Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC ● Section 1866 of the Act is amended to include SLP services in the description of services that can be considered furnished by a provider of services when furnished by a clinic, rehabilitation agency, or public health agency that meets certain requirements. ● Section 1877 of the Act is amended to include outpatient SLP services in the list of designated health services for the purpose of the prohibition on certain physician referrals. (See section VI.B. of this preamble for a discussion of these changes.) 2. Implementation of the MIPPA Section 143 of the MIPPA amends the statute to treat speech-language pathologists (SLP) and speech-language pathology services in a similar manner to physical therapists and physical therapy services. Physical therapists are permitted to enroll in Medicare and to furnish and bill for their services in private practice. To conform SLP regulations to those for PT, we are adding provisions for services furnished by SLPs in private practice to §410.62(c) using language similar to the provisions of §410.59 and §410.60 that apply to OT and PT enrollment. In §410.62, we are redesignating the paragraph (c) as paragraph (d). The current paragraph (d) is deleted since this language is covered in §410.60. 834
CMS-1403-FC The amendments made by section 143 of the MIPPA concerning SLP enrollment, billing and payment are generally self-implementing and we are revising our regulations accordingly as noted above consistent with our policies for PTs. Section 410.62(c) contains a list of requirements that SLPs must meet. The regulations require that an SLP be legally authorized to engage in SLP private practice in the State where he or she practices. The SLP must practice only within the scope of practice allowed by the State. Section 410.62(c)(1)(ii) describes the various practice types in which an individual SLP may provide services. Section 410.62(c)(1)(iii)(A) requires that SLPs in private practice must bill Medicare for services furnished in the State where they are licensed, in the locations where the practice is operated, at a time when the practice is operating. The space must be owned, leased or rented by the practice and used for the exclusive purpose of operating the practice during those hours the practice is furnishing services to beneficiaries. Private practice services may be furnished at a patient’s home, but not at an institution that is a hospital, CAH or SNF. 835
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<strong>CMS</strong>-1403-FC<br />
● Section 1866 of the Act is amended to include SLP<br />
services in the description of services that can be<br />
considered furnished by a provider of services when<br />
furnished by a clinic, rehabilitation agency, or public<br />
health agency that meets certain requirements.<br />
● Section 1877 of the Act is amended to include<br />
outpatient SLP services in the list of designated health<br />
services for the purpose of the prohibition on certain<br />
physician referrals. (See section VI.B. of this preamble<br />
for a discussion of these changes.)<br />
2. Implementation of the MIPPA<br />
Section 143 of the MIPPA amends the statute to treat<br />
speech-language pathologists (SLP) and speech-language<br />
pathology services in a similar manner to physical<br />
therapists and physical therapy services. Physical<br />
therapists are permitted to enroll in Medicare and to<br />
furnish and bill for their services in private practice.<br />
To conform SLP regulations to those for PT, we are adding<br />
provisions for services furnished by SLPs in private<br />
practice to §410.62(c) using language similar to the<br />
provisions of §410.59 and §410.60 that apply to OT and PT<br />
enrollment. In §410.62, we are redesignating the paragraph<br />
(c) as paragraph (d). The current paragraph (d) is deleted<br />
since this language is covered in §410.60.<br />
834