471 NAC 23-003. PROVIDER REQUIREMENTS

003. PROVIDER REQUIREMENTS. 003.01 GENERAL PROVIDER REQUIREMENTS. To participate in Nebraska Medicaid, providers of speech-language pathology and audiology services must comply will all applicable provider participation requirements codified in these regulations. . 003.02 SPECIFIC PROVIDER REQUIREMENTS. If speech-language pathology or audiology services are provided outside Nebraska, the speech-language pathologist or audiologist must be licensed by the state in which the services are provided. If the applicable state does not provide licensure for speech-language pathologists or audiologists, the provider must: (A) Have been granted a certificate of competency by the American Speech-Language-Hearing Association, or equivalent as recommended by the Board of Speech-Language Pathology and approved by Nebraska Medicaid. A photocopy of the certificate of competency must be submitted to Nebraska Medicaid with a signed and completed Medical Assistance Provider Agreement; (B) Meet the equivalent educational and work experience requirements needed for a certificate of competency; or (C) Have completed the academic program requirements and be acquiring the supervised work experience needed for the certificate of competency. 003.03 PROVIDER AGREEMENT. The speech-language pathologist or audiologist must complete a Medical Assistance Provider Agreement, and submit it to Nebraska Medicaid . 003.03(A) OUT OF STATE PROVIDERS. Out of state providers who are not licensed must submit a photocopy of the certificate of clinical competency to Nebraska Medicaid with a signed and completed Medical Assistance Provider Agreement.