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Indiana Speech-Language-Hearing Association.


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This area is for members to get the latest up to date information from the ISHA Communications Committee. It will now house the ISHA Newsletters as well as important information for all members. If you are a member sign-up in the subscription area above to receive updates in your email in box. Members will also be able to comment on any of the postings in the blog area.  If you are a Non-Member and have something to say, please email with your comment, and it will be added to the corresponding blog post.


We also want to welcome members and non-members to check out our new ISHA Forum area where member discussions can take place.  In addition, ISHA also has a FaceBook page.  Feel free to comment and ask questions there too!  Non-members can access and post a topic for discussion on the FaceBook page. Click here to access the ISHA FaceBook Page

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Non- members may only read the Forum.

If you are a Non-Member and have something to say, please email with your comment,
and it will be added to the corresponding blog post.

  • 22 Nov 2013 11:12 AM | Anonymous member (Administrator)


    The Medicare outpatient therapy cap exceptions process expires on December 31, 2013. Without Congressional action, patients will be faced with a hard cap on outpatient therapy services in 2014. The American Speech-Language-Hearing Association and the Therapy Cap Coalitionundefineda group of almost 50 associations, organizations, and patient and consumer groupsundefinedare working together to prevent the therapy cap from going into effect, but we need your help!


    Congress has introduced a proposal to reform the sustainable growth rate (SGR) formula, which does not include repealing the Medicare therapy cap. If Congress passes legislation addressing the SGR formula, but does not include a repeal of the Medicare therapy cap, it is likely that patients will face a hard cap on outpatient therapy services in 2014. Contact your members of Congress TODAY and ask them to include a full repeal of the Medicare therapy cap in the SGR reform legislation orundefinedat the very leastundefinedextend the exceptions process. Don’t let them forget about the beneficiaries and the harm that the Medicare therapy cap will cause!


    For more information on this issue, please visit ASHA’s Therapy Cap Advocacy Center or view ASHA’s issue brief on the Medicare Outpatient Therapy Cap. Please contact Ingrida Lusis, ASHA’s director of federal and political advocacy, at with questions.


    Take Action Here


  • 05 Nov 2013 10:42 AM | Anonymous member (Administrator)

    For the past fifteen years, the Speech, Language, and Hearing Sciences Department at Purdue University has been organizing the fall Crossroads Conference for students, Professors, Researchers, vendors, Speech-Pathologists and Audiologists to form a community of networking.  Anyone interested in the pressing issues and most recent research in the field of Speech-Pathology and Audiology may attend, and is a great opportunity for all attending to learn from one another.  Professors and Researchers from across the nation counsel one another; vendors are able to promote their products such as Varibar, and employment companies such as Theracare collect contact information from eager graduate students.


    Networking in between lectures

    The Crossroads Committee and Undergraduate students play a big role in the planning and success this conference.  “The hardest part was coordinating all the volunteers, but we got a big response from our undergraduates and volunteer spots filled up in one day” Purdue Undergraduate NSSLHA President Courtney Wisher noted, who played a big role in planning the conference. 



    NSSLHA officers from left to right:

    Recording Secretary Hillary Greeson, President Courtney Wisher, Webmaster Erin Boyle,

    Corresponding Secretary Rachel Platt (myself), Vice President Rebecca Henaghan


    NSSLHA officers from left to right:

    Historian Jessica Tolle and Treasurer Rachel Morrow

    The conference is a great opportunity for all undergraduates in the major to get their foot in the door and interact with professionals in the field.  Vice president Rebecca Henaghan said that “the cool thing about crossroads is that people from all over the United States attend; you realize how large and influential our field is.”


    As an undergraduate student, it is easy to get caught up in GPA and GRE scores and applying to graduate school.  The Crossroads Conference is a reminder of what we are working so hard for: a rewarding and growing field and the ability to brighten the lives of those with hearing and language disorders.  It is also an affirmation of what we are learning in our academic classes.   For me it was satisfying listening to Dr. Sumitrajit Dhar lecture on Otoacoustic Emissions theory and practice when I had just learned how to use this technology in my Introduction to Assessment Audiology class.


    The Crossroads Conference is a forum of not only shared information and opportunities, but of passion for the field.  The inspiration from the students, faculty, and presenters alike is why this conference has been such a success and why it should be continued for years to come.


    This blog was written and submitted by Rachel Platt, Purdue University NSSLHA Corresponding Secretary. 


  • 04 Nov 2013 10:36 AM | Anonymous member (Administrator)

    The EHDI E-mail Express, which is a monthly eNewsletter developed by the American Academy of Pediatrics (AAP), is now available at under the resources tab. The EHDI Express contains information about EHDI resources, upcoming events, and current clinical research.

    Dr. Luis F. Escobar is the American Academy of Pediatrics Indiana Early Hearing Detection and Intervention (EHDI) Chapter Champion. Please feel free to reach out to Dr. Escobar with any questions. He can be reached by e-mail to

  • 01 Nov 2013 1:58 PM | Anonymous member (Administrator)

                   Michael R. Pence

    Nicholas W. Rhoad
       Executive Director


    Current Speech Pathologist and Audiologist licenses expire December 31, 2013

     Renew Online Now!

    Online Renewal

    • Our online renewal service is quick and available 24/7 with a credit or debit card (we accept Visa, Mastercard and Discover). 
    • Your license number is the login ID and your;password is the last 4 digits of your social security number.
    • The renewal fee is $105.57 per license ($100 renewal fee plus $5.57 in processing fees).
    • Please update your address, e-mail address, and phone number while you're there.
    • Name changes require submission of a copy of the legal name change document (marriage certificate, divorce decree, social security card) to this office via fax at (317)233-4236 or email at:
    • The renewal will be processed and available for verification the next business day.

    License/Pocket Cards


    The Indiana Professional Licensing Agency no longer prints and mails license/pocket cards. After your license renewal has been processed, you may log back into our website at , click on "License Express" on the top left bar, then click on "Order License Card" to order a license/pocket card.  You may print it for free, or you can order one to be mailed to you for a charge of $13.77.  Available online only.

    Late Fees

    If your online renewal or paper renewal is postmarked after December 31, 2013, a late fee of $50.00 will be assessed along with the online processing fees.  Please add to the payment making the total $156.57 (online) or $150.00 (by mail) after December 31, 2013.

    Renew by Mail

    Allow 4 weeks for mailing and processing.  To renew your license by mail please print the renewal form from our webpage by selecting Renewals.  Please return the completed form with your check or money order in the amount of $100.00 payble to "Indiana Professional Licensing Agency".  If postmarked after 12/31/2013 the total will be $150.00.  The mailing address is on the paper form.

    Email Address

    Make sure yours is up-to-date.  Email is our preferred method of communication and you'll receive notifications quickly.


    How can we help?  Contact us by email at or visit us at 



    "We're striving to cut red tape and remove barriers to practice to make Indiana a state that works!; Have ideas?; Please give us your suggestions at"

      -Nicholas W. Rhoad, Executive Director


  • 31 Oct 2013 4:18 PM | Anonymous member (Administrator)

    Photo credit:


    The latest proposed rule to reduce Medicaid reimbursement for this biennium, which runs through 6-30-15, is now posted at under the resources tab.  ISHA requests your thoughts and input.  Some of the provisions of LSA Document #13-422 that might apply to members are as follows:

    1.         Home health reimbursement is being reduced by 3%.

    2.         Outpatient hospital services are being reduced by 3%.

    3.         Various provisions regarding hearing aids are being
            modified as highlighted in the LSA Document #13-422

  • 16 Oct 2013 10:35 AM | Anonymous member (Administrator)

    Photo credit:

    Affordable Care Act Communication Directory

    A Quick Reference Guide for the ACA is now located on the ISHA Website under Resources tab.  You can access it directly - Click Here!

  • 02 Oct 2013 2:10 PM | Anonymous member (Administrator)

    Photo credit:


    The SSA is requesting comments on whether and how it should revise the criteria in its Listing of Impairments (listings) for evaluating hearing loss and disturbances of labyrinthine-vestibular function in adults and children.  Comments are accepted through October 29, 2013. 

    The SSA is inviting comments and suggestions from individuals who apply for or receive benefits from the agency; advocates and organizations that represent individuals who have hearing disorders or disturbances of labyrinthine-vestibular function, state agencies that make disability determinations for the SSA, experts in the evaluation of hearing disorders, researchers, and other members of the general public.

    Get information at and enter the docket number SSA-2012-0075 in the search bar

    You can make comments directly to the website or feel free to comment at the end of this blog. 

    Questions to consider: 

    ·         Do the rules for evaluating hearing loss or disturbances of labyrinthine-vestibular function contain technical language or jargon that is not clearly explained? If not clearly explained, what technical language or jargon needs further explanation?

    ·         Are the requirements for otological examinations and audiometric testing provided in §§2.00B and 102.00B clearly stated? If not clearly stated, what requirements need further clarification?

    ·         What types of testing should the agency consider when evaluating hearing loss in adults or children who cannot cooperate in behavioral testing?

    ·         Would it be helpful to add a sample audiogram that contains all the requirements necessary for evaluation of hearing loss in adults or children?

    ·         What word recognition tests other than the Hearing in Noise Test (HINT) or the Hearing in Noise Test-Children (HINT-C) should the agency consider when it evaluates hearing loss treated with cochlear implantation?

    ·         Should the SSA provide examples of medical reasons for a discrepancy between the speech reception threshold and the pure tone average?

    ·         Could the SSA improve clarity by replacing the phrase “disturbances in labyrinthine-vestibular function” with the phrase “disturbances of inner ear function”?

    ·         Rather than evaluating disturbances in labyrinthine-vestibular function in adults under the listings, would evaluating disturbances in labyrinthine-vestibular function using residual functional capacity improve the determination process?

    ·         Should the SSA continue to evaluate disturbances of labyrinthine-vestibular function under the Special Senses and Speech body system?

    ·         What else could the SSA do to make the rules for evaluating hearing or disturbances in labyrinthine-vestibular function easier to understand?

    ·         Would a different format make the rules easier to understand (for example, changing the grouping or ordering of sections; use of headings; paragraphing; use of diagrams; use of tables)?

    ·         Experts who study disability believe that many personal, environmental, educational, and social factors contribute in significant ways to the relationship between an individual's hearing ability and the ability to work. Rather than providing criteria for evaluating hearing loss in adults under the listings, should the SSA evaluate all hearing loss using residual functional capacity?

    For further information, contact Cheryl A. Williams,
    Office of Medical Listings Improvement, SSA, 6401 Security Blvd., Baltimore, Maryland 21235-6401, (410) 965-1020

    Hala Elsisy
    Indiana Speech Language Hearing Association
    VP of Audiology

  • 02 Oct 2013 2:03 PM | Anonymous member (Administrator)


    LIKE ISHA on FB to be entered in a drawing on 1/6/2014 for

    FREE REGISTRATION to the 2014 Annual ISHA Convention.


    It’s so simple!  We want to be your friend!  Make sure you are a friend of ISHA on Facebook by January 6th to be entered in a random drawing from all of our FB friends.  The prize is one free registration to the 2014 Annual ISHA Convention. We love our Facebook friends and it is a great way to stay connected. 

  • 25 Sep 2013 4:47 PM | Anonymous member (Administrator)

    Tuesday, September 24, 2013:  Continuing education is inspirational.  I agree with Socrates, Education is the kindling of a flame, not the filling of a vessel.” The perspectives presented at the 2013 ISHA Fall Conference caused me to reflect on the genetic component of prior and current patients on my caseload with newly informed eyes.  I do not take copious notes during seminars; instead I apply my full attention to the speaker’s content and just jot down a few “golden nuggets” of information.  Below are the nuggets from my memo pad:


    §  When presented with a patient with hearing loss, consider it as a symptom not the diagnosis.


    §  Success in life is measured by happiness.


    §  Genetic Testing is not the same thing as a Genetic Evaluation.  Genetic evaluation is much more in-depth. 


    §  Gene expression can change. 


    §  When considering genetics, you must look at several generations of the family, not just the patient in isolation.


    §  “Genetics is not destiny.”  Just information to help family support child in reaching their potential.


    §  Between the 3rd and 6th month brain development is the greatest – 240%.  This is why early hearing detection is so important.


    §  40-60% of admissions to children’s hospitals are for genetic or genetic related conditions.


    §  To find a genetic counselor locally


    §  To find a genetic counselor nationally   


    §  Families can directly contact a genetic counselor if pediatrician does not share their urgency. 


    §  Don’t be hesitant to refer on to genetic counselor, developmental pediatrician, or multi-disciplinary medical team.


    §  Good resource


    §  Stuttering has a suspected genetic link – incidence with first degree relative = 20-74% vs. incidence in general population = <4.2%


    §  Genetic hearing loss is approx. 50-60% of all with hearing loss.


    §  Of genetic hearing loss 70% is non-syndromic.


    §  Genetic links between macrocephaly and Autism.

    The day concluded with the heartfelt sharing of three women about their experiences in living with genetic conditions.  It helped to hear their perspective as clinicians, so we could increase our respect for their journey. 

    Remember the slides for these lectures are available on the ISHA website on the events tab.

    --Jennifer Freeman, M.A. CCC-SLP

    ISHA VP of Publications and Communications

To support and empower members to provide the highest quality, life changing communication,
swallowing and hearing services to the people of the State of Indiana.

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