Section 26-27 - 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;
- (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 twenty (20) 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, Physical, Occupational, or Speech Therapy Services shall be prescribed by the attending Physician and re-certified by the attending Physician every one hundred eighty (180) days.
048-26 Wyo. Code R. § 26-27
Amended, Eff. 12/17/2015.