MassHealth and New York Medicaid already have SGD coverage guidelines that require SLP reports to be submitted by “experienced” SLPs.  The NY coverage guidelines say “a licensed [SLP] experienced in AAC service delivery has made the recommendation for the device ….” [NY Medicaid SGD coverage guideline, 1(f) effective 8/1/2019]  Neither program currently has any criteria further defining who is “experienced” from who isn’t.