048-26 Wyo. Code R. §§ 26-25 - Speech Therapy Services
(a) Eligible Providers. Independent licensed
speech therapists, physicians, hospitals, PRTFs, and developmental centers that
employ licensed speech therapists.
(b) Covered Services.
(i) Prescribed rehabilitative speech therapy
services furnished in response to physical debilitation caused by acute
physical trauma or physical illness as prescribed by a Physician;
(ii) Speech therapy services prescribed while
the client was an inpatient and continuing on an outpatient basis;
(iii) Speech therapy prescribed as a direct
result of outpatient surgery required as a result of an injury; and
(iv) Speech therapy services provided to a
client under age twenty-one (21) with chronic disabilities when furnished by a
developmental center or a PRTF pursuant to an:
(A) Individualized Education Plan (IEP)
developed by the school system or PRTF; or
(B) Individualized family services plan
developed by a developmental center.
(c) Service limitations.
(i) Medicaid reimbursement for client speech
therapy visits shall be limited to twenty (20) visits per calendar year, unless
pre-approved.
(ii) Habilitative
services are not covered for clients 21 years of age or older.
(iii) Except as otherwise specified in this
Chapter, speech therapy services shall be prescribed by the attending physician
and re-certified by the attending physician every one hundred eighty (180)
days.
Notes
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