It is not necessary for the SLP to write a new script.

However, it WILL be necessary for the SLP to complete an observation session. This should be done as soon as therapy by the CF starts treatment to the student. Medicaid can not be billed for services until the new observation date is documented. Any change in supervision requires a new initial observation session and periodically throughout treatment.

If sessions were provided prior to the observation session, the CF provider should select "other" as the CPT code as this will indicate the sessions are not in Medicaid compliance.