Therapy - Occupational/Physical/Speech
Required Forms for All Therapy
Guidelines for Speech Services
- Treatment of Swallowing Dysfunction (Updated 6/2/25)
- Evaluation for Speech (Updated 6/2/25)
- Treatment of Speech (Updated 6/2/25)
- Evaluation for Speech Generating Device (Updated 6/2/25)
- Therapy for Speech Generating Device (Updated 6/2/25)
- Auditory Rehab (Updated 6/2/25)
- Speech Language Screening (Updated 3/1/25)
Guidelines for Occupational and Physical Therapy Services
In an effort to expedite prior authorizations for initial post-operative and acute injuries, we allow the use of an SC modifier for Occupational and Physical Therapy requests. Please see Provider Letter 2012-09 for Guidance on the appropriate use of this modifier