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, advanced
practice registered nurse, physician's assistant, or other practitioner of the
healing arts;
(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 thirty (30) 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, advanced practice registered nurse, physician's assistant, or other
practitioner of the healing arts and re-certified by the attending physician,
advanced practice registered nurse, physician's assistant, or other
practitioner of the healing arts every one hundred eighty (180) days.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.