260 CMR 10.01
Supervision and Documentation
(1) A Supervising Speech-language Pathologist is required to inform patients/clients when
services are to be provided by Speech-language Pathology Assistants, before such services
commence. A Supervising Audiologist is required to inform patients/clients when services are
to be provided by Audiology Assistants, before such services commence.
(2) The supervisor is responsible for the services provided by assistants.
(3) A supervisor must verify that an assistant holds a current, valid license from the Board prior
to the commencement of services.
(4) The supervisor must not delegate services requiring licensure to anyone not licensed by the
Board.
(5) The amount and type of supervision should be based on the skills and experience of the
Speech-language Pathology Assistant or Audiology Assistant, the needs of patients/clients being
served, the service setting, and the tasks assigned.
(a) At least 10% of services rendered by Assistants each month must be provided under
Direct Supervision. An additional 10% of services must be supervised, either directly or
indirectly.
(b) Additional direct and indirect supervision, beyond the minimum 20% required may be
necessary depending on the skills of the assistant and the needs of the patient/client. The
supervisor will review each plan of care as needed for timely implementation of
modifications.
(c) The amount and type of supervision must be documented. Documentation must include
hours of employment per month, and the date, type, and duration of supervision. The name,
signature, and license number of the supervisor must appear on the form.
(d) It is the responsibility of the assistant to maintain a record of such supervision and
provide a copy of this record to the Board upon request, or for audit or license renewal
purposes.
(6) A supervisor may not supervise more than three assistants at any given time.