US · guidance
CMS SOM App. J, Tag W220
§483.440(c)(3)(v) speech and language development
Guidance §483.440(c)(3)(v)
Speech and language (communication) development: One of the most contributable causes of
behaviors, frustration by the clients, etc. is lack of effective communication. It is imperative that
the CFA identifies how the client communicates, what barriers are present, what services are
available and what programs and services will be provided to assist the client to go out into and
participate fully in the world. Observed client communication skills match the evaluation results
and that training programs are in place to address needs.
Communication development refers to the development of both verbal and nonverbal and
receptive and expressive communication skills. Assessment data identify the appropriate
intervention strategy to be applied, and which, if any, augmentative or assistive devices will
improve communication and functional status. These intervention strategies should provide the
client with a viable means of communication which is appropriate to their sensory, cognitive and
physical abilities.
History
Rev. 135, Issued: 02-27-15, Effective: 04-27-15, Implementation: 04-27-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
fc09d2cf80acfe669065d463b1572576c11f24124c364882126a84119b694c52
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