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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.

Early Childhood Intervention (ECI) and State/School-Based Services Children Under Age 3 . Federal Early Periodic Screening, Diagnostic, and Treatment (EPSDT) and/or disability regulations may provide certain Speech and Language Therapy Services to children under three years of age pursuant to the needs documented in an Individualized

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