Speech Language Pathology Services - UHCprovider.com
Speech Language Pathology Services Page 1 of 13 UnitedHealthcare Community Plan Coverage Determination Guideline Effective 04/01/2022 Proprietary Information of UnitedHealthcare. Copyright 2022 United HealthCare Services , Inc. UnitedHealthcare Community Plan Covera ge Deter mina tion Guideline Speech Language Pathology Services Guideline Number: Effective Date: April 1, 2022 Instructions for Use Table of Contents Page Application ........................................ ........................................ ..... 1 Coverage Rationale ........................................ ............................... 1 Definitions.
o Post cochlear implant o Quadriplegia o Traumatic brain injury Medical complications related to the following: o Immediately following amputation o Major multiple trauma o Post-acute stroke ... A comparison prior level of function to current level of function, as applicable; and
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