In-Home Speech Therapy in Fairfax and Northern Virginia

Help with swallowing, speech, language and memory after a stroke or illness, from a speech-language pathologist who comes to your home.

Covered by Medicare for patients who qualify. Care usually starts within 24 to 48 hours of a referral.

Who speech therapy helps.

Speech-language pathologists help with much more than speech. They work with people who have:

What happens at a visit.

Therapy uses real meals, real conversations and your own daily routine.

Safer swallowing

We check how you swallow and suggest food textures, positions and habits that lower the risk of choking.

Speech and language practice

Exercises for clear speech, finding words and following conversations.

Memory and thinking strategies

Calendars, routines and simple tools that make each day easier to manage.

Coaching for family

How to talk, cue and help at mealtimes so practice continues between visits.

Is it covered by Medicare?

With Original Medicare, covered home health visits cost you nothing. You usually qualify when all four of these are true.

Your doctor orders care at home and reviews your plan of care.
Leaving home takes a major effort, for example you need a walker, a wheelchair or another person's help.
You need skilled nursing or therapy part time, not around the clock.
You've seen a doctor about it within 90 days before care starts, or will within 30 days after.

How to start speech therapy at home.

First, we get the referral

From your doctor, the hospital, a rehab facility or you. We need the order and recent visit notes, and we can request them for you.

Next, we confirm the details

We verify insurance, call you to explain what’s covered, and agree a time that works for the family.

Then, your clinician arrives

Usually within 24 to 48 hours. The first visit sets goals with you and builds the plan your doctor signs.

Speech therapy questions.

Does Medicare cover speech therapy at home?

Yes, when you qualify for home health care. Speech therapy is one of the services that can start home health care under Medicare, as long as your doctor orders it and you are homebound.

What are signs of a swallowing problem?

Coughing or choking while eating or drinking, a wet or gurgly voice after swallowing, food sticking in the throat, weight loss or repeated chest infections. If you notice these, tell your doctor and ask about a swallowing evaluation.

Can speech therapy still help months after a stroke?

Often, yes. Progress is usually fastest in the first months, but many people keep improving with regular practice after that. Your therapist will set realistic goals with you.

Will my family be involved?

Yes. Family members often help with practice and at mealtimes, so we show them exactly what to do.

Other care we bring home.

Skilled nursing

Physical therapy

Occupational therapy

Home health aide

Medical social work

Start speech therapy at home.

Send a referral online or by fax, or call us to talk about speech, swallowing or memory concerns.