CurrentColorado Rocky Mountain Health PlansPolicy 2026T0314DD

Sensory Integration Therapy and Auditory Integration Training

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This policy governs coverage of sensory integration therapy and auditory integration training for UnitedHealthcare Commercial and Individual Exchange benefit plans.

Policy Summary

PayerColorado Rocky Mountain Health Plans

PolicySensory Integration Therapy and Auditory Integration Training

Policy CodePolicy 2026T0314DD

Change TypeRevision

Effective DateNovember 1, 2026

Next Review DateN/A

Key ActionBefore deciding coverage, check the member-specific benefit plan document and any applicable federal or state mandates.

SourceLink

POLICY UPDATE CHANGES

The clinical evidence and references sections were updated to reflect current information.

2Services identified as unproven and not medically necessary

97533

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CurrentColorado Rocky Mountain Health PlansPolicy 2026T0314DD

Sensory Integration Therapy and Auditory Integration Training

Customize your policy alerts

Sign up for Colorado Rocky Mountain Health Plans Policy 2026T0314DD alerts

Get alerted when Policy 2026T0314DD changes without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

This policy governs coverage of sensory integration therapy and auditory integration training for UnitedHealthcare Commercial and Individual Exchange benefit plans.

Policy Summary

PayerColorado Rocky Mountain Health Plans

PolicySensory Integration Therapy and Auditory Integration Training

Policy CodePolicy 2026T0314DD

Change TypeRevision

Effective DateNovember 1, 2026

Next Review DateN/A

Key ActionBefore deciding coverage, check the member-specific benefit plan document and any applicable federal or state mandates.

SourceLink

POLICY UPDATE CHANGES

The clinical evidence and references sections were updated to reflect current information.

2Services identified as unproven and not medically necessary

97533

Coverage Criteria

Sensory Integration Therapy

The service is unproven and not medically necessary for treating any condition due to insufficient evidence of efficacy.

Sensory integration therapy is unproven and not medically necessary for treating any condition due to insufficient evidence of efficacy.

Auditory Integration Training

The service is unproven and not medically necessary for treating any condition due to insufficient evidence of efficacy.

Auditory integration training is unproven and not medically necessary for treating any condition due to insufficient evidence of efficacy.

Sensory integration therapy (SIT) and auditory integration training (AIT) are unproven and not medically necessary for treating any condition because of insufficient evidence of efficacy.

Applicable Codes

Applicable CodesCPT

97533

Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes

Provider and Coverage Actions

Note

Verify the Governing Benefit Plan

Before determining coverage, verify the member-specific benefit plan document and any applicable federal or state mandates. The member-specific plan governs if its terms conflict with this policy and may differ from the standard plan.

Denial Risk

Denial Risk: SIT and AIT

Sensory integration therapy (SIT) and auditory integration training (AIT) are classified as unproven and not medically necessary for treating any condition because of insufficient evidence of efficacy. Claims for these services may be denied under this policy.

Sensory integration therapy (SIT)
Auditory integration training (AIT)

Unsupported block type: denial_risk

Clinical Background

Sensory integration therapy is generally described as an occupational therapy intervention that combines vestibular, proprioceptive, and tactile stimulation with motor activities to promote adaptive responses and sensory processing.

Therapy Definitions

Sensory integration therapy (SIT)

PurposeA therapy intended to improve perception and integration of sensory information and help improve sensorimotor skills.

Therapeutic approachCombines primitive forms of sensation with motor activity during individual therapy sessions.

Stimulation usedVestibular, proprioceptive, and tactile stimulation are provided during activities designed to elicit appropriate adaptive motor responses.

Typical provider and sessionUsually provided by an occupational therapist in individual sessions typically lasting 60 to 90 minutes.

Auditory integration training (AIT)

PurposeA technique developed to improve abnormal sound sensitivity in individuals with behavioral disorders or autism spectrum disorders.