<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.41.11.07" title_num="10" subtitle_num="41" chapter_num="11" heading="Supervisor Responsibilities.">
  <paragraph num="A.">
    <text>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.</text>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
  <paragraph num="C.">
    <text>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.</text>
  </paragraph>
  <paragraph num="D.">
    <text>A supervising speech-language pathologist or audiologist shall:</text>
    <paragraph num="(1)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Maintain on-going contact with all clients seen by a speech-language pathology assistant or an audiology assistant by participating in:</text>
      <paragraph num="(a)">
        <text>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</text>
      </paragraph>
      <paragraph num="(b)">
        <text>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;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Provide supervision of the speech-language pathology assistant or the audiology assistant that is a combination of direct on-site activities and indirect activities;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Provide general supervision to the audiology assistant and continuous availability by phone or telehealth technologies;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Provide a copy of the signed performance evaluation to the speech-language pathology assistant or the audiology assistant;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Maintain documentation of client contact and supervisory activities of the speech-language pathology assistant or the audiology assistant; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>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.</text>
    </paragraph>
  </paragraph>
</regulation>