I plan to supervise interns and assistants so that services may be reimbursed by Medicaid. What does “under the direction” mean?
The federal Department of Health and Human Services provided the following response: In terms of school-based services, our interpretation of the term “under the direction” of a speech pathologist is that the speech pathologist is directly involved with the individual under his or her direction and accepts professional responsibility for actions of the personnel that he or she agrees to direct. The speech pathologist must see each patient at least once, determine the type of care to be provided, and review the patient after the treatment has begun. The speech pathologist would also need to assume professional responsibility for the services provided. Therefore, it would clearly be in the speech pathologist’s own interest to maintain close oversight of any services for which he or she agrees to assume direction. Our interpretation would be the same in clinics, hospitals and rehabilitation settings.
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