20 CSR 2150-4.055
Applicants for Provisional Licensure
PURPOSE: This rule provides the requirements for speech-language
pathology and audiology provisional licensure pursuant to section
345.022, RSMo.
(1) Applicants for provisional licensure are required to make
application on forms prepared by the board.
(2) No application will be considered unless fully and completely
made out on the specified form and properly attested.
(3) Applications shall be sent to the State Board of Registration
for the Healing Arts, PO Box 4, Jefferson City, MO 65102.
(4) The fee for provisional licensure shall be an appropriate
fee, to be established by the board. The fee shall be sent in the
form of a bank draft, post office money order or express money
order payable on a United States Bank made payable to the
State Board of Registration for the Healing Arts. Personal and/
or corporate checks will not be accepted. No application will
be processed until the licensure fee is received.
(5) The applicant shall attach to the application a recent
photograph not larger than three and one-half inches by five
inches (3 1/2" × 5").
(6) Applicants for provisional licensure must submit the
following documentation:
(A) Proof of receipt of a master’s or doctoral degree from
an institution accredited by the American Speech-LanguageHearing Association accrediting body, in the area for which
licensure is sought. Documentation shall be provided on the
board-prescribed form and submitted directly to the board
from the program director of the accredited institution;
(B) Applicants shall provide, on forms prescribed by the
board, a plan for completion of the supervised postgraduate
professional experience. This form must be signed by a
supervisor holding current permanent Missouri licensure, in
the area in which the applicant seeks licensure. The plan shall
consist of at least thirty-six (36) weeks of full-time professional
experience. A minimum of thirty-five (35) hours of work per
week constitutes full-time employment. If the applicant works
twenty-nine to thirty-four (29–34) hours per week, the length
of the experience must be at least forty-eight (48) weeks. If
the applicant works twenty-two to twenty-eight (22–28) hours
per week, the length of the experience must be at least sixty
(60) weeks. If the applicant works fifteen to twenty-one (15–21)
hours per week, the length of the experience must be at least
seventy-two (72) weeks;
(C) At the conclusion of the supervised postgraduate
AND INSURANCE
experience period, the supervisor and the provisional licensee
shall sign and submit a board prescribed report which
documents completion of the experience; and
(D) Verification of licensure or registration to practice in
another state or territory shall be submitted to the board
directly from the licensing/registration agency.
(7) Provisional licensees who change their clinical fellowship
site, clinical fellowship supervisor, or the number of hours
worked per week, must submit, on forms prescribed by the
board, the revised plan for completion of the supervised
postgraduate professional experience, no later than four
(4) weeks after initiating the change. The change must be
approved by the board in order to receive credit.
(8) Applicants seeking provisional licensure in both speechlanguage pathology and audiology shall meet the qualifications
and submit the required documentation as stated above for
both professions.
(9) The provisional license is valid for one (1) year. The license
may be renewed one (1) time with board approval. Applicants
may apply for provisional licensure renewal pursuant to 20 CSR
2150-4.056.
(10) When an applicant has filed his/her application and the
appropriate fee for provisional licensure, and the application
is denied by the board or subsequently withdrawn by the
applicant, the fee will be retained by the board as a service
charge.
(11) An applicant may withdraw his/her application for
provisional licensure anytime prior to the board’s vote on his/
her candidacy for licensure.
AUTHORITY: sections 345.022 and 345.030, RSMo Supp. 2007.* This
rule originally filed as 4 CSR 150-4.055. Original rule filed July 12,
1996, effective Jan. 30, 1997. Amended: Filed July 25, 2000, effective
Dec. 30, 2000. Amended: Filed March 18, 2005, effective Sept.
30, 2005. Moved to 20 CSR 2150-4.055, effective Aug. 28, 2006.
Amended: Filed Nov. 7, 2007, effective May 30, 2008.
*Original authority: 345.022, RSMo 1995, amended 1998, 2005 and 345.030, RSMo
1973, amended 1981, 1995, 1998, 2007.