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10/04/21

UHC Community Plan Revises SLP Coverage Determination Guideline

UnitedHealthcare (UHC) Community Plan has revised their Speech Language Pathology Services Coverage Determination Guideline. QuestionWhat is the effective date of the revised policy? Answer QuestionWhat state(s) does the revised policy apply to? Answer QuestionWhat are some of the topics discussed in the policy? Answer QuestionHow can I access the revised policy? Answer I hope you found this article informative and helpful. Thank you for being a Gold Member! All material posted on our website is intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without prior written approval of Gawenda

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04/20/21

UHC Community Plan Revises SLP Coverage Determination Guideline

UnitedHealthcare (UHC) Community Plan has issued a revised Speech Language Pathology Services Coverage Determination Guideline (CDG). The effective date of this revised CDG is May 1, 2021 and only applies to the states of Arizona, California, Hawaii, Kansas, Maryland, Michigan, New York, Ohio, Pennsylvania, Rhode Island, Virginia, Washington, and Wisconsin. To access the revised policy, click I hope you found this article helpful. Thank you for being a Gold Member.

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10/01/19

Prior Authorization Requirements for Florida

If you provide outpatient physical, occupational and/or speech therapy services in the state of Florida to patients who are covered by UnitedHealthcare Community Plan of Florida, you will want to read this article. Prior authorization requirements for Florida effective

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09/23/19

Speech Therapy Billing: Questions and Answers

It has been awhile since I have written an article focused on outpatient speech therapy and billing. So this week, I thought I would provide answers to some of the more common questions I receive about billing for speech therapy services. The answers I provide are based on what the Medicare Part B program allows and these answers may or may not be applicable to Medicare Advantage plans, Medicaid, managed Medicaid plans, private/commercial insurance carriers, workers compensation and automobile carriers. Here are the questions I will answer in this article: Can you be paid for CPT codes 92507 and 92526

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