---
kind: "section"
citation: "42 C.F.R. § 440.110"
title: "42"
number: "440.110"
heading: "Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders."
url: "https://uscodex.org/cfr/42/440.110"
---

# §440.110. Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders.

- (a) **Physical therapy—**
  - (1) Physical therapy means services prescribed by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law and provided to a beneficiary by or under the direction of a qualified physical therapist. It includes any necessary supplies and equipment.
  - (2) A “qualified physical therapist” is an individual who meets personnel qualifications for a physical therapist at [§ 484.115](/cfr/42/484.115.md).
- (b) **Occupational therapy—**
  - (1) Occupational therapy means services prescribed by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law and provided to a beneficiary by or under the direction of a qualified occupational therapist. It includes any necessary supplies and equipment.
  - (2) A “qualified occupational therapist” is an individual who meets personnel qualifications for an occupational therapist at [§ 484.115](/cfr/42/484.115.md).
- (c) **Services for individuals with speech, hearing, and language disorders—**
  - (1) Services for individuals with speech, hearing, and language disorders means diagnostic, screening, preventive, or corrective services provided by or under the direction of a speech pathologist or audiologist, for which a patient is referred by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law. It includes any necessary supplies and equipment.
  - (2) **A “speech pathologist” is an individual who meets one of the following conditions—**
    - (i) **Has a certificate of clinical competence from the American Speech and Hearing Association.**
    - (ii) Has completed the equivalent educational requirements and work experience necessary for the certificate.
    - (iii) Has completed the academic program and is acquiring supervised work experience to qualify for the certificate.
  - (3) A “qualified audiologist” means an individual with a master's or doctoral degree in audiology that maintains documentation to demonstrate that he or she meets one of the following conditions:
    - (i) The State in which the individual furnishes audiology services meets or exceeds State licensure requirements in paragraph [(c)(3)(ii)(A)](#c-3-ii-A) or [(c)(3)(ii)(B)](#c-3-ii-B) of this section, and the individual is licensed by the State as an audiologist to furnish audiology services.
    - (ii) In the case of an individual who furnishes audiology services in a State that does not license audiologists, or an individual exempted from State licensure based on practice in a specific institution or setting, the individual must meet one of the following conditions:
      - (A) Have a Certificate of Clinical Competence in Audiology granted by the American Speech-Language-Hearing Association.
      - (B) Have successfully completed a minimum of 350 clock-hours of supervised clinical practicum (or is in the process of accumulating that supervised clinical experience under the supervision of a qualified master or doctoral-level audiologist); performed at least 9 months of full-time audiology services under the supervision of a qualified master or doctoral-level audiologist after obtaining a master's or doctoral degree in audiology, or a related field; and successfully completed a national examination in audiology approved by the Secretary.

## Notes

### Amendments

[43 FR 45224, Sept. 29, 1978, as amended at 45 FR 24888, Apr. 11, 1980; 56 FR 8854, Mar. 1, 1991; 60 FR 19861, Apr. 21, 1995; 69 FR 30587, May 28, 2004; 77 FR 29031, May 16, 2012; 82 FR 4578, Jan. 13, 2017]

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45224, Sept. 29, 1978, unless otherwise noted.

### Amendments

[43 FR 45224, Sept. 29, 1978, as amended at 45 FR 24888, Apr. 11, 1980; 56 FR 8854, Mar. 1, 1991; 60 FR 19861, Apr. 21, 1995; 69 FR 30587, May 28, 2004; 77 FR 29031, May 16, 2012; 82 FR 4578, Jan. 13, 2017]