Frequently Asked Questions

What towns do you provide home visits in?

We serve the towns of Holden, Paxton, Princeton, Rutland, Sterling, Oakham, Barre, and Hubbardston.

If your town isn’t listed above, please reach out to us. We will do our best to find a way to serve you or provide you with appropriate recommendations or referrals.

Is there an additional charge for travel?

There is no charge for travel.

Can I be there while you’re with my child?

Absolutely! As the most important members of your child’s team, caregivers are encouraged to be present and observe sessions. Furthermore, depending on the child’s age and the therapy approach being used, caregivers may be encouraged to participate.

Can the appointment be held somewhere other than my home or your office?

Yes, it is possible for sessions to be held at various locations. This may be due to logistics of childcare (e.g., at a daycare center, relative’s home, etc.) or to better target specific goals (e.g., social skills in a play group, using language in the community, etc.).

What is a Speech-Language Pathologist (SLP) qualified to do?

An SLP is a highly-trained professional qualified to assess, diagnose, and treat speech, language social-communication, cognitive-communication, and swallowing disorders (

What does that really mean?
An SLP is a communication expert! Their scope of practice includes speech sound production, fluency, voice, swallowing, understanding and using spoken and written language (reading and writing), social use of verbal and nonverbal communication, and the cognitive functions that serve as their foundation (attention, problem-solving, organization, etc.).

Who could benefit from speech-language therapy?

A child could benefit from services if they lack, have limited use of, or difficulty with:

  • babbling and/or using gestures at an early age
  • making eye contact
  • having appropriate social interactions
  • understanding language and following directions
  • using words and combining them into sentences
  • higher level language skills (figurative language, telling stories, etc.)
  • producing sounds and hard to understand
  • abnormal disruptions in their speech (such as stuttering)
  • reading and writing
  • self-regulation (attention, emotions, etc.)
  • working memory and organization
  • flexible thinking

Do you accept insurance?

WSLT is currently an in-network provider with Blue Cross Blue Shield, Harvard Pilgrim, Tufts, and AllWays Health Partners and is considered an out-of-network provider with all other insurance companies. A family is responsible for paying all fees at the time of service via cash or credit card. If a family would like to submit claims for reimbursement from their insurance company, a “superbill” (a detailed invoice/receipt) will be provided with the necessary information.

Will my insurance cover it?

Many health insurance plans cover speech and language services; however, plans can have different requirements and/or restrictions to their coverage. If a family will be accessing our services using their Blue Cross Blue Shield health plan, our team will help verify their benefits and submit claims directly to the insurance company.

Families accessing our services as on out-of-network provider are responsible for seeking reimbursement; however, our team is happy to provide guidance in this process by discussing pertinent insurance terms, etc.

Do I need a referral from my child’s primary care physician (PCP)?

It is likely that your insurance company will require a referral from your child’s PCP.

What exactly does an initial evaluation consist of?

Initial evaluations consist of gathering background and developmental information, a caregiver interview, and an assessment and observation of your child. Based on your concerns expressed during the intake process, your therapist will typically select one or more standardized testing measures to evaluate your child’s skills. A standardized test allows us to compare the relative performance of same-age children to determine current levels of performance and make recommendations. If a standardized tool cannot be completed, or is not appropriate at that time, our therapists can use observation and more “informal” measures to gather information.