The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
Alabama SLP Assistants
Definition of a SLPA
“Speech‐Language Pathology Assistant,” or any variation, synonym or coinage of the term is defined as an individual who meets minimum qualifications established by the Board, which are less than those established by Alabama Code §34‐28A‐21 as necessary for licensing as a speech‐language pathologist; does not act independently; and works under the direction and supervision of a speech‐language pathologist.
Services that may be performed by a SLPA
Under supervision of a licensed Speech‐Language Pathologist or Audiologist, Assistants may:
Services specifically excluded from SLPA scope of practice
Assistants will not:
SLP supervision on SLPAs
The assistant must be under the direct supervision of a licensee. Supervision requires the physical presence of the licensee in the same facility at all times when the assistant is carrying out assigned clinical responsibilities. The licensed supervisor must document direct observation of at least ten percent (10%) of all clinical services provided by the assistant.
Responsibilities of the SLP during Supervision
A licensee who supervises a speech‐ language pathology assistant or an audiology assistant shall be responsible for the direction of all clinical services provided by said assistant and shall be responsible to the client for the performance of these services.
The licensee shall be responsible for the legal, ethical, and moral professional behavior relating to the approved work each assistant is conducting under the licensee’s supervision.
Plan for a SLPA
Registration for a speech‐language pathology assistant or an audiology assistant will be considered after a specific work plan has been reviewed and approved by the Board to include:
If changes are desired in the approved supervisory plan, a new application must be filed. An additional registration fee is not required to make changes in the Plan.
Ratio of SLPs to SLPAs
Each speech‐language supervising assistants will accept no more than the equivalent of two (2) full‐time assistants concurrently.
The applicant, if registered to assist the licensed speech‐language pathologist and/or audiologist, may use only the titles, “speech pathology assistant”, "audiology assistant", or “speech‐language pathology and audiology assistant”, depending upon the area(s) in which the assistant is registered to assist with the Board.
Ala. Admin. Code r. 870‐X‐1‐.01
Ala. Admin. Code r. 870‐X‐2‐.06