Apply for reimbursement for speech therapy
As a speech therapist you will find information about Article 36 of the nomenclature here.
This article determines the conditions for reimbursement for speech therapy treatments.
Application procedure
Speech therapy (bilan and treatment) is only reimbursed if the CM's advising doctor gives his approval. But what exactly do you have to do for this? Follow the step-by-step plan.
Guidelines for a balance sheet
Refund exclusions
Parental guidance
Through parent guidance, people raising the child are taught practical strategies to efficiently support the child's speech therapy treatment.
No separate application to the advising physician is required for this parental guidance.
Relapse
If the maximum number of reimbursable sessions has not been used during the first period, it is possible to give a new agreement in the event of a recurrence provided the conditions are met.
This only applies to the following disorders:
- B1: Aphasia
- B2: Disorders in receptive and/or expressive language development
- B3: Dyslexia and/or dysorthography and/or dyscalculiei
- B6.4: Stuttering
- C2: Dysfunction of the larynx and/or vocal folds
- E: Dysphagia
The complete list can be found here.
What are the conditions?
- The patient relapses at least six months and at most two years after the end of the period for which there was an agreement of two or four years.
- The assessment in the context of recurrence must be prescribed before treatment is resumed.
- The assessment provides an indication to resume treatment and a proposed therapeutic plan .
- The treatment of the recurrence must be prescribed after the assessment has been drawn up .
- The complete file is transferred to the advising doctor.
- The consulting physician agrees for one year for the total number of remaining sessions of the container that have not been reimbursed during the entire treatment, with a maximum that varies depending on the disorder (container relapse).
| Disorder | Maximum number of reimbursable individual sessions of thirty minutes | ||
| For the entire duration of the treatment (total container, including any relapse) | For the treatment of the recurrence for a maximum of one year (container recurrence) | ||
| Aphasia | B1 | 288 | 86 |
| Disorders in receptive and/or expressive language development | B2 | 190 | 57 |
| Dyslexia and/or dysorthography and/or dyscalculia | B3 | 140 | 42 |
| Stuttering | B6.4 | 128 | 38 |
| Dysfunction of the larynx and/or vocal folds | C2 | 80 | 24 |
| Dysphagia | E | 65 | 20 |
Useful links to the Riziv site
- Page 'Speech therapists'
- Application form for reimbursement of the costs for speech therapy provision
- Reimbursement application form with the standard template 'bilan voor speechtherapie'
- Compendium (interpretation of the nomenclature, has no legal value)
- Limitative list of tests
- Agreement 2022-2023 between speech therapists and insurance institutions
- Forms Riziv
