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Speech Implementer

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Requirements for Use of the Speech Implementer Model

Written request for approval to use the model is made to the Compliance Section in the Office of Special Education. Request for approval must be made using the Speech Implementer Model Application below:


The following additional information explains the requirements for use of the Speech Implementer Model as one of the allowable service delivery options for speech/language services in a Missouri public agency. This model should only be used in lieu of unsuccessful attempts to hire a licensed speech-language pathologist (SLP) or a licensed speech-language pathology assistant (SLP-A) and supervising speech-language pathologist to provide services. Monitoring standards for this model are found in the Special Education Program Review Standards and Indicators Manual Section 400 of the Standards and Indicators Manual . Refer to the Standards and Indicators to meet compliance requirements. Compliance with these standards will be monitored by the Office of Special Education.

Prior to requesting approval for the use of the Speech Implementer Model during any given school year, the agency must advertise/recruit and attempt to hire a licensed speech language pathologist (SLP) and a licensed speech language pathology assistant (SLP-A) to fill the position. Continuous advertising of the position is required until the position is filled. Documentation of recruiting efforts must be maintained on file in the agency and submitted along with the speech implementer application to DESE.

For information regarding SLP-A recruitment, see Program Contacts for SLP-Assistants (SLP-A’s) 

The table below provides a comparison of the two positions:

 

SLP-A

SI

Credential

MO Board of Healing Arts issued SLP-Assistant Registration

DESE issued  Educator Certificate

Scope/Use

Permanent service delivery option available for use as appropriate in any setting

Temporary, exception-based special education service delivery option. Must be DESE approved ANNUALLY based on inability to recruit/employ certificated SLP or SLP-

Degree Required

Bachelors Degree in Speech Pathology or equivalent defined as 21 hours in five speech/language areas, 5 hours of observation and 25 hours of clinical assisting or practicum    

Bachelors Degree in Communication Disorders and a MO teaching certificate or Bachelors Degree in Elementary or Secondary Education and a valid MO teaching certificate

Supervisor

Credential

Board of Healing Arts SLP License; may designate temporary alternate

Board of Healing Arts SLP License

Supervision Ratio

SLP can supervise three full-time equivalent assistant positions at one time

Although  there is no limit on the number of implementers an SLP can supervise, caseloads must be taken into consideration

Level of Supervision

Required                

 

Direct supervision (real-time observing and viewing of assistant and student) for initial student contact; thereafter one hour per week for each assistant or one of every three student sessions

Supervising SLP conducts periodic direct therapy sessions as described in written description of the SI model for students assigned to the implementer

Allowed Activities

 

Assists with the implementation of IEPs, screening, and documenting progress as well as other activities such as early intervening services and language-literacy activities with non-disabled students under the supervision of a licensed SLP

Assists with the implementation of IEPs, screening, and documenting progress under the supervision of a licensed SLP

 

Prohibited Activities

 

Cannot do the following: Conduct evaluations; determine eligibility; make case selection; interpret data; make referrals; write, develop or modify IEPs

Cannot do the following: Conduct evaluations; determine eligibility; write, develop or modify IEPs; interpret data

Individuals Served

 

Any individuals served by supervising SLP may be served by SLP-A; no restrictions based on functional deficits or client type

Limited to IDEA eligible students; as a certificated general education teacher, may provide CEIS services to nondisabled students

Medicaid Billing

Can bill if Missouri Medicaid expands to allow SLP-As per federal regulations

Unable to bill Medicaid even if Missouri Medicaid expands to allow SLP-As  

Retirement System

 

Position would not require a teaching certificate; therefore participates in PEERS retirement system

Position does require a teaching certificate; therefore participates in PSRS retirement system

The Speech Implementer Model requires a supervising SLP. This individual must hold a valid license from the Missouri Board of Healing Arts. A teaching certificate is no longer issued by the DESE. Therefore, newly hired SLPs must be licensed. The only exception to this requirement is a SLP who is already employed in the district may continue to provide supervision and services with their valid Missouri teaching certificate as long as they have not retired from the district.

The individual hired as the implementer must have a Bachelor's Degree in Elementary or Secondary Education and a current Missouri teaching certificate OR a Bachelor's Degree in Communication Disorders and a current Missouri teaching certificate.

The application must be signed by the public agency's superintendent. This application contains the names and social security numbers of the supervising SLP and the speech implementer. Permission to use the model is granted by DESE based on the qualifications of the individuals designated to serve as the supervising SLP and the speech implementer and on the agency’s assurance of its inability to hire a qualified SLP or SLP-A after significant effort to do so as demonstrated by the documentation submitted with the application.