Insurance & Cost Information

Craniosacral Therapy and Myofascial Release Therapy are self pay services. Please contact us to schedule a consultation.

SPEECH | FEEDING | OCCUPATIONAL THERAPY INFORMATION

Please ask your child's medical doctor for an occupational therapy referral to our clinic.

  • Call the office, ask for the clinician's nurse. Say “(my child) is a patient of Dr. (Provider name) and I would like to request a referral to be faxed to Beaumont Therapy and Holistic Wellness for a therapy evaluation and treatment." (Speech Therapy or Occupational Therapy)

    The fax number for the referral is: 320-584-2660

    Insurance Coverage Questions:

    You can call the member resources number on the back of your card and explain that you have questions about your benefits.

    Verify that Beaumont Feeding & Speech Solutions is in network with your insurance plan.

    Confirm with your insurance that these codes are covered (note this is not a comprehensive list of every possible diagnosis but does cover the most common ones):

    92523- Speech Evaluation

    92610- OMT Evaluation

    92507

    92526

    97166- OT evaluation

    97530

    97533

    Ask if you need prior authorization and referral for services and if there is a visit limit for speech therapy services.

ADULT GENDER-AFFIRMING VOICE THERAPY INFORMATION

Insurance requires a referral letter from your mental health provider.

  • The letter must come from a provider that meets the following criteria:

    1. A comprehensive diagnostic evaluation has been completed by a psychiatrist, a clinical psychologist, or other licensed mental health professional who Is experienced in the evaluation and treatment of gender dysphoria

    2. Has competence in the diagnosis of gender nonconforming identities and expressions, as well as in diagnosing possible comorbid disorders such as mood disorders, personality disorders, and substance related disorders.

    3. Has the ability to recognize and diagnose co-existing mental health concerns and to distinguish these from gender dysphoria.

    4. Meets the Minnesota Department of Human Services qualifications for a mental health professional, as set forth in Minn.Stat.245.4871, subds. 26 and 27 (2017) and Minn.Stat.245.462, subds. 17 and 18.

    Providers outside Minnesota must be appropriately licensed according to applicable state law.

    The referral letter must address the following items:

    1. The member’s general identifying characteristics.

    2. Results of the member’s psychosocial assessment, including any diagnoses.

    3. The duration of the mental health professional’s relationship with the member including the type of evaluation and therapy or counseling to date.

    4. An explanation that the criteria for surgery have been met, and a brief description of the clinical rationale for supporting the member’s request for surgery.

    5. A statement about the fact that informed consent has been obtained from the patient.

    6. A statement that the mental health professional is available for coordination of care and welcomes a phone call to establish this.

    It also must address two of the following items:

    1. A marked incongruence between one's experienced/expressed gender and primary and/or secondary sex characteristics.

    2. A strong desire to be rid of one's primary and/or secondary sex characteristics because of a marked incongruence with one's experienced/expressed gender.

    3. A strong desire for the primary and/or secondary sex characteristics of the other gender.

    4. A strong desire to be the other gender (or some alternative gender different from one's assigned gender). [Note: Alternative gender includes non-binary gender]

    5. A strong desire to be treated as the other gender (or some alternative gender different from one's assigned gender). [Note: Alternative gender includes non-binary gender]

    6. A strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one's assigned gender). [Note: Alternative gender includes non-binary gender]

    Referals can be faxed to 320-584-2660

    Insurance Coverage Questions:

    1. You can call the member resources number on the back of your card and explain that you have questions about your benefits.

    2. Once you get a representative on the phone, you will tell them you are checking on your insurance benefits for Gender Affirming Voice Care and let them know you have the diagnosis codes and procedure codes you need to ask about.

    3. You will ask them to verify that there are no "exclusions on your policy for Gender Affirming Voice Therapy" You'll want to verify that our practice is in network for you: I suggest calling the insurance and telling them you want to verify a specific provider and practice are in network with your insurance and tell them you have the NPI numbers (national provider identifier): Type 1 NPI: 1174133003 (Shaina Peterson, MS, CCC-SLP - individual NPI) Type 2 NPI: 1336609239 (my practice)

    These are the diagnosis codes:

    1. R49.8 - Other voice and resonance disorders

    2. F64.1 - Gender dysphoria in adolescents and adults

    Procedure Codes (these are the codes that will be submitted to insurance- also called CPT codes):

    1. 92524 - Behavioral and Qualitative Analysis of Voice and Resonance (this is the code we would submit for the first visit for the evaluation).

    2. 92507 - Treatment of speech, language, or voice (this is the code we would submit for follow up treatment sessions).

    Is Any Prior Authorization Needed for Services?:

    You will want to ask if there are any "prior authorization requirements or visit limits" for your insurance policy.

    Back up plan in case you find this is too expensive:

    We offer a sliding fee scale for Gender Affirming Voice care and can offer you a discount if you find this is prohibitively expensive or not covered by your insurance policy.