Speech & Language Services in Alabama 


1. Program Definition and Services 

Speech and Language Services in Alabama provides assessment, diagnosis, and treatment of communication disorders and swallowing difficulties. Services include: 

  • Speech and language evaluations 
  • Treatment for articulation disorders 
  • Language therapy for expressive and receptive language disorders 
  • Therapy for fluency disorders (stuttering) 
  • Voice therapy 
  • Swallowing therapy (dysphagia treatment) 
  • Augmentative and alternative communication (AAC) services 

 

2. Regulations 

Speech and Language Services are governed by: 

  • Alabama Board of Examiners for Speech-Language Pathology and Audiology regulations 
  • Alabama Medicaid Agency regulations 
  • Individuals with Disabilities Education Act (IDEA) for school-based services

 

3. Licensing or Certification 

Providers must be: 

  • Licensed by the Alabama Board of Examiners for Speech-Language Pathology and Audiology 
  • Hold a Certificate of Clinical Competence (CCC) from the American Speech-Language-Hearing Association (ASHA) 

 

4. Responsible State Agency 

The primary agencies overseeing Speech and Language Services are: 

  • Alabama Board of Examiners for Speech-Language Pathology and Audiology 
  • Alabama Medicaid Agency 
  • Alabama State Department of Education (for school-based services) 

 

5. Application Process 

Providers must: 

  • Obtain state licensure 
  • Enroll with the Alabama Medicaid Agency for Medicaid reimbursement 
  • Meet requirements set by relevant programs (e.g., early intervention, school districts) 

 

6. Required Documentation 

Providers must ensure: 

  • Comprehensive evaluations are completed and documented 
  • Treatment plans are developed and regularly updated 
  • Progress notes for each session are maintained 
  • Proper billing documentation for Medicaid and other payers

7. Timeline for Approval 

Specific timelines for approval are not available. 

 

8. Pre-Application Process 

There is no explicit mention of a pre-application process for Speech and Language Service providers. 

 

9. Pre-Application Training 

While not specifically pre-application, providers must complete: 

  • A master's degree in speech-language pathology 
  • Clinical fellowship year 
  • Ongoing continuing education to maintain licensure 

 

10. Additional Notes 

  • As of February 2025, telepractice is allowed for speech and language services in Alabama, expanding access to rural areas 
  • School-based speech-language pathologists may have different requirements than those in healthcare settings 
  • Early intervention services for children 0-3 years old are provided through Alabama's Early Intervention System 

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