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December 2016 Texas Medicaid Provider Procedures Manual

Physical Therapy, Occupational Therapy, and Speech Therapy Services Handbook : 5 Children’s Therapy Services Clients birth through 20 years of age : 5.2 Authorization Requirements for PT, OT, and ST Services : 5.2.2 Additional Evaluation and Documentation Requirements for Speech Therapy : Bilingual Testing Requirements
Bilingual and multilingual speakers are frequently misclassified as developmentally delayed. Equivalent proficiency in both languages should not be expected.
Criterion-referenced assessment tools can be used to identify and evaluate a client’s strengths and weaknesses, as opposed to norm-referenced testing, which assesses an individual relative to a group.
When possible, use culturally and linguistically adapted test equivalents in both languages to compare potential deficits and include in the documentation. The therapist will show the highest score of the two languages to determine whether the child qualifies and which language will be used for the child’s therapy. Testing for all subsequent reevaluations should only be conducted in the language used in therapy.

Texas Medicaid & Healthcare Partnership
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