Reasonable: {Ans: Appropriate amount, frequency, and duration of treatment in accordance with standards of practice}Although each state established a state plan, including specific requirements, relevant documentation for establishing medical necessity may include: {Ans: - medical history, such as pertinent medical history, brief description of functional status, and relevant prior treatment; - diagnosed speech, language, swallowing, hearing, or balance disorder; - identification of a child with a disability as eligible for services under the Individuals with Disabilities Education Act (IDEA) or determination by an IEP team that services are required; - date of onset; - physician referral, if required (reauthorization may be required); - initial assessment and date - the procedure(s) used by the audiologist or SLP to diagnose a speech, language, voice, fluency, cognitive-communication, swallowing, hearing, or balance disorder and the date the initial assessment is completed; - plan of treatment or a treatment program and date established; and - progress notes and/or reports}Advocacy activities regarding telepractice may target specific issues unique to a particular state {Ans: - Some states may require special Medicaid approval for the practitioner to be a telepractice provider. - Some states may limit telepractice coverage to specified rural areas. - More states