Exclusions and Limitations
Provider Type
- Physicians
- Participating Physician Groups (PPG)
- Ancillary
Rehabilitation therapy (physical, speech and occupational) is not covered when such problems are the result of the following conditions:
- Psychosocial speech delay (includes delayed language development)
- Syndromes associated with diagnosed disorders attributed to perceptual and conceptual dysfunctions
- Attention deficit disorders (ADD) and associated behavior problems
- Developmental articulation and language disorders (such as stuttering and lisping)