Speech-Language Pathologist Medicaid Coverage and Critical Incident Stress Management Services Legislation Advances

Legislation improving coverage policies for speech-language pathologists (SLPs) and broadening those included under Critical Incident Stress Management (CISM) services advanced in the Michigan House of Representatives during the week of Oct. 20.

House Bill (HB) 4484, introduced by Rep. Joe Fox (R-Fremont), amends the Social Welfare Act to allow Michigan-licensed SLPs to seek Medicaid reimbursement for audiological rehabilitation and speech-language therapy services. SLPs could seek reimbursement for services regardless of having a certificate of clinical competence and regardless of any Department of Health and Human Services rules or regulations surrounding the issue. The bill passed out of the Michigan House 102-0 on Oct. 22. The MHA-supported bill now heads to the Senate for further consideration.

HB 4857, introduced by Rep. Will Bruck (R-Erie), expands the scope of confidentiality and liability provisions related to CISM services to any individual, rather than just emergency service providers. CISM services means services provided by a CISM team or team member to individuals affected by a critical incident or series of incidents to help manage or reduce stress-related responses. Some of the services provided include critical incident stress debriefings, on-scene support services, consultation and referral services. The MHA supports the legislation, which was unanimously approved by members of the House Health Policy Committee on Oct. 22.

Members with questions may contact the MHA advocacy team.

MHA Submits Comments on Speech-Language Pathologist Proposed Policy

The MHA recently provided comments to the Michigan Department of Health and Human Services (MDHHS) regarding a proposed policy change for Medicaid enrollment of speech-language pathologists (SLPs).

The MHA supports MDHHS’s efforts to align Michigan licensure requirements and eliminate duplicative credentialing processes for SLPs. Currently, SLPs face challenges with redundant requirements, such as the Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP), which contribute to time-consuming procedures without improving professional proficiency or care quality. Once effective, this policy would eliminate duplicative CCC-SLP requirements, thereby streamlining the process and enhancing the accessibility of SLP services across Michigan.

Members with questions may contact Kelsey Ostergren at the MHA.