# COMAR Title 10 — Maryland Department of Health

## Subtitle 41 — Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists, and Music Therapists

### Chapter 11 — Speech-Language Pathology Assistants and Audiology Assistants

#### Regulation .07 Supervisor Responsibilities.

*COMAR 10.41.11.07*

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.

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.

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.

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

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

    (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

    (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) 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) 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) Provide general supervision to the audiology assistant and continuous availability by phone or telehealth technologies;

  (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) Provide a copy of the signed performance evaluation to the speech-language pathology assistant or the audiology assistant;

  (8) Maintain documentation of client contact and supervisory activities of the speech-language pathology assistant or the audiology assistant; and

  (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.