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ASHA Assistants Certification Exam — speech-language pathology assistants (SLPA national exam) — Information & Free Practice

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ASHA Assistants Certification Exam — speech-language pathology assistants (SLPA national exam)

Provider
American Speech-Language-Hearing Association (ASHA); administered by Prometric on behalf of ASHA at testing centers throughout the U.S. and online through live proctoring; ASHA announces a transition of the assistant certification examinations to PSI on January 11, 2027
Format
Multiple-choice examination taken after ASHA approves the assistants certification application; no more than three attempts within one year
Exam questions
100 multiple-choice questions
Passing score
162 (the CFCC makes the final determination for the passing score)
Exam fee
$249 initial certification fee (includes the assistants certification exam and one year of affiliation); $99 retest fee
Examination outline
  • A. Providing Services (content weighting 75%) (75%)
    • A1. Self-identify as SLPAs to families, students, patients, clients, staff, and others (e.g., name badges, verbally, documentation)
    • A2. Comply with confidentiality and privacy regulations (e.g., HIPAA, FERPA)
    • A3. Comply with reimbursement requirements
    • A4. Comply with SLPA Scope of Practice
    • A5. Administer speech screenings without clinical interpretation
    • A6. Administer language screenings without clinical interpretation
    • A7. Administer hearing screenings without clinical interpretation
    • A8. Administer developmental screenings without clinical interpretation (e.g., cognitive, motor, adaptive)
    • A9. Administer oral mechanism screenings without clinical interpretation
    • A10. Assist patients/caregivers in completing case history or other relevant forms (e.g. questionnaires, outcome measures)
    • A11. Assist the SLP during assessment of students, patients, and clients exclusive of administration and/or clinical interpretation
    • A12. Assist the SLP in identifying the need for linguistically and culturally appropriate translation/interpretation services
    • A13. Assist the SLP in utilizing linguistically and culturally appropriate translation/interpretation services
    • A14. Follow supervising SLP-developed treatment plans or protocols
    • A15. Assist the SLP in designing evidence-based treatment activities to address student, patient, and client goals
    • A16. Follow supervising SLP-developed treatment plans or protocols to provide direct speech therapy to students, patients, and clients
    • A17. Follow supervising SLP-developed treatment plans or protocols to provide direct language therapy to students, patients, and clients
    • A18. Follow supervising SLP-developed treatment plans or protocols to provide direct voice therapy to students, patients, and clients
    • A19. Follow supervising SLP-developed treatment plans or protocols to provide direct fluency therapy to students, patients, and clients
    • A20. Follow supervising SLP-developed treatment plans or protocols to provide direct cognitive therapy to students, patients, and clients
    • A21. Follow supervising SLP-developed treatment plans or protocols to provide direct pragmatic therapy to students, patients, and clients
    • A22. Utilize behavioral management techniques
    • A23. Modify treatment activities based on the observed physical, mental, and/or behavioral status of the student, patient, and client as instructed by the SLP
    • A24. Report modified treatment activities to the supervising SLP
    • A25. Document student, patient, and client performance (e.g., collect data; prepare charts, records, and graphs)
    • A26. Report data and observations of student, patient, and client performance to supervising SLP
    • A27. Program augmentative and alternative communication devices
    • A28. Provide instruction in the use of augmentative and alternative communication systems
    • A29. Report and gather data and observations of student, patient, and client performance during meetings with the supervising SLP present
  • B. Providing Administrative Support (content weighting 20%) (20%)
    • B1. Prepare therapeutic and educational materials (e.g., visual aids, adapted materials, home programs)
    • B2. Perform scheduling activities
    • B3. Create and maintain student, patient, and client charts/records for the SLP
    • B4. Perform checks and maintenance of equipment
    • B5. Maintain inventories of supplies (e.g., rotating stock, ordering)
    • B6. Follow safety and infection control procedures
    • B7. Support the SLP in their supervisory role (e.g., documentation, training, compliance)
    • B8. Support the supervising SLP with in-service training, public relations programs, and marketing programs
  • C. Participating in Prevention and Advocacy (content weighting 5%) (5%)
    • C1. Provide information on awareness and prevention of communication, developmental, and/or swallowing disorders to at risk individuals and their caregivers
    • C2. Advocate for individuals and caregivers with respect to societal expectations, cultural beliefs, and linguistic differences (e.g., difference versus disorder, accent modification)
    • C3. Provide information to emergency responders regarding individuals who have communication, developmental, and/or swallowing disorders
    • C4. Advocate at the local, state, and national levels for public policies to improve access to services and research funding
Examination sources