CMS has released CR 6381, and the corresponding Transmittal R106BP to the Medicare Benefits Policy Manual and Transmittal R1717CP to the Medicare Claims Processing Manual. CMS announces that Medicare will begin paying for appropriate claims submitted by enrolled speech-language pathologists for services provided in private practice on or after July 1, 2009.
According to CMS: Historically, Medicare could only pay for speech-language pathology (SLP) services if the services were billed by an enrolled provider or supplier of services. CR 6381, from which this article is taken, announces that Section 143 of the Medicare Improvements for Patients and Provider’s Act of 2008 (MIPPA) has amended the Social Security Act to authorize: The Centers for Medicare & Medicaid Services (CMS) to enroll speech-language pathologists (SLP) as suppliers of Medicare services, consistent with the enrollment policies that apply to physical therapists and occupational therapists in private practice; and SLPs to begin billing Medicare for outpatient speech-language pathology services furnished in private practice beginning July 1, 2009.
SLPs in Private Practice can begin submitting applications as suppliers to Medicare beginning on June 2, 2009. In a Special Open Door Forum on Thursday, April 30th, CMS indicated that SLPs submitting applications prior to the June 1st date will risk the application being discarded.
The Medicare Learning Network (MLN) has also published the companion MLN Matters Article MM6381.