Hello MSHA Members:

As you may know, in August 2022, the MO Board of Healing Arts reinstated the provisional license for SLP Clinical Fellows (CFs) to align with licensing standards of the other partner states participating in the Audiology/Speech-Language Pathology Interstate Compact (ASLP-IC).  While the compact agreement is still not yet an active license option as of the writing of this notice in September of 2023, there have been many questions as to the status of MO Medicaid/MO HealthNet billing privileges of those with the MO provisional license (CFs) in school and clinic/hospital based settings.  Many agencies and schools have opted to not have CFs bill, as at the time of the enactment of the MO provisional license there was no formal statement made by the Missouri Medicaid Audit and Compliance Office (MMAC) that this would be permitted.  

On September 5, 2023, MSHA received written verification that MMAC (Missouri Medicaid Audit and Compliance) will enroll provisionally licensed SLPs. As such, those SLPs holding the MO provisional license (CFs) can apply for a NPI number and may bill MO Health Net directly.  This holds true across all work settings.  This is well received news for CF-SLPs holding the provisional license in MO, and for those employing CFs. 

This confirmation has been a year in the making, with many thanks to Brent Hemphill, MSHA Lobbyist, Melanie Stinnett, Representative of MO District 133, Theresa Pierce, SLP, Kimberly Stewart (former MSHA VP of Legislative Affairs), Jennifer Stevenson (former MSHA President), Angie DeMoss (former MSHA VP of School Services) and Doanne Ward-Williams (ASHA Director of State Affairs). Without their voice and persistence, this billing issue may have gone unresolved.  We hope this notice helps clarify any questions or concerns regarding the status of SLP provisional licensure with respect to MO HealthNet/ Medicaid billing.