1. A. A supervising speech-language pathologist or audiologist is responsible for the direction of all client services provided by a speech-language pathology assistant or an audiology assistant.
2. B. A licensed full-time (35 hours or more a week) speech-language pathologist or audiologist may not supervise more than the equivalent of two full-time (35 hours or more a week) speech-language pathology assistants or audiology assistants.
3. C. A licensed part-time (less than 35 hours a week) speech-language pathologist or audiologist may not supervise more than the equivalent of one full-time (35 hours a week) speech-language pathology assistant or audiology assistant.

4. D. A supervising speech-language pathologist or audiologist shall:

   1. (1) Have a minimum of 3 years work experience (2 years since receipt of full license or ASHA-CCC) as a speech-language pathologist or audiologist;

   2. (2) Maintain on-going contact with all clients seen by a speech-language pathology assistant or an audiology assistant by participating in:

      1. (a) Not less than one session every 2 weeks of in-person contact per client if the client is being seen three times per week or more; or
      2. (b) Not less than one session per month of in-person contact per client if the client is being seen two times per week or less;
   3. (3) Provide supervision of the speech-language pathology assistant or the audiology assistant that is a combination of direct on-site activities and indirect activities;
   4. (4) Be on-site to supervise the speech-language pathology assistant during the first 2 hours of treatment for each client and then at least 1 direct hour of supervision during each subsequent month;
   5. (5) Provide general supervision to the audiology assistant and continuous availability by phone or telehealth technologies;
   6. (6) Conduct and maintain performance evaluations of the speech language pathology assistant or the audiology assistant within the first 3 months, and at least annually thereafter, that are cosigned by both the supervising speech-language pathologist or audiologist and the speech-language pathology assistant or the audiology assistant;
   7. (7) Provide a copy of the signed performance evaluation to the speech-language pathology assistant or the audiology assistant;
   8. (8) Maintain documentation of client contact and supervisory activities of the speech-language pathology assistant or the audiology assistant; and
   9. (9) Have the authority to combine in-person client contact and on-site supervision of the speech-language pathology assistant or the audiology assistant when appropriate.

Authority: Health Occupations Article, §§2-205, 2-308, 2-311(c), 2-312(b), 2-314(10) and (11), and 2-319, Annotated Code of Maryland

Effective date: April 1, 2002 (29:6 Md. R. 567)

Regulation .02 amended effective February 27, 2017 (44:4 Md. R. 255)

Regulation .02A amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .03 amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .03A amended effective June 20, 2016 (43:12 Md. R. 667)

Regulation .04A amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .05A amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .06D amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .07D amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .08F, G adopted effective June 8, 2015 (42:11 Md. R. 725)

Regulation .09E amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .10 adopted effective June 20, 2016 (43:12 Md. R. 667)