DDRS Waiver Manual

Section 10.30: Speech/Language Therapy
Service Definition
Speech/Language Therapy services are services provided by a licensed speech pathologist under 460 IAC 6
Supported Living Services and Supports requirements.
These services cannot be provided as a substitute for services offered under the Medicaid State Plan.
Reimbursable Activities
Reimbursable activities under Speech/Language Therapy services include the following:
Screening
Assessment
Direct therapeutic intervention and treatment for speech and hearing disabilities such as delayed
speech, stuttering, spastic speech, aphasic disorders, injuries, lip reading or signing, or the use of
hearing aids
Evaluation and training services to improve the ability to use verbal or non-verbal communication
Language stimulation and correction of defects in voice, articulation, rate, and rhythm
Design, fabrication, training, and assistance with adaptive aids and devices
Consultation demonstration of techniques with other service providers and family members
Planning, reporting, and write-up when in association with the actual one-on-one direct
care/therapy service delivery with the waiver participant
Service Standards
The following service standards apply to Speech/Language Therapy services:
Individual Speech-Language Therapy services must be reflected in the ISP regardless of the funding
source.
To be eligible for this service, the individual must have been examined by a certified audiologist
and/or a certified speech therapist who has recommended a formal speech and audio logical
program.
The need for such services must be documented by an appropriate assessment and authorized in the
individual’s ISP.
Documentation Standards
Speech/Language Therapy Services documentation must include:
Documentation of an appropriate assessment
Services provided both under the Medicaid State Plan and the waiver must be outlined in the ISP
DDRS/BDDS-approved provider
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