Service Description

Speech language therapy services include:

  1. evaluation / assessment activities to identify communication or swallowing disorders and delays in the development of communication skills, including the diagnosis and appraisal of specific disorders and delays in those skills;
  2. referral for medical or other professional services necessary for the habilitation or rehabilitation of children with communicative or oropharyngeal disorders and delays in the development of communication skills;
  3. IFSP development, and
  4. treatment programs provided as a result of a medical referral by a licensed physician to improve the child's functional ability to communicate at home and in other environments. Activities for Early Intervention also include assistive technology assessment and environmental consultation to ensure that appropriate adaptations and safety issues for the eligible child are incorporated.

Family training, education and support provided to assist the family of a child eligible for services in understanding the special needs of the child as related to speech language services and enhancing the child's development are integral to this service. Eligible child is not required to be present but may be if appropriate. May include such services as support groups, individual support and other training or education for the family.

Services must be consistent with the provider's qualifications and licensure.

NOTE: Early Intervention does not pay for therapeutic services required due to, or as part of, a medical procedure, a medical intervention or an injury. Acute rehabilitative therapy and therapy required as part of a medical procedure, medical intervention or injury, is not developmentally-based but is medically-based. Once the condition has become chronic or sub-acute the therapy for the on-going developmental delay can be provided by EI.

Qualified Staff: 

  1. System enrolled Specialist credentialed as a) a Licensed Speech/Language Pathologist; or
  2. a non-enrolled Associate credentialed as a Speech/Language Therapy Assistant. Assistants must be under the direction of an enrolled Speech/Language Pathologist Specialist. (See ATTACHMENT 4: USE OF ASSOCIATE LEVEL PROVIDERS for more detail. See ATTACHMENT 5: REQUIREMENTS FOR PROFESSIONAL AND ASSOCIATE LEVEL EARLY INTERVENTION CREDENTIALING AND ENROLLMENT TO BILL.)

Billable Activities Evaluation / assessment, IFSP development, (See DEFINITIONS of IFSP With Authorization: development) and direct services.

NOTE: Bill for the time required to develop Assistive Technology requests using IFSP development code.

Do not provide services without having an authorization in hand. Services provided without a pre-approved authorization are not guaranteed for payment.

Speech Language Therapy

Procedure Codes Modifiers Unit of Service Description Rate
92506   15 minutes Evaluation / Assessment - onsite $14.11
92506   15 minutes Evaluation / Assessment - offsite $17.61
99271   15 minutes IFSP development $14.11
99271   15 minutes IFSP meeting $17.61
92507   15 minutes Individual therapy.- onsite $14.11
92507   15 minutes Individual therapy - offsite $17.61
92508   15 minutes Group therapy (multiple families or group not to exceed 4 children) $ 7.65

See "Audiology, Aural Rehabilitation and Other Related Services" for additional service activities and billing codes for Early Intervention.

MUST have authorization prior to billing those codes.