Speech-Language Therapy (SLT)

This policy covers speech-language therapy (SLT) evaluation, treatment, diagnostic testing, and related equipment to restore or improve speech, language, phonation, swallowing, and communicative function. It is targeted to patients (including children) with conditions such as low-tone neuromuscular, neurological, or cognitive impairments, loss or impairment of speech/hearing, aphasia/paraphasia, and other communicative disorders; services must be prescribed or ordered, delivered by a qualified/licensed SLT provider, documented in a written plan of care with measurable goals and demonstrated functional improvement, and are subject to member benefit and state licensure rules—maintenance-only care, services teachable to nonprofessionals, duplicate therapies, and hearing devices are excluded.

"Coverage of therapy necessary to increase quality of life for children clinically or genetically diagnosed with a disease, syndrome, or disorder that includes low-tone neuromuscular impairment, neu..."