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Medical Necessity and Medicaid - The ASHA Leader
https://leader.pubs.asha.org/doi/10.1044/leader.BML.11062006.3#:~:text=ASHA%E2%80%99s%20position%20is%20that%20speech-language%20pathology%20and%20audiology,illness%2C%20such%20as%20head%20injury%20and%20cerebral%20palsy.
Medical Necessity for Audiology and Speech-Language ...
https://prep.asha.org/practice/reimbursement/medical-necessity-for-audiology-and-slp-services/
Audiology and speech-language pathology services are medically necessary to treat speech-language, swallowing, cognitive communication, hearing, and balance disorders. Many of these disorders—such as head injury, Parkinson’s disease, stroke, autism, and cerebral palsy—have a neurological basis.
ASHA Resource Justifies Medical Necessity for Speech ...
https://leader.pubs.asha.org/article.aspx?articleid=2664625
ASHA Resource Justifies Medical Necessity for Speech-Language, Hearing Services. https://doi.org/10.1044/leader.AN5.22122017.62. A new ASHA resource may help audiologists and speech-language pathologists clarify to insurers that speech, language and hearing services meet medical necessity criteria. Insurers reimburse for speech, language and hearing services …
Medical Necessity and Medicaid - The ASHA Leader
https://leader.pubs.asha.org/doi/10.1044/leader.BML.11062006.3
ASHA’s position is that speech-language pathology and audiology services are medically necessary to treat speech-language, swallowing, hearing, and balance disorders. Many of these disorders have a neurological basis and result from specific injury and illness, such as head injury and cerebral palsy.
Section 2 Speech-Language Pathology and Audiology …
https://medicaid.utah.gov/Documents/manuals/pdfs/Medicaid%20Provider%20Manuals/Speech,%20Language,%20And%20Audiology/Archive/2019/Speech-Lang-Audiology1-19.pdf
Medical Necessity Speech-language and audiology services are considered medically necessary only if there is a realistic expectation that the treatment will achieve measurable improvement in the client’s condition in a reasonable and predictable period of time.
Section 2 Speech-Language Pathology and Audiology …
https://medicaid.utah.gov/Documents/manuals/pdfs/Medicaid%20Provider%20Manuals/Speech,%20Language,%20And%20Audiology/Speech-Lang-Audiology.pdf
Speech-language pathology and audiology services are federally mandated covered benefits for pregnant women and members eligible under the Early and Periodic Screening, Diagnosis and Treatment Program (EPSDT). Speech-language and audiology services for eligible Medicaid members, who do not qualify for the
LCD - Speech - Language Pathology (SLP) Services ...
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=35070&DocID=L35070
Speech-language pathology services are designed to improve or restore speech and language functioning (communication) following disease, injury or loss of a body part. Clinicians use the clinical history, systems review, physical examination, and a variety of evaluations to characterize individuals with impairments, functional limitations and disabilities.
Speech-Language Pathology Medical Review Guidelines
https://www.asha.org/siteassets/uploadedfiles/slp-medical-review-guidelines.pdf
Speech-Language Pathology Medical Review Guidelines 4 Definition of Speech-Language Pathology Speech-language pathology services are those services necessary for the diagnosis and treatment of swallowing (dysphagia), speech-language, and cognitive-communication disorders that result in communication disabilities.
Medicaid Toolkit: A Guide for Audiologists and Speech ...
https://prep.asha.org/practice/reimbursement/medicaid/medicaid-toolkit/
Audiology and speech-language pathology services are recognized as covered services under the Medicaid program. The federal government establishes broad guidelines. Each state then administers its own program and establishes its own income eligibility standards; type, amount, duration, and scope of services covered; and payment rates.
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