Medicare Coverage Policies: Speech-Language Pathology
There are many rules and regulations speech-language pathologists must follow in order to bill Medicare. The links below provide important speech-language pathology related coverage policies. Providers are responsible for understanding and complying with both national and local policies.
National Coverage Policies
- Medicare & SLPs in Private Practice
- Find Centers for Medicare & Medicaid Services National Coverage Determinations
- Incident to Physicians' Services-Speech-Language Pathology
Local Coverage Determinations (LCDs)
LCDs are coverage guidelines developed by the local Medicare Administrative Contractor (MAC) to provide rules either for determination of coverage in absence of a national policy or for further clarification of a national policy. Providers should be aware of LCDs published by their local contractor.
Topic-Specific Policies
- Cognitive Therapy
- Co-Treatment
- Documentation
- Electrical Stimulation Guidance
- Group Treatment
- Home Health Prospective Payment System
- Skilled Nursing Facility Prospective Payment System
- Speech-Generating Devices
- Students and Clinical Fellows
- Telepractice
- Videostroboscopy & Nasopharyngoscopy: FAQs
- Voice Amplifiers
- Voice Therapy for Gender Affirmation Services
Useful CMS Links
- Medicare Manual Homepage
- Medicare Therapy Services Homepage
- Transmittals Homepage
- Medicare Learning Network
See also: Medicare Reimbursement of Speech-Language Pathology Services
