Notice: This CMS-approved document has been submitted - Philips ...

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.
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