Frequently Asked Questions
General Clinic Questions
Where does the name of the clinic come from?
It comes from Hygea (can be spelled Hygea or Hygeia, but I chose the former), the mythical Greek goddes of health, combined with Salus, the mythical Roman goddes of health. It essentially means healing, or health promoting therapies because I use nutritional therapies and rehabilitation therapies to help people, which is a very cutting edge approach.
The word "health" comes from "kailo" meaning to make whole. True health doesn't come from focusing on or "fixing" the parts, but rather by looking at the whole person. Combining rehabilitation therapies and nutrition therapies is one way of facilitating whole wellness. Hygea was known for being highly focused on prevention, which is also one of the aims of this clinic, not just to treat current conditions but to help in the prevention of future conditions as well.
How do you say the name?
SaluGea Therapies is pronounced "sah - loo - jee - uh" with the emphasis on the "jee".
Free Screenings Questions
Why should I do a free speech/language screening for my child?
Early identification of possible impairments is important. It is important so that the child will receive the services they may need and it is important for their psycho-social development and general cognitive development. Speech and language are connected to both. When a child is able to communicate well their self esteem has a better opportunity to develop normally to its full potential. When they have impairments in communication, they often have difficulty learning new concepts so they can struggle in school, and it can affect their self esteem and emotional health in their academic lives and social lives. I don't like seeing kids with disabilities/impairments going years without being properly identified and given the help they need to flourish in their worlds. That's why I like offering free screenings to the community in English and in Spanish. There will never be a charge for these screenings, and they are also offered through telepractice to give you the convenience of doing them in your own home and with much more flexible times available.
What areas does the screening look at?
I have available the PLS-5 Screening (English/Spanish) ages 0-7:11, as well as the DIAL-4 developmental screenings for kids 2:6 - 5:11, also in English/Spanish.
The PLS-5 screening is divided into the following sections: Expressive/Receptive Language, Fluency (stuttering), Voice, Pragmatics (social use of language), and Articulation. The child may pass one section but fail other sections. This helps us know which areas to do further testing in so that the tests are chosen based on your child's individual needs.
The DIAL-4 is a developmental screening in the areas of gross motor, fine motor, basic concepts, and language. If you have concerns over your child's general development I can administer all sections, otherwise I typically just administer the language section. Depending on the age of the child as well as level of bilingualism, I prefer to use one or the other screening tool. The DIAL-4 also appears to have a greater level of reliability.
What do screening results mean?
If your child passes a screening it is typically highly accurate in that further testing is usually not recommended, though no test is error proof, which is why I would still do a full evaluation even if a child passes a screening if parents have significant concerns.
If the child fails the screening, on the other hand, it is less accurate because screenings are meant to try to catch the kids who may need services so they do tend to over-identify to some degree, some tests more than others. This means your child may or may not need speech therapy services, but they need further formal testing to find out more information. A failed screening just means more information is needed.
If my child fails one of your free screenings am I obligated to have them tested at your clinic?
No. After a screening you will receive a sheet of paper with the results and recommendations. We can discuss the results and I will take the time to answer all your questions. If you don't feel comfortable having this discussion in front of your child we can discuss it over the phone later. You are free to do as you wish at that point. You can choose to do further testing or not, and you can choose to get the testing done at my clinic or at any other clinic or at your child's school. Free screenings are offered at my clinic as a service to the community and there is no expectation that you will receive services here unless you want to. Free screenings can be repeated.
What type of evaluations do you provide?
Expressive language and receptive language testing - for kids and adults
Auditory processing disorders testing - including both "bottom-up" and "top-down" tests for kids and adults
Fluency (stuttering) testing in kids and adults
Written language disorders testing (reading and writing) for ages 5-21 in English
Phonological awareness testing
Cognitive-linguistic testing in adults
Dysphagia (swallowing disorders) testing
Evaluations are provided in English/Spanish for most types of tests
Do you accept Medicaid/Medicare?
Yes, I currently accept Medicaid and Medicare.
What do you need for Medicaid billing?
I need a Healthy Connections referral prior to the start of services. This is just a written order from the primary care provider (PCP) that Medicaid has assigned to you. I can help you with this process.
Some people will need to have a pre-authorization done prior to receiving services. If you have a Developmental Waiver, or an Aged/Disabled Waiver through Medicaid then we are required to do a pre-authorization. If a Medicaid claim for speech therapy services has been denied within the past year, then Medicaid will typically require that we do a pre-authorization for any further services.
If the pre-authorization gets accepted then Medicaid will tell us the amount of services you are eligible for. I will need the name and date of birth of the patient prior to the start of services so that I can verify their Medicaid eligibility and anything we might need to do.
Some people might have a small co-pay through Medicaid. If the co-pay is less than 10% of the Medicaid reimbursable fee amount then I will waive your co-pay. If the co-pay is 10% or greater then I will need to collect the co-pay.
We will need a doctor's referral for Medicare billing as well.
Does Medicaid cover all of your services?
No. Medicaid does not cover health coaching services, only the speech therapy services. Medicaid also does not cover iLs (if done separately, but there's no charge when done within speech therapy sessions). Medicaid should cover the testing and therapy services for speech therapy. If you are a Medicaid recipient you will never be responsible for any fees that Medicaid may not cover for testing and therapy - whatever amount Medicaid covers is considered payment in full even when they do not cover the entire cost.
Medicaid also covers medical transportation services, so if you need transportation to your speech therapy appointment feel free to let me know and I can help you get that scheduled or give you more information.
Medicaid does not yet cover telepractice speech therapy services in Idaho/Texas/Arizona.
Please also keep in mind that there is a No Show fee of $25. Medicaid does not cover any of these types of clinic fees. All fees are listed under the clinic's policies and procedures form and the financial agreement form.
I can't afford speech therapy, and I don't have any kind of insurance and don't qualify for Medicaid/Medicare, do you have anything for me?
I have a time of service discount for private pay individuals who pay at the time of service. This discount is 30-40% off regular fees. If not payed at time of service then regular fees apply.
I live far away, or I have transportation issues, or I am home bound. Do you have anything for me?
Yes! I currently offer telepractice services! This allows you to receive the same high quality bilingual speech therapy services at the same affordable rates all from the comfort of your own home. Research studies continue to show the high level of quality and effectiveness of telepractice services as comparable to, or better than, traditional speech therapy methods. I may offer more flexible scheduling with telepractice including limited evenings and weekend options. Free screenings are also offered via telepractice.
Do you accept health insurance?
Currently I do not accept health insurance. What I can do for you, though, is create what is called a "super-bill", which is just a special document that lists all the documentation that an insurance company would need to reimburse for services. However, they would reimburse directly to you, not the clinic. You need to make sure you check with your insurance what percentage they cover for speech therapy services (some companies are very limited!) and make sure you know about your deductible. You are still responsible for payment to the clinic and you will receive an invoice which is due within 30 days of the date of service. I do accept credit cards, and checks.
Can I as the parent attend sessions with my child?
Yes! I have many parents attending sessions with their kids. I welcome parents who want to learn techniques, directly observe their child's progress, and help their child at home with what they're learning in the clinic. Some kids may also be more cooperative or participatory with their parent present, especially the younger kids. However, if it becomes a distraction for the child then it may be best for you to wait somewhere else (there's a nice comfy sofa right in the hall just outside the clinic within earshot). I can always fill you in later, too, give you extra activities to do at home, and communicate more frequently with you about their progress.
For a bilingual child, do you do therapy in English or in Spanish?
Yes, both! But it depends on each person. The more dominant language for them will be the language I will use most in therapy but I provide a lot of dual language support to facilitate learning and language growth.
Tell me more about iLs (Integrated Listening System) and how you use it in therapy?
iLs is a multi-sensory approach to help the brain. It is a very comprehensive, holistic approach. It incorporates visual-motor, sensory/vestibular-motor, and auditory processing along with traditional speech therapy methods. The brain functions in a highly inter-connected way and the best way to treat it is in a holistic, integrated approach. Although I just recently started using this method in my clinic, I already love it and see that it's more effective. It's also more fun!
During a typical speech therapy session at this clinic the client wears the iLs headphones with the Therapeutic Sounds for about 45 min. of the session, of which the first 10-15 min. are spent doing physical activities. Physical activities include standing on a balance board, catching, throwing, and other visual, coordination, motor activities. These physical activities are typically combined with individual speech/language targets, such as throwing bean bags or a ball on specific speech targets while practicing speech and language goals, or catching a ball with specific speech/language targets written on them, etc. Then time is spent doing traditional table-top speech therapy activities with the headphones still on. Then about 15-20 min. of some sessions is spent doing ILP (Interactive Language Program) activities depending on individual needs. All programs are customized and individualized. Treatment sessions typically are 50-60 minutes long, 1-3 times per week. For kids who are not yet tolerating the headphones, or who may otherwise benefit, I allow families to borrow the Dreampad for 3 weeks. See the iLs website for more info on the use of the Dreampad.
If you would like more information about how iLs works, please visit their website at www.integratedlistening.com.
I use iLs as a speech therapist to help remediate specific speech/language/auditory processing disorders. I will also be using iLs as a certified health coach to help individuals reach their peak performance and optimum health and wellness. iLs is for children and adults of all ages.
iLs Home Rental Program with Home Supervision:
I can provide home supervision for your iLs home rental program either in clinic (the introductory session is included whether you choose to do this in-clinic or at home; extra in-clinic visits are also available for a fee), by phone, or via telepractice. I do not charge for home supervision for the duration of one full program or the first 4 months, whichever comes first. You only pay for the rental of the equipment ($195/mo plus shipping) directly to the company. This can be canceled at any time. 100% of rental fees may also be directly applied towards the purchase of the system.
- Sensory-Motor 60 sessions
- Concentration/Attention 40 sessions
- Reading/Auditory Processing 40 sessions
- Optimum Performance (2) 24 sessions each (can do just one, or do both at different times using one as a "boost")
During home supervision, an individualized program is customized to fit your needs. This may involve completing just one program, or may involve combining sections of more than one program. Your particular needs are taken into account including how much time and resources you're willing to put into it along with your individual needs. Programs can be shortened or lengthened accordingly.
This is the rental process:
•1. iLs is contacted by prospective renter who provides Home Supervisors’ code and email address (you must discuss your needs with me first and I must approve you first and give you this information for you to give to iLs)
•2. iLs sends iLs Rental Application Form to prospective renter
•3. Renter completes iLs Rental Application Form and e‐signs
•4. iLs approves or rejects application and notifies prospective renter
•5. Renter signs and dates iLs Rental Agreement and sends back through EchoSign
•6. iLs calls Renter and obtains credit card information, and sets up Automated Recurring Billing
•7. Order is created, and confirmation sent via e‐mail to Renter
•8. iLs Fulfillment ships equipment by FedEx 3‐day
•9. iLs notifies Home Supervisor of shipment
•10. Home Supervisor contacts Home User and schedules time for Introductory Session and sends out forms to complete (symptom checklist and medical history) to help develop a customized program.