Transcription of Speech Language Pathology Services - UHCprovider.com
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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 .. 8 Applicable Codes .. 11 References .. 12 Guideline History/Revision Information .. 12 Instructions for 12 Application This Coverage Determination Guideline only applies to the states of Arizona, California, Hawaii, Kansas, Maryland, Michigan, New York, Ohio, Rhode Island, Virginia, Washington, and Wisconsin. Refer to the guidelines listed below for the following states: State Policy/Guideline Florida Outpatient Speech , Occupational and Physical Therapy Services (for Florida Only) Outpatient Speech , Occupational and Physical Therapy Site of Service (for Florida Only) Indiana Outpatient Therapy Services (for Indiana Only) Kentucky Outpatient Physical, Occupational, and Speech Therapy (for Kentucky Only) Nebraska Speech Language Pathology Services (for Nebraska Only) New Jersey Speech Language Pathology Services (for New Jersey Only) North Carolina Speech Language Pathology Services (for North Carolina Only) Pennsylvania S
Speech Language Pathology Services (for Pennsylvania Only) Coverage Rationale . The coverage rationale for this policy contains the following sections: Indications for Coverage Sites of Service Restorative Therapy/Rehabilitation Services Early Childhood Intervention (ECI) and State/School-Based Services
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