Wisconsin Administrative Code › Department of Health Services › DHS 101-109 - Medical Assistance › Chapter DHS 107 - Covered Services › Section DHS 107.18 - Speech and language pathology services

Current through June 24, 2024
(1) COVERED
				SERVICES.
(a) General. Covered speech and
				language pathology services are those medically necessary diagnostic,
				screening, preventive or corrective speech and language pathology services
				prescribed by a physician and provided by a certified speech and language
				pathologist or under the direct, immediate on-premises supervision of a
				certified speech and language pathologist.
(b) Evaluation procedures. Evaluation or
				re-evaluation procedures shall be performed by certified speech and language
				pathologists. Tests and measurements that speech and language pathologists may
				perform include the following:
1. Expressive
				language:
a. Aphasia evaluation (examples of
				tests are Eisenson, PICA, Schuell);
b. Articulation evaluation (examples of tests
				are Arizona articulation, proficiency scale, Goldman-Fristoe test of
				articulation, Templin-Darley screening and diagnostic tests of
				articulation);
c. Cognitive
				assessment (examples are tests of classification, conservation, Piagetian
				concepts);
d. Language concept
				evaluation (examples are tests of temporal, spatial, and quantity concepts,
				environmental concepts, and the language of direction);
e. Morphological evaluation (examples are the
				Miller-Yoder test and the Michigan inventory);
f. Question evaluation - yes-no, is-are,
				where, who, why, how and when;
g.
				Stuttering evaluation;
h. Syntax
				evaluation;
i. Vocabulary
				evaluation;
j. Voice
				evaluation;
k. Zimmerman pre-school
				language scale; and
L. Illinois
				test of psycholinguistic abilities;
2. Receptive language:
a. ACLC or assessment of children's language
				comprehension;
b. Aphasia
				evaluation (examples of tests are Eisenson, PICA, Schuell);
c. Auditory discrimination evaluation
				(examples are the Goldman-Fristoe-Woodcock test of auditory discrimination and
				the Wepman test of auditory discrimination);
d. Auditory memory (an example is
				Spencer-MacGrady memory for sentences test);
e. Auditory processing evaluation;
f. Cognitive assessment (examples are tests
				of one-to-one correspondence, and seriation classification
				conservation);
g. Language concept
				evaluation (an example is the Boehm test of basic concepts);
h. Morphological evaluation (examples are
				Bellugi-Klima grammatical comprehension tests, Michigan inventory, Miller-Yoder
				test);
i. Question
				evaluation;
j. Syntax
				evaluation;
k. Visual
				discrimination evaluation;
L.
				Visual memory evaluation;
m. Visual
				sequencing evaluation;
n. Visual
				processing evaluation;
o.
				Vocabulary evaluation (an example is the Peabody picture vocabulary
				test);
p. Zimmerman pre-school
				language scale; and
q. Illinois
				test of psycholinguistic abilities;
3. Pre-school speech skills:
a. Diadochokinetic rate evaluation;
				and
b. Oral peripheral evaluation;
				and
4. Hearing-auditory
				training:
a. Auditory screening;
b. Informal hearing evaluation;
c. Lip-reading evaluation;
d. Auditory training evaluation;
e. Hearing-aid orientation evaluation;
				and
f. Non-verbal
				evaluation.
(c) Speech procedure treatments. The
				following speech procedure treatments shall be performed by a certified speech
				and language pathologist or under the direct, immediate, on-premises
				supervision of a certified speech and language pathologist:
1. Expressive language:
a. Articulation;
b. Fluency;
c. Voice;
d. Language structure, including phonology,
				morphology, and syntax;
e. Language
				content, including range of abstraction in meanings and cognitive skills;
				and
f. Language functions,
				including verbal, non-verbal and written communication;
2. Receptive language:
a. Auditory processing - attention span,
				acuity or perception, recognition, discrimination, memory, sequencing and
				comprehension; and
b. Visual
				processing - attention span, acuity or perception, recognition, discrimination,
				memory, sequencing and comprehension;
3. Pre-speech skills:
a. Oral and peri-oral structure;
b. Vegetative function of the oral motor
				skills; and
c. Volitional oral
				motor skills; and
4.
				Hearing/auditory training:
a. Hearing
				screening and referral;
b. Auditory
				training;
c. Lip reading;
d. Hearing aid orientation;
				and
e. Non-verbal
				communication.