or attending physician for FFS members. Speech therapy provided on an outpatient basis is covered only for members receiving EPSDT services, KidsCare and ALTCS members.”

Per AHCCCS MEDICAL POLICY MANUAL:
Speech Language Pathology Services: For the purposes of the DSC program, Speech Therapists may operate as both ordering and rendering provider. Claims submitted for services provided by a Speech Therapist require the referring/ordering/prescribing provider NPI when submitting claims: a. Speech Therapy (ST) services that may be provided under the DSC Program include: i. Evaluation of speech, language, voice, communication, auditory processing, and/or aural rehabilitation status, ii. Treatment of speech, language, voice, communication, and/or auditory processing disorders, including aural rehabilitation. Services may be provided on an individual or group basis, ili. Laryngeal function studies, iv. Evaluations or treatment of swallowing or swallowing dysfunction, oral function for feeding, and v. Aural rehabilitation following cochlear implant, including evaluation of aural rehabilitation status and hearing, therapeutic services, with or without speech processor programming. b. The provider of ST services shall be a qualified provider and be licensed as follows: i. ST qualified provider shall meet the federal requirements of 42 CFR 440.110, and services may be provided by the following professionals within their scope of practice: 1) A qualified Speech-Language Pathologist (SLP) licensed by the ADHS, or 2) A SLP who has a temporary license from ADHS and is completing a clinical fellowship year. They shall be under the direct supervision of an American Speech-Language-Hearing Association (ASHA) certified speech-language pathologist. AHCCCS registration will be terminated at the end of two years if the fellowship is not completed at that time, or 3) A qualified Speech-Language Pathologist Assistant (SLPA) (under the supervision of the SLP and according to A.R.S. § 36-1940.04 and A.A.C. R9-16-501 et seq) licensed by the ADHS. The SLPA shall be identified as the treating provider and bill for services under their individual NPI number (a group ID number may be utilized to direct payment). SLPAs can only perform services under the supervision of a SLP and within their scope of service as defined by regulations.”
https://www.azahcccs.gov/PlansProviders/Downloads/FFSProviderManual/MasterFFSManual.pdf and https://www.azahcccs.gov/shared/Downloads/MedicalPolicyManual/700/710.pdf and https://www.azleg.gov/viewdocument/?docName=https://www.azleg.gov/ars/36/01940-01.htm
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ArkansasNOYES202.310 Speech-Language Pathologist Participation Requirements

A. A speech-language pathologist must have completed or received one (1) of the following:
1. A certificate of clinical competence from the American Speech-Language-Hearing Association;
2. The educational and work experience requirements necessary to qualify for a certificate of clinical competence from the American Speech-Language-Hearing Association (ASHA); or
3. The educational requirements and be actively acquiring the supervised work experience requirements to qualify for a certificate of clinical competence from ASHA.		https://humanservices.arkansas.gov/wp-content/uploads/THERAPY_II.doc#_Toc106275004
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CaliforniaNONOSpeech-language pathologists must have a valid preliminary services credential in speech-language pathology; professional clear services credential in speech-language pathology; clinical or rehabilitative services credential with an authorization in language, speech and hearing or a valid credential issued prior to the operative date of Section 25 of Chapter 557 of the Statutes of 1990. Speech-language pathologists with a valid credential may provide assessment and treatment services related to speech, voice, language or swallowing disorders. Services provided by a speech-language pathologist with a clinical or rehabilitative services credential or a valid credential issued prior to the operative date of Section 25 of Chapter 557 of the Statutes of 1990 must be provided under the direction of a licensed speech-language pathologist or a speech-language pathologist with a valid professional clear services credential in speechlanguage pathology only to the extent authorized under State law to MediCal eligible students. (Education Code, Sections 49422(a) and 44265.3)https://www.dhcs.ca.gov/provgovpart/Documents/ACLSS/LEA%20BOP/Pool1TSPRequestPractitionerReferenceSheet3.pdf and https://mcweb.apps.prd.cammis.medi-cal.ca.gov/assets/686001F1-D83B-441B-989D-693E1FFB7EA0/speech.pdf?access_token=6UyVkRRfByXTZEWIh8j8QaYylPyP5ULO
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ColoradoNONOProvider Type: 27
Specialty: Speech Therapist
Specialty Code: 452
Enrollment Type: Individual within a Group - affiliates to a group and the group bills
Billing Individual - bills directly for themselves
OR
Ordering, Referring, Prescribing - limited to Ordering/Referring/Prescribing

Complete only one enrollment application regardless of enrollment type and number of service locations.

Electronic Visit Verification (EVV) is optional with this enrollment. To participate in EVV, providers are required to complete and attach the Electronic Visit Verification Attestation Form, which can be found on the Provider Forms web page under the Provider Enrollment & Update Forms drop-down. For additional information visit the EVV web page.

Required Attachments:
License
Malpractice/Liability insurance information must be entered in the application; however, proof of insurance is not a required attachment.

Additional Attachments For Billing Individuals Only:
W9 (signed and dated within the last 6 months)
Voided check (no temporary checks or deposit slips) or bank letter (dated within the last 6 months)
Affidavit of Lawful Presence Form, which can be found on the Provider Forms web page under the Provider Enrollment & Update Forms drop-down, and government-issued photo ID

Provider Type: 42
Specialty: School Health Services
Specialty Code: 777
Enrollment Type: Individual within a Group - affiliates to a group and the group bills

Individuals complete only one enrollment application and must affiliate to at least one enrolled School Health Services organization. Multiple affiliations can be indicated in the application when applicable. (Affiliations to other groups/clinics are not acceptable.)

Required Attachments:
Colorado Department of Education (CDE) License with a Speech Therapist Endorsement. (Attach a copy of current license and complete the license information.)
Malpractice/Liability insurance information must be entered in the application; however, proof of insurance is not a required attachment.
https://hcpf.colorado.gov/information-provider-type
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ConnecticutNONOBirth to three:
(2) Provider Qualifications. Developmental evaluations shall be provided by an audiologist,
BCBA, developmental therapist, developmental therapy specialist, LMFT, licensed professional
counselor, APRN, registered nurse, occupational therapist, optometrist, physical therapist, physician, physician assistant, psychologist, LCSW, LMSW, speech and language pathologist or such other category of licensed practitioner as is designated both by the department and by the lead agency. Individuals in training for one of the categories of practitioners listed in this subdivision may also provide developmental evaluations.

Other, more general language:
(29) “Licensed practitioner” means an individual who (A) is an APRN, audiologist, licensed
alcohol and drug counselor, LCSW, LMFT, LMSW, licensed professional counselor, occupational
therapist, occupational therapy assistant, physician, physician assistant, physical therapist, physical
therapy assistant, psychologist, registered nurse, speech and language pathologist or such other
category of individual licensed by the Department of Public Health and which the lead agency has
designated in writing as qualified to provide early intervention services; (B) works within such
individual’s scope of practice under state law; and (C) complies with all applicable lead agency
qualifications and other requirements for the provision of EIS;

(53) “Speech and language pathologist” means an individual who (A) is licensed pursuant to
section 20-411 of the Connecticut General Statutes and (B) meets the definition of “speech
pathologist” in 42 CFR 440.110(c)(2), as amended from time to time; a		https://www.ctdssmap.com/CTPortal/Information/Publications
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DelawareNONOIn accordance with 42 CFR 440.110(c)(1), services for individuals with speech, hearing and language disorders means diagnostic, screening, preventive, or corrective services provided by or under the direction of a speech pathologist or audiologist, for which a patient is referred by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law. It includes any necessary supplies and equipment. Reimbursable Speech-Language Pathology Services are evaluative tests and measures utilized in the process of providing Speech-Language Pathology Services and must represent standard practice procedures.

A "speech pathologist" means an individual who meets one of the conditions defined in 42 CFR 440.110(c)(2).
https://regulations.delaware.gov/register/september2015/proposed/19%20DE%20Reg%20164%2009-01-15.htm and https://delcode.delaware.gov/title31/c005/index.html#512
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D.C.YESIn order to be eligible for Medicaid reimbursement, each individual providing speech, hearing, and language services shall also comply with the following requirements:

Be a speech-language pathologist or audiologist licensed pursuant to the District of Columbia Health Occupations Revision Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1201 et seq.) and implementing rules;

Have a minimum of two (2) years of experience as a licensed speech-language pathologist or audiologist;

Have a Certificate of Clinical Competence in the area of Audiology or Speech Pathology granted by the American Speech-Language-Hearing Association; and

Comply with Section 1904 (Provider Qualifications) and 1905 (Provider Enrollment Process) of Chapter 19 of Title 29 DCMR.		https://www.dcregs.dc.gov/Common/DCMR/RuleList.aspx?DownloadFile=%7B6C9F9F5D-8D95-4582-A2F1-51FB0586DC53%7D
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FloridaNONO3.0 Eligible Provider

3.1 General Criteria
Providers must meet the qualifications specified in this policy in order to be reimbursed for Florida Medicaid speech-language pathology services.

3.2 Who Can Provide
Services must be rendered by one of the following:
- Speech-language pathologists licensed in accordance with Chapter 468, Part I, F.S. who meet the requirements of 42 CFR 440.110
- Speech-language pathologists provisionally licensed in accordance with Chapter 468, Part I, F.S. who meet the requirements of 42 CFR 440.110
- Speech-language therapy assistants certified in accordance with Chapter 468, Part I, F.S. and working under supervision as defined in section 468.1125, F.S.

Speech-language pathologists may supervise speech-language pathology students while providing services to a recipient. The speech-language pathologist must direct the care, make all clinical decisions, and be responsible for the recipient’s assessment and treatment.

The licensed therapist must be present for the entire treatment time and may not treat another patient or engage in other tasks while supervising a student. 		https://ahca.myflorida.com/content/download/7044/file/59G_4-324_Speech_Language_Therapy_Services.pdf
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GeorgiaNONOQualified providers must be a currently licensed audiologist, clinical social worker, occupational therapist,
physical therapist, registered nurse, speech-language pathologist or dietitian by the State of Georgia.		https://www.mmis.georgia.gov/portal/Portals/0/StaticContent/Public/ALL/FORMS/COS%20Checklist-2019%2020211014190953.pdf
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HawaiiNONO2.2 REQUIREMENTS FOR PARTICIPATION
The provider must be:
a) Licensed or Certified
An individual provider must be licensed to practice within the scope of his/her profession
in accordance with State law. Permits, temporary licenses or any form of license or
permit that requires supervision of the licensee do not serve to qualify a provider as an
eligible provider of services under the Hawaii Medicaid Program.
The State Department of Health must certify a medical or health-related institution or
facility under the applicable public health regulations of the State and standards established by the Federal government.
Providers of any other health care services must comply with standards and all licensure, certification and other requirements as applicable. 		https://medquest.hawaii.gov/content/dam/formsanddocuments/resources/Provider-Resources/provider-manuals/PMChp17.pdf and https://medquest.hawaii.gov/content/dam/formsanddocuments/resources/Provider-Resources/provider-manuals/PMChp02.pdf
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IdahoYESSpeech-language pathologists in any state are eligible to participate in the Idaho Medicaid Program. Speech-language pathologist must have a National Provider Identification (NPI). They must be licensed by Idaho Division of Occupational and Professional Licenses and the state where the services are performed. Speech-Language Pathologists must also have their Clinical Competency Certification (CCC) from the American Speech and Hearing Association (ASHA) or be eligible for certification within one year of their current employment.https://www.idmedicaid.com/Provider%20Guidelines/Therapy%20Services.pdf and https://adminrules.idaho.gov/rules/current/16/160309.pdf
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IllinoisNOYES, remove language related to clinical fellow- this should reference a provisional state license insteadIn order to qualify for a license in speech-language pathology, individuals must have received a master’s or doctoral degree in speech pathology from an IDFPR-approved and/or ASHA-accredited program. Additionally, individuals must successfully pass the PRAXIS exam and pay the application fee. Speech-language pathologists must hold a license issued by IDFPR in order to work in any setting. Speech-language pathologists must hold an IDFPR license in order to bill Medicaid and private insurance, supervise an SLPA, SLPP, Clinical Fellow (CF), or SLP Practicum student regardless of the work setting. Speech-language pathologists must complete 20 hours of continuing education every two years (renewal cycle). https://www.ishail.org/illinois-licensures
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IndianaNOYES4.5.2.1. Qualifications – see also: Section 2.3.4.
A school corporation can bill Medicaid for IEP speech-language pathology services provided to a Medicaid-eligible student by a speech-language pathologist who (a) is licensed by the Indiana Professional Licensing Agency and (b) is providing services
within his/her scope of licensure, and (c):
1. has a certificate of clinical competence (C's) from the American Speech-LanguageHearing Association (ASHA)[ http://www.asha.org/certification/]; or,
2. has completed the academic program and is acquiring supervised work experience to
qualify for the certificate; or,
3. has completed the equivalent educational requirements and work experience necessary for the certificate. (Note number 3 would include those individuals who previously had the certificate but opted not to maintain it.)		https://www.in.gov/doe/files/Medicaid-BillingTool-Kit-23rd-Edition_July2021.pdf
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IowaNONOCHAPTER III. PROVIDER-SPECIFIC POLICIES
A. SPEECH-LANGUAGE PATHOLOGISTS ELIGIBLE TO PARTICIPATE
For Medicaid payment purposes, a qualified speech-language pathologist is licensed and in private practice independent of the administrative and professional
control of an employer such as a physician, institution, or rehabilitation agency. Licensed speech-language pathologists in an independent group practice are
eligible to enroll. Speech-language pathologists in other states are eligible to participate if they are licensed in that state and meet the Medicare criteria for
enrollment.
Speech-language pathologists who provided services to Medicaid members who are also Medicare beneficiaries must be enrolled in the Medicare program.		https://hhs.iowa.gov/sites/default/files/SLPath.pdf
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KansasYES
*this is an application issue, not a regulation issue		Speech-language pathology (SLP) services are those services provided within the scope of practice of speech-language pathologists and necessary for the diagnosis and treatment of speech and language disorders which result in communication disabilities and for the diagnosis and treatment of swallowing disorders (dysphagia), regardless of the presence of a communication disability. According to the Kansas Medicaid State Plan, speech therapy must be provided by a speech pathologist with a certificate of clinical competence from the American Speech and Hearing Association. https://portal.kmap-state-ks.us/Documents/Provider/Provider%20Manuals/REHAB_22289_21235.pdf
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KentuckyYES - FOR SCHOOL SLPS ONLY
*this is an application issue, not a regulation issue		Speech Therapy services will only be performed by individuals meeting applicable requirements of 42 CFR 440.110, including the possession of a
current Certificate of Clinical Competence from the American Speech Hearing Association (ASHA).		All Therapies: https://apps.legislature.ky.gov/law/kar/titles/907/008/
School Based: https://www.education.ky.gov/districts/SiteAssets/Pages/School-Based-Medicaid-Services/TAG%20111822%20(002).pdf
SLP Specific: https://apps.legislature.ky.gov/law/kar/titles/907/008/030/
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LouisianaNONOSpeech pathology services must be provided by, or under, the direction of a licensed speech
pathologist, and in accordance with the licensing standards of the Louisiana Board of Examiners
for Speech-Language Pathology and Audiology (LBESPA). For additional information, refer to
La. R.S. 37:2650 – R.S. 37:2666.
Licensed speech-language pathology assistants may also provide services under the supervision of
a certified licensed speech-language pathologist. Supervision of assistants must be in accordance
with the supervisory requirements of the Louisiana Board of Examiners for Speech Language
Pathology and Audiology.		https://www.lamedicaid.com/provweb1/providermanuals/manuals/EPSDT-C/EPSDT-C.pdf
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MaineNONOA qualified speech-language pathologist meets the requirements found in § 484.4https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_e_opt.pdf
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MarylandNONO03 Requirements for Provider Licensing or Certification.
The following health professionals providing services under this chapter shall be licensed to practice in the jurisdiction in which services are rendered:

A. Physicians;

B. Registered nurses;

C. Licensed practical nurses;

D. Certified medication technicians;

E. Certified nursing assistants;

F. Occupational therapists;

G. Physical therapists;

H. Speech pathologists;

I. Nutritionists; and

J. Dietitians.		https://dsd.maryland.gov/regulations/Pages/10.09.84.03.aspx
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MassachusettsYESMassHealth/Medicaid definition of "speech therapist" is person licensed by Mass Division of Registration in Speech/Language Pathology and Audiology WITH a Certificate of Clinicalhttps://www.mass.gov/doc/130-cmr-413-speech-and-hearing-center-services/download
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MichiganNONOCompetence from ASHAhttps://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/Other-Prov-Specific-Page-Docs/Final-Bulletin-MMP-24-42-Final.pdf?rev=0f6d88bfd2c44d27ac37b364533c28ca&hash=DF3B89982EC9F163AC461573961F2667
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MinnesotaMAYBE?
Our state team is looking into it to gain clairification.		Minnesota Administrative Rules,
9505.0390 REHABILITATIVE AND THERAPEUTIC SERVICES.

Section L reads:

L. "Speech-language pathologist" means a person completing the clinical fellowship year required for certification as a speech-language pathologist, or a person who has a certificate of clinical competence in speech-language pathology from the American Speech-Language-Hearing Association and, when it is applicable, maintains state licensure or is in compliance with state regulatory requirements in states that do not license and meets the requirements of Code of Federal Regulations, title 42, chapter IV, subchapter C, part 440, subpart A, section 440.110.		https://www.revisor.mn.gov/rules/9505.0390/
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MississippiNOYESPart 213, Rule 3.1C states that SLPs must provide "Documentation that the individual meets one (1) of the following requirements:
1. Has a certificate of clinical competence from the American Speech and Hearing Association (ASHA),
2. Has completed the equivalent educational requirements and work experience necessary for the certificate, or
3. Has completed the academic program and is acquiring supervised work experience to qualify for the certificate." 		https://medicaid.ms.gov/wp-content/uploads/2021/11/Title-23-Part-213-Therapy-Services-eff.-11.01.21.pdf
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MissouriNONO“To participate in the MO HealthNet Therapy Program, the therapy provider must satisfy the following requirements:
Speech Pathologist-a person currently licensed by the State of Missouri as a speech pathologist.

Practitioners who are located outside of Missouri must submit the following additional information
applicable to their discipline:

A copy of their current license in that state.
Proof that physical therapists, occupational therapists, or speech pathologists are legally
authorized under that state's law to practice their discipline. Proof of active participation in
that state's Medicaid Program as a physical therapist, occupational therapist, or speech
pathologist is acceptable documentation.
Additional information on provider conditions of participation can be found in Section 2 GeneralSections Manual.”		https://mydss.mo.gov/media/pdf/general-sections-manual
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MontanaNONO37.85.401 PROVIDER PARTICIPATION
(1) As a condition of participation in the Montana Medicaid program all providers must comply with all applicable state and federal statutes, rules and regulations, including but not limited to federal regulations and statutes found in Title 42 of the Code of Federal Regulations and the United States Code governing the Medicaid Program and all applicable Montana statutes and rules governing licensure and certification.		https://rules.mt.gov/gateway/RuleNo.asp?RN=37%2E85%2E401
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NebraskaYES - unclear, defaulting to yes002.04 SPEECH-LANGUAGE PATHOLOGIST. An individual who presents them self to the public by any title or description of services incorporating the words speech-language pathologist, speech therapist, speech clinician, and having completed all requirements of the American Speech-Language-Hearing Association to practice speech-language pathology.https://dhhs.ne.gov/Pages/MLTC-PH-Speech-Pathology-and-Audiology.aspx and https://www.nebraska.gov/rules-and-regs/regsearch/Rules/Health_and_Human_Services_System/Title-471/Chapter-23.pdf
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NevadaYESLicensed to practice speech pathology by the Board of Examiners for Audiology and Speech Pathology (NRS.
637B.160). Because the license requires the CCC, an SLP cannot bill Medicaid without acquiring the CCC and the state license.		https://www.medicaid.nv.gov/providers/checklist_pt34.aspx
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New HampshireNONOLanguage only references a license. Application to enrol as provider only requires state license number. A speech-language pathologist who is either:
o Licensed pursuant to RSA 326-F to practice in NH, which shall be considered
equivalent to having met the requirements for the American Speech-LanguageHearing Association (ASHA) Certificate of Clinical Competence in Speech-Language
Pathology; or
o Licensed in the state in which he or she practices and have one of the following:
 A Certificate of Clinical Competence from the American Speech and Hearing
Association;
 Completed the equivalent educational requirements and work experience
necessary for the certificate; or
 Completed the academic program and is acquiring supervised work
experience to qualify for the certificate; or
o A speech-language assistant as defined in RSA 326-F:1, II-a working under the
direction of a licensed speech-language pathologist. (He-W 589.04(ak)-(am))		https://nhmmis.nh.gov/portals/wps/wcm/connect/21649167-9a20-447a-99f6-20037da6da74/NHCSR-OMBP-6-Provider-Updated+General+Billing+Manual-Att1-Add1-20221025.pdf?MOD=AJPERES&CVID=ogpvM7s and https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/nhmedicaidtoschoolstaguidefinal.pdf
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New JerseyNOYESSpeech-Language Services
Both State and federal guidelines must be met in order for services to be eligible for reimbursement. Speech services provided to eligible students will be considered for
Medicaid reimbursement when the services are provided by a practitioner who is:
A. Certified or endorsed by the Department of Education* and holds an American Speech-Language-Hearing Association (ASHA) Certificate of Clinical Competence
- OR B. Certified or endorsed by the Department of Education* and holds a valid license authorized by the State Audiology and Speech-Language Pathology Advisory Committee in accordance with New Jersey law at N.J.S.A. 45:3B-1 et seq. 		https://nj.gov/treasury/administration/semi-mac/pdf/SEMI-Provider-Handbook-FY20.pdf and https://www.nj.gov/treasury/administration/semi-mac/pdf/SEMIHandbook2022-2023.pdf
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New MexicoNONOThe Fix SLP team has been able to gain clairfication from the Managed Care (MCO) plan Management that New Mexico does not require the CCC for Medicaid or any of its MCO plans. The Long Term Services and Supports Bureau (LTSSB) has confirmed the error and the manual is being updated. We have received this writing. Please contact us at team@fixslp.com for a copy.
34
New YorkNONOHowever, unlike Audiologists, Speech-Language Pathologists only need to be licensed in New York State and are not required to hold ASHA certification in order to participate in the Medicaid program.

Pursuant to 42 CFR §440.110(c)(2), a speech pathologist is an individual who meets one of the following conditions:

Has a certificate of clinical competence from the American Speech and Hearing Association.
Has completed the equivalent educational requirements and work experience necessary for the certificate.
Has completed the academic program and is acquiring supervised work experience to qualify for the certificate.
This federal regulation contains the minimum requirements for participation in the Medicaid program for Speech-Language Pathologists. Since New York State licensure requirements are equivalent to the educational and work experience requirements for ASHA certification, it has been determined that ASHA certification is not required for Speech-Language Pathologists to participate in the Medicaid program.
https://www.op.nysed.gov/professions/speech-language-pathology/practice-alerts/medicaid-eligibility
35
North CarolinaNONOIf practicing without the CCC, use this attestation form for credentialing. (Click to open the .pdf for submission)
Section 6.2 Replaced:
1. valid license issued by the Board of Examiners for Speech and Language Pathologists and Audiologists, and
2. an ASHA Certificate of Clinical Competence (i.e., CCC) in Speech/Language Pathology, or there must be documentation that the service provider has completed: the academic master’s degree program and is acquiring the supervised work experience necessary to qualify for the Speech/Language Pathology CCC. With: a valid license issued by the Board of Examiners for Speech and Language Pathologists and Audiologists and an ASHA Certificate of Clinical Competence (CCC) in Speech/Language Pathology or there must be documentation that the service provider has completed the academic master’s degree program and is acquiring the supervised work experience necessary to qualify for the Speech/Language Pathology CCC.		https://medicaid.ncdhhs.gov/10b-independent-practitioners-ip/download?attachment
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North DakotaNONOND Medicaid covers speech-language services provided to a member by a speechlanguage pathologist enrolled with ND Medicaid and licensed to practice in the state in
which the services are provided. 		https://www.hhs.nd.gov/sites/www/files/documents/general-information-medicaid-provider-manual.pdf
37
OhioNONOCredentialing Requirements – Individuals
The following are required for all individual providers:
1. CAQH Form
2. Licensure in the state from the state where you practice.
3. Professional liability insurance that covers the provider or provider group (minimums based on state – example, Ohio providers require 1 million occurrence and 3 million aggregate and Indiana providers require 250,000 occurrence, 750,000 aggregate).
4. Education information – for doctors, the education for the specialties they are practicing in should be added on the education page in PNM. For other providers, the highest level of education should be added on the education page in PNM – for example, information about the Master of Nursing for nurse practitioners.
5. Malpractice claims history – disclosure of all malpractice claims is required, whether pending, closed, or settled.
6. Work history – five years of work history is required. If a provider recently graduated and became licensed, work history begins at the time of licensure – in these cases, five years of work history are not required. Any gaps in employment over six months should be entered on this page.		https://medicaid.ohio.gov/static/Providers/Enrollment+and+Support/%5BFinal%5D%2BCredentialing%2BGuide%2Band%2BRequirements.pdf
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OklahomaNONO317:30-5-675. Eligible providers

[Revised 09-01-21]

(a) Speech-language pathologist (SLP).

(1) Must be appropriately licensed in good standing in the state in which they practice and working in accordance with the Speech-Language Pathology and Audiology Licensing Act or other applicable statute(s); and

(2) Entered into a Provider Agreement with the Oklahoma Health Care Authority (OHCA) to provide speech-language pathology services.		https://oklahoma.gov/ohca/policies-and-rules/xpolicy/medical-providers-fee-for-service/individual-providers-and-specialties/speech-and-hearing-services/eligible-providers.html
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OregonNONODivision 129
SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY AND HEARING AID SERVICES
410-129-0065
Licensing Requirements

(1) The Division enrolls only the following types of providers as performing providers under the Speech-Language Pathology, Audiology and Hearing Aid Services program:

(a) An individual licensed by the relevant state licensing authority to practice speech-language pathology (SLP);

(b) An individual licensed by the relevant state licensing authority to practice audiology; and

(c) An individual licensed by the relevant state licensing authority for “dealing in hearing aids” as defined in Oregon Revised Statute 694.015.

(2) The Oregon Board of Examiners for SLP and Audiology licenses and the Division recognizes services provided by:

(a) Conditional Speech-Language Pathologists; and

(b) SLP Assistants.

(3) Services of graduate SLP students, furnished under a Conditional SLP License:

(a) Shall be provided in compliance with supervision requirements of the state licensing board and the American Speech-Language-Hearing Association;

(b) Shall be compliant with applicable record and documentation requirements (see also Oregon Administrative Rules in chapter 335, division 010); and

(c) Are reimbursed to the licensed supervising speech-language pathologist.

(4) The Division shall not reimburse for services of a licensed speech-language pathologist while the pathologist is teaching or supervising students in SLP.
https://secure.sos.state.or.us/oard/viewSingleRule.action;JSESSIONID_OARD=DcN9LaBaaksNmjy7fkYpeDbFWT0e_hTuDfTto6ivBuoQLOJiufin!-1484258366?ruleVrsnRsn=85289
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PennsylvaniaNOYESA qualified Speech-Language Pathologist (SLP) must meet at least one of the following:
• Has a Certificate of Clinical Competence (CCC) from the American Speech-Language-Hearing Association (ASHA); or
• Has completed the equivalent educational requirements and work experience necessary for the CCC; or
• Has completed the academic program and is acquiring supervised work experience to qualify for the CCC (See “Supervision of Clinical Fellows”); or
• Is licensed as an SLP.		https://www.dhs.pa.gov/providers/Documents/School-Based%20ACCESS%20Program/c_291739.pdf
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Rhode IslandYES - FOR DOHSpeech Hearing and Language Evaluation
A speech language evaluation is provided by a Speech-Language Pathologist certified by the Rhode Island Department of Elementary and Secondary Education or by a Speech-Language Pathologist licensed by the Rhode Island Department of Health

Individual Speech, Hearing and Language with a Speech Language Pathologist (SLP):
A Speech-Language Pathologist certified by the Rhode Island Department of Elementary and Secondary Education or a Speech-Language Pathologist licensed by the Rhode Island Department of Health provides an individual speech or hearing session to a student		DOH: Legislation passed in 2023 stipulates that “the licensee must maintain their certificate of clinical competence in their practicing area (speech-language pathology or audiology) in order to renew their license.”
https://webserver.rilegislature.gov/BillText/BillText23/HouseText23/H6489.pdf
https://webserver.rilegislature.gov/BillText/BillText23/SenateText23/S0565.pdf
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South CarolinaNOYESSpeech-language pathology services are provided by or under the direction of a licensed speech-language pathologist. These individuals are licensed through LLR as speech-language pathologists, speech-language pathology assistants or speech-language pathology interns. These licensed individuals will need to adhere to any provisions as required by LLR. The licensed speech-language pathologist can supervise the licensed speech-language pathology intern and speech-language pathology assistant.

A speech-language pathologist in accordance with 42 CFR 440.110(c)(2)(i)(ii)(iii) is an individual who meets one of the following conditions: (i) Has a certificate of Clinical Competence from the American Speech and Hearing Association. (ii) Has completed the necessary equivalent educational requirements and work experience to qualify for the certificate. (iii) Has completed the academic program and is acquiring supervised work experience to qualify for the certificate.		https://provider.scdhhs.gov/internet/pdf/manuals/PrivateRehabAudiological/Manual.pdf
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South DakotaNONOSpeech therapy services may be provided by a physician, speech-language pathologist (SLP) licensee
under SDCL Ch. 36-37 or out-of-state equivalent, provisional speech-language pathologist licensee
under SDCL Ch. 36-37, limited speech-language pathologist licensee under SDCL Ch. 36-37(when
services are rendered in a school setting), or a speech-language pathologist assistant (SLPA) licensee
under SDCL Ch. 36-37. SLPAs may provide services under an enrolled supervising speech-language
pathologist but are not eligible to enroll. Services provided by students are not covered. 		https://dss.sd.gov/docs/medicaid/providers/billingmanuals/Professional/Therapy_Services.pdf
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TennesseeNONOAs medically necessary, by a Licensed Speech Therapist to restore speech (as long as there is continued medical progress) after a loss or impairment. The loss or impairment must not be caused by a mental, psychoneurotic or personality disorder. All medically necessary services shall be provided to enrollees under 21 years of age in accordance with EPSDT requirements including federal regulations as described in 42 CFR Part 441, Subpart B, and the Omnibus Budget Reconciliation Act of 1989. https://publications.tnsosfiles.com/rules_archived/1200/1200-13/1200-13-13.20050907.pdf
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TexasNOYESSpeech and language services must be provided by a qualified Speech-Language Pathologist (SLP), who holds a Texas
license or an American Speech Language and Hearing Association (ASHA)-equivalent SLP (has a master’s degree in the
field of speech-language pathology and a Texas license).
Speech and language services can also be provided by an SLP with a TEA certification (according to Texas Occupations
Code §401.054), a licensed SLP intern, or a grandfathered SLP when acting under the supervision or direction of a
licensed SLP, or a licensed assistant in speech-language pathology acting under the supervision or direction of an SLP.		https://tsbs.cc/wp-content/themes/TSBS_2018/guidelines/Speech%20Therapy.pdf
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UtahNOYES(4) To obtain and maintain a license as a speech-language pathologist, an applicant must:
(a) comply with Subsection (1)(a);
(b) provide the committee with verification that the applicant has received at least a master's degree in speech-language pathology from an accredited university or college, based on a program of studies primarily in the field of speech-language pathology;
(c) be in compliance with the regulations of conduct and code of ethics for the profession of speech-language pathology;
(d) comply with Subsection (1)(b), except that the supervision and attestation requirement shall be from a licensed speech-language pathologist rather than a licensed audiologist; and
(e) pass a nationally standardized examination in speech-language pathology which is the same as or equivalent to the examination required for the CCC and with pass-fail criteria equivalent to current ASHA standards, and the board may require the applicant to pass an acceptable practical demonstration of clinical skills to an examining committee of licensed speech-language pathologists appointed by the board.		https://le.utah.gov/xcode/Title58/Chapter41/58-41-S5.html?v=C58-41-S5_2020051220200512
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VermontNONOService Providers: All services must be performed by a licensed PT, OT, or SLP enrolled in the Vermont Medicaid program, operating within their scope of practice in accordance with the Vermont State Practice Act. All services billed as PT, OT, or SLP services must be performed by individuals who are licensed in PT, OT, or SLP.https://dvha.vermont.gov/sites/dvha/files/documents/providers/Forms/1ptotst-guidelines-010120.pdf
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VirginiaNOYESEducation setting:
Speech-Language Therapy Services
Speech-language therapy services must be performed by:
• A speech-language pathologist (SLP) licensed by the Virginia Department of
Health Professions, Virginia Board of Audiology and Speech-Language Pathology
with a Master’s Degree*; or
• A SLP licensed by the Virginia Department of Health Professions, Virginia Board
of Audiology and Speech-Language Pathology with licensure as school speechlanguage pathologist without a Master’s degree, under the supervision of a
licensed SLP with a Master’s Degree.

Medical setting:
A speech-language pathologist (SLP) with a Master’s Degree who is licensed by the
Virginia Department of Health Professions, Virginia Board of Audiology and SpeechLanguage Pathology; or
- An individual licensed by the Virginia Board of Audiology and Speech-Language
Pathology who meets one of the following:
a) Has a Certificate of Clinical Competence (CCC) from the American Speech and
Hearing Association (ASHA); or
b) Has completed the Masters level academic program and is acquiring supervised
work experience to qualify for the ASHA certification.		School-based:
https://vamedicaid.dmas.virginia.gov/sites/default/files/2023-07/Local%20Educat%20%20Agency%20-%20Chapter%202%20%20%28updated%201.19.22%29_Final.pdf

Medical:
https://vamedicaid.dmas.virginia.gov/sites/default/files/2022-10/Chapter-4%20Covered%20Services%20and%20Limitations%20%28Rehabilitation%29.pdf
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WashingtonNONOLicense, Certification or Registration – Practitioners must hold a current and valid license, certification or registration to practice in their specialty in every State in which they will provide care and/or render services for Molina Members. Telemedicine Practitioners are required to be licensed in the State where they are located and the State the Member is located. ASHA is not recognized as a required certification organization.https://dhhr.wv.gov/bms/Provider/Documents/Manuals/Chapter_530_Speech_Audiology_Services.pdf
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West VirginiaUNCLEAR - Application requres it, but not in the regulationsSpeech-Language Pathologist: A person who practices speech-language pathology in accordance with his/her licensure, scope of practice and licensed under either West Virginia State Code or the code of the State in which they are practicing and meets the qualifications established by the American SpeechLanguage Hearing Association (ASHA)https://www.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/wa/Medicaid/manual/2023WAMedicaidProviderManual_508c.pdf
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WisconsinNOYESSpeech-language pathologists may become Medicaid-enrolled if they are licensed under Wis. Stat. § 459 and Wis. Admin. Code § ch. HAS. School-based service speech-language pathologists may also become Medicaid-enrolled if any of the following are true:
They are certified by the ASHA (American Speech-Language-Hearing Association).
They have completed the education and work experience necessary for ASHA certification.
They have completed the education and are in the process of completing the work experience necessary for ASHA certification.		https://www.forwardhealth.wi.gov/WIPortal/Subsystem/KW/Print.aspx?ia=1&p=1&sa=87&s=1&c=1&nt=Overview+of+Enrollment+and+Reimbursement
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WyomingNONOSpeech, Hearing, and Language Services. A Speech, Hearing, and Language Service provider or provider staff shall have a current license to practice Speech, Hearing and Language Services by the Wyoming Board of Speech Pathology and Audiology, and have a current NPI.https://health.wyo.gov/wp-content/uploads/2019/12/HCF-Medicaid-Chapter-45-DD-Waiver-Provider-Standards-Certification-and-Standards.pdf
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