Medicare Coverage of Speech-Language Pathologists and Audiologists
CMS has updated its qualified personnel requirements for SLPs providing Medicare Part B services. This has serious implications for provisional licensees, including clinical fellows. Please see Medicare Updates Definition of Speech-Language Pathologist in Its Benefit Policy Manual for important details about this issue and what ASHA is doing about it.
Learn about the major aspects of Medicare related to audiology and speech-language pathology services, including Medicare coverage guidelines and reimbursement rates.
Latest Developments
- CMS Reverses Its Interpretation of a Qualified SLP: Clinical Fellows Cleared to Bill Medicare (July 29, 2025)
- Medicare Issues 2026 Proposed Payment Policies for Outpatient Services (July 22, 2025)
- President Signs Major Health and Education Law With Sweeping Changes (July 15, 2025)
- Proposed Medicare Fee Schedule Introduces New Codes for Hearing Device Services (July 14, 2025)
- Center for Medicare and Medicaid Innovation Announces Prior Authorization Demonstration for Original Medicare (July 9, 2025)
- Medicare Issues 2026 Home Health Prospective Payment System Proposed Rule (July 8, 2025)
- Medicare Updates Definition of Speech-Language Pathologist in Its Benefit Policy Manual (6/10/2025)
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Resources for Audiologists
- Medicare Reimbursement: Audiology
- The Medicare Part B Fee Schedule and Payment Rules
- The Medicare Quality Payment Program
- Medicare Part B Claims Checklist: Avoiding Simple Mistakes on the CMS-1500 Claim Form
- Medicare Coverage Policies: Audiology
- Providing Telehealth Services Under Medicare Part B
- Medicare Audits and Program Integrity
- Frequently Asked Questions
- Medicare Overview
Additional Resources
- Medicare Learning Network
- Reimbursement of Telepractice Services: Considerations for Audiologists and SLPs
- ASHA's Coding, Reimbursement, & Advocacy Modules
- ASHA Reimbursement Products & Web Seminars
- Health Insurance Portability & Accountability Act (HIPAA)
- State Advocates for Medicare Policy (StAMP) (a State-Based Advocacy Network)
- Be an advocate and Take Action
- Contact ASHA staff at reimbursement@asha.org
Resources for Speech-Language Pathologists
- Medicare and SLPs in Private Practice
- Providing Telehealth Services Under Medicare Part B
- Medicare SNF Prospective Payment System
- Medicare Home Health Prospective Payment System
- Medicare Reimbursement: SLP
- The Medicare Part B Fee Schedule and Payment Rules
- The Medicare Quality Payment Program
- Medicare Part B Review Process for Therapy Claims
- Medicare Part B Claims Checklist: Avoiding Simple Mistakes on the CMS-1500 Claim Form
- Medicare Coverage Policies: SLP
- Medicare Audits and Program Integrity
- Frequently Asked Questions
- Medicare Overview
