<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000004 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:79:04:02"><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000000">20:79:04:02</span></a><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000001">.  Responsibilities outside the scope for speech-language pathology assistants.</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> A speech-language pathology assistant may not:</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (1)  Perform any activity that violates § </span><a href="https://sdlegislature.gov/Rules?Rule=20:79:06:04"><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000003">20:79:06:04</span></a><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (2)  Represent </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">oneself</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> as a speech-language pathologist;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (3)  </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">Interpret</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> screening or test results;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (4)  </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">Administer feeding and swallowing screenings, checklists, or test results</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (5)  </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">Diagnose communication, feeding, or swallowing disorders</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">6</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Perform procedures that require a high level of clinical acumen and technical skill;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">7</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Participate in parent conferences, case conferences, or any interdisciplinary team without the presence </span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">or prior approval </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">of the supervising speech-language pathologist;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">8</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Develop</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">, write,</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> or modify a client's individualized </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">care</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> </span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">plan </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">in any way;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">9</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Provide client counseling;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">10</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Provide interpretative information to the client, </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">caregiver</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">, or </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">staff</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> regarding the client</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">'s</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> status or service;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">11)</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">  Sign </span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">or initial </span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">any formal document without </span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">the </span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">co-signature of </span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">the </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">supervising speech-language pathologist;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">12</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Assist clients without following the individualized </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">care</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> plan prepared by the </span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">supervising </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">speech-language pathologist or without access to supervision</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> by the supervising speech-language pathologist</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (1</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">3</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Select clients for services</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> or make determinations regarding eligibility or qualification for services</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (1</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">4</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Discharge clients from services;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (1</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">5</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Make referrals for additional services;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (1</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">6</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Develop or determine the swallowing strategies or precautions for clients, </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">caregivers</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">, or staff;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (1</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">7</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Treat medically fragile clients </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">without supervision;</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (1</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">8</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">)  Design or select augmentative and alternative communication systems or devices</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">; or</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (19)  </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">Disclose confidential information orally or in writing to anyone who has not been approved by the supervising speech-language pathologist to receive information, unless mandated by law</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">.</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000001">Source:</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> 39 SDR 220, effective June 27, 2013</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">; 50 SDR 23, effective September 3, 2023</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">.</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000001">General Authority:</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-37-12"><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000003">36-37-12</span></a><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">.</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000001">Law Implemented:</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> SDCL</span><a href="https://sdlegislature.gov/Statutes?Statute=36-37-5"><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000003">36-37-5</span></a><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">(3)(c),</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0"> </span><a href="https://sdlegislature.gov/Statutes?Statute=36-37-12"><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000003">36-37-12</span></a><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">(15)</span><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-37-18"><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000003">36-37-18</span></a><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-37-20"><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000003">36-37-20</span></a><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">.</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000002"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0-000001">Examples:</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6a000004"> </span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (6)  </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">High level of clinical acumen and technical skill includes vocal tract prosthesis shaping or fitting, vocal tract imaging, and oral pharyngeal swallow therapy with bolus material</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">.</span></p><p dir="ltr" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aP0"><span xml:space="preserve" class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">    (11)  </span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">Formal document includes treatment plans, reports, or reimbursement plans</span><span class="sad7d6914-b0d9-49dc-bb79-ac4e1da0ef6aC0">.</span></p></div></body></html>