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CMS-1403-FC
In general, section 143 of the MIPPA amends the
statute to give speech-language pathology services the
meaning given the term “physical therapy services” in
section 1861(p) of the Act. This provides the authority to
enroll speech-language pathologists and to pay them for
their services in the same way as physical therapists that
are separately enrolled. Section 143 made conforming
changes to the scope of benefits in section 1832(a)(2)(C)
of the Act to include outpatient speech-language pathology
services furnished in a private practice. Section 143 of
the MIPPA also makes the following changes to the Act:
● Section 1832(a)(2)(C) of the Act is amended to
specifically include outpatient speech-language pathology
services in the scope of benefits for which payment may be
made.
● Section 1833(a)(8) of the Act is amended to
describe outpatient SLP services as separate and distinct
services from PT.
● Section 1833(g)(1) is amended to separately
describe outpatient SLP services, but the amendments do not
create a separate therapy cap for SLP services. The cap
for PT and SLP combined is $1840 per beneficiary in CY
2009.
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