Ch. 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.