US · guidance
CMS Pub. 100-02, ch. 12, § 40.4
Speech-Language Pathology Services
Services related to congenital speech difficulties, such as stuttering or lisping, are not
covered.
A qualified speech-language pathologist, as defined at 42CFR485.70(m), has the
knowledge, training, and experience required to evaluate and reevaluate, as appropriate, a
patient's level of function, determine whether a speech-language program could
reasonably be expected to improve, restore, or compensate for lost function, and to
recommend to the physician a plan of treatment. A qualified speech-language pathologist
must evaluate and reevaluate the patient’s level of function to develop, in consultation
with the physician as appropriate, the speech-language pathology plan of treatment.
Speech-language pathology therapy services are covered CORF services if physical
therapy services are the predominate rehabilitation services provided in the CORF.
History
(Rev. 111, Issued: 09-25-09; Effective Date: 07-07-08; Implementation Date: 10-26- 09)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
774e7be92cd96c9eddb3d28c4a251beb1d7944c911f870ee93630f9d342a5118
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