1 0 obj These rates are inclusive of 13.37% Growth and audited 2018 GL/PL Insurance Costs. Additionally, monaural hearing aids, when billed, must be reported with modifier RT or LT and are limited to one unit per side in a three-year period. . They are routinely updated to promote accurate coding and policy clarification. The claims review process takes into consideration WellCare historical claims edits as well as edits from the following sources: WellCare payment policies focus on areas such as: Crisis Intervention Services have two main components, maximum units and modifier requirements. Local, state, and federal government websites often end in .gov. Press Enter on an item's link to navigate to that page. Additionally, contraceptive injections of medroxyprogesterone acetate also known as Depo-Provera are limited to one injection every three months. Outpatient - Site of Service - Maximum Allowable Payment. They are routinely updated to promote accurate coding and policy clarification. Please locate the pdf file where the Provider's Name would fall. aJY $,0V #hE2!FF!&`B+4fC&%@ c cTh If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. According to Georgia Medicaid guidelines, a brief emotional/behavioral assessment performed during a non-periodic screening visit for a patient less than 21 years of age must be reported with modifier EP (EPSDT program) and billed in Place of Service 99 (Other). The analysis of any legal or medical billing is dependent on numerous specific facts including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. These rates are inclusive of 13.37% Growth, Joint Commission & AHCA quality incentives and audited 2018 GL/PL Insurance Costs. \ w|p&buSa!HTNH8zEl&~taFZ>qy|Zu_i-gF7*K_xhM |ykr\5fOy6wAT)+EhK4 9IOfUFJ?!A9Hkz Gv&v>QeIY1.?yL.Tv?{!% Additionally, the following implantable contraceptive devices and procedures should be reported with modifier FP (Service provided as part of Medicaid family planning program): According to Georgia Medicaid guidelines, hearing aid devices, items and services are not covered for patients 21 years of age or older. Therefore, enteral nutrition supplies are recommended for denial when billed without modifier NU. Policies in the Peach State Health PlanPayment Policy Manual may have either a Peach State Health Planor a Centene heading. After dialing 1-800-273-TALK (1-800-273-8255), the caller is routed to their nearest crisis center to receive immediate counseling and local mental health referrals. 3a, Col 003, line 019: 36) Capital Related - Buildings & Fixtures (All Agencies Statewide) Sch. c. The American Speech-Language-Hearing Association (ASHA) is the national professional, scientific, and credentialing association for 228,000 members and affiliates who are audiologists; speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology support personnel; and students. %PDF-1.7 These reimbursement policies apply to our Georgia Medicaid plans. The NDC serves as a universal product identifier for drugs. <>/Metadata 448 0 R/ViewerPreferences 449 0 R>> hbbd```b`` Download the free version of Adobe Reader. Orthotic and Prosthetic Fee Schedule - PDF. Providers and their office staff are encouraged to use self-service channels to verify member eligibility. The American Speech-Language-Hearing Association (ASHA) developed this document to provide an analysis of the 2022 Medicare Physician Fee Schedule (MPFS), including comments on relevant policy changes, a list of Current Procedural Terminology (CPT American Medical Association) codes used by speech-language pathologists (SLPs) with their national 2021 Medicaid Enhancements to Reimbursement Policies. Examples of provider administered drugs: Copyright 2023 Wellcare Health Plans, Inc. Behavioral Health and Rehabilitation Services, Durable Medical Equipment and Supplies - Enteral Nutrition, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services, Family Planning Services Contraceptives, U1 (Practitioner Level 1) - U6 (In-Clinic), U1 (Practitioner Level 1) - U7 (Out-of-Clinic), U2 (Practitioner Level 2) - U6 (In-Clinic), U2 (Practitioner Level 2) - U7 (Out-of-Clinic), U3 (Practitioner Level 3) - U6 (In-Clinic), U3 (Practitioner Level 3) - U7 (Out-of-Clinic), U4 (Practitioner Level 4) - U6 (In-Clinic), U4 (Practitioner Level 4) - U7 (Out-of-Clinic). The three segments identify the labeler, the product, and the commercial package size. Please enable it in order to use the full functionality of our website. hb```a``@(Ro.00G7K{TP`^W(H@ UVfO@K4c?o!b@AYf @ M# All policies found in the Peach State Health Plan Clinical Policy Manual apply to Peach State Health Plan members. occupational therapy, and services for individuals with speech, hearing and language disorders; . Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. How do I know if I am in the right place? Before sharing sensitive or personal information, make sure youre on an official state website. Reimbursement rates have been recalculated effective July 1, 2020 through June 30, 2021. Provider Fee Payment. Clinical policies help identify whether services are medically necessary based on information found in generally accepted standards of medical practice; peer-reviewed medical literature; government agency/program approval status; evidence-based guidelines and positions of leading national health professional organizations; views of physicians practicing in relevant clinical areas affected by the policy; and other available clinical information. HT+o @a94VJJ>)fgH6\~O_>}w?_o?O?wx~|:go>QBwa]gi(=F9}vD9UgYzQGh+t5yv1:3&knhsOq{(CkP]LUtcK$uZSI#X,w=gShk;u]k?LKHce{B1hW%Tb=~NbUHbY ,jgj.+E=[ra?..S=SWB`"t>TeEUx ). The National Drug Code (NDC) is a unique, three-segment number that identifies a drug. Monday to Friday, 08:00 a.m. - 05:00 p.m. All in Eastern Time Zone. These proprietary policies are not a guarantee of payment. 2 0 obj According to Georgia Medicaid guidelines, certain provider administered drugs must be reported with the National Drug Code (NDC) that corresponds directly to the drug related procedure code. They include, but are not limited to claims processing guidelines referenced by the Centers for Medicare and Medicaid Services (CMS), Publication 100-04, Claims Processing Manual for physicians/non-physician practitioners, the CMS National Correct Coding Initiative policy manual (procedure-to-procedure coding combination edits and medically unlikely edits), Current Procedural Technology guidance published by the American Medical Association (AMA) for reporting medical procedures and services, health plan clinical policies based on the appropriateness of health care and medical necessity, and at times state-specific claims reimbursement guidance. Effective January 24, 2021 a significant enhancement to our physician reimbursement policies that promote correct coding. nursing services, nutrition services, occupational therapy, orthotic and prosthetic training, physical therapy and speech-language pathology. All policies found in the Peach State Health PlanPayment Policy Manual apply with respect to Peach State Health Planmembers. <> Additionally, laws and regulations and insurance and payer policies are subject to change. Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Diaphragm fitting, condoms and contraceptive injection of medroxyprogesterone acetate must be submitted with modifier FP (Service provided as part of Medicaid family planning program). An official website of the State of Georgia. 558.5. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Additional information on available services and policy requirements can be obtained by visiting https://dbhdd.georgia.gov/community-provider-manuals. Copyright CareSource 2023. Answers to frequently asked questions about Medicaid and audiology and speech-language pathology services. These proprietary policies are not a guarantee of payment. @,[whrDK 8v`{w)[A!#M~F1" &(BP In addition, Peach State Health Planmay from time to time employ a vendor that applies payment policies to specific services; in such circumstances, the vendors guidelines may also be used to determine whether a service has been correctly coded. How you know. Web form outage is expected around 5:30pm on April 28, 2023. Principal Appropriate Utilization Group, LLC 881 Piedmont Avenue Atlanta, GA 30309 (404) 728-1974; FAX (404) 728-1975 [email protected] Get Contracted by following the link below. You do not have JavaScript Enabled on this browser. They are used to help identify whether health care services are correctly coded for reimbursement. Primary: (404) 657-5468. b. CPT copyright American Medical Association. The Department of Community Heath received approval from the Center of Medicare and Medicaid Services (CMS) for a temporary 5% growth increase effective July 1, 2020 through June 30, 2021 for all nursing home providers. Wellcare uses cookies. First Published . endstream endobj 456 0 obj <>/Metadata 27 0 R/Pages 453 0 R/StructTreeRoot 49 0 R/Type/Catalog/ViewerPreferences 472 0 R>> endobj 457 0 obj <>/MediaBox[0 0 612 792]/Parent 453 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 458 0 obj <>stream Revised SFY 2023 Hospital Provider Fee Payment Schedule - Updated 11/15/22. stream Community providers of behavioral health services can be accessed by contacting The Georgia Crisis and Access Line (GCAL) at 800-715-4225 or via the web by visiting www.mygcal.com. An official website of the State of Georgia. Members have full access to the material and can also email us regarding any billing or compliance issue, please considerjoining todayif you need assistance. This area of the Billing and Reimbursement site provides information on the major aspects of Medicaid related to audiology and speech-language pathology services, including audiology and speech-language pathology requirements and information for school based professionals. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Physical Therapy Speech Therapy Occupational Therapy Home Health Aide Cost Report Reference / Formula; Build-Up (All Agencies Statewide) 35) Total Allowable Costs (All Agencies Statewide) Sch. check your deductible, change your According to Georgia Medicaid guidelines, early and periodic screening, diagnostic and treatment (EPSDT) services should follow the recommended age requirement indicated in the American Academy of Pediatrics (AAP) and Bright Futures 'Recommendations for Pediatric Health Care' periodicity schedule. 471 0 obj <>/Filter/FlateDecode/ID[<467E25C1DCB7FA4CA9B5341409AF092E>]/Index[455 37]/Info 454 0 R/Length 91/Prev 216195/Root 456 0 R/Size 492/Type/XRef/W[1 3 1]>>stream Speech Therapy and Audiology Fee Schedule - Jan. 5, 2022 - PDF. Speech Therapy and Audiology Fee Schedule - Jan. 5, 2022 - PDF. %%EOF endobj The Department of Community Health (DCH) administers Medicaid reimbursement and associated policy for mental health treatment and services through partnership with The Department of Behavioral Health and Developmental Disabilities (DBHDD). Therefore, when crisis intervention services are billed with modifier U1, U2, U3, U4 or U5 and modifier U6, U7 or GT are not also appended, the crisis intervention services (H2011) will be recommended for denial. https://suicidepreventionlifeline.org/, Local and regional calls are routed from the National Suicide Prevention Lifeline to DBHDDs Georgia Crisis and Access Line (GCAL) 1-800-715-4225 https://dbhdd.georgia.gov/access-services, Voices for Georgias Children has given permission and provided the following video on Suicide Prevention: https://vimeo.com/270156589, http://georgiavoices.org/videos/suicide-prevention-psas-2/. In general, Georgia set provider payments under fee-for-service. FY 2021 revised rates inclusive of 18.37% Growth and Quality Incentive. These rates are inclusive of 13.37% Growth and audited 2018 GL/PL Insurance Costs. Georgia Chiropractic Association 1926 Northlake Parkway, Suite 201 Tucker, GA 30084 (770) 723-1100; FAX (770) 723-1722 [email protected] Physical Therapy Services Stuart Platt, P.T., M.S.P.T. Members also have access to compliance and billing support. These reimbursement policies apply to our Georgia Medicaid plans. Find clinical tools and information about working with CareSource. Please enable Cookies and reload the page. An official website of the State of Georgia. 5vo{mn{4ym+Bn!=X\ + L|_%IhX%6]]J+cma7|Wcg((?&wzsC5Q{1;PU8?|_v?W?Zb q According to Georgia Medicaid guidelines, the telehealth originating site facility fee must be reported with modifier EP (EPSDT program) and modifier GT (Via interactive audio or video telecommunication systems) when billed in a school setting. 1997- American Speech-Language-Hearing Association. You may access the InterQualSmartSheet(s) for Adult and Pediatric procedures, durable medical equipment and imaging procedures by logging into the secure provider portal or by calling Peach State Health Plan. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. Resources for Audiologists Medicaid Toolkit: What Audiologists Need to Know We believe that this will enable you and your billing staff to better understand our claims payment process given the widespread use of these policies. According to Georgia Medicaid guidelines, as part of the EPSDT program, an inter-periodic hearing screening and a periodic preventive service for patients less than 21 years of age should not be reported on the same day. FY 2021 revised rates inclusive of 18.37% Growth and Quality Incentive Please note that the reimbursement rate sheets (R-32) are in alphabetical order. . 455 0 obj <> endobj According to Georgia Medicaid guidelines, the insertion of an implantable contraceptive device and the implantable contraceptive reported as part of a Medicaid family planning program is limited to once in a three-year period. In addition, Peach State Health Planmay from time to time delegate utilization management of specific services; in such circumstances, the delegated vendors guidelines may also be used to support medical necessity and other coverage determinations. %PDF-1.7 % doctor, request an ID Card and more. endstream endobj 459 0 obj <>stream All rights reserved. Open the pdf and scroll down to the Provider R-32 you need and print. "@$E"Y[d$dvox`sX#@Q 1$Nw A As Georgia's Behavioral Health Authority, DBHDD provides services through a network of community providers. Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices. According to Georgia Medicaid guidelines, children's intervention services must be reported with modifier HA (Child/adolescent . PDF. Learn moreabout how we provide comprehensive support for members. Georgia Medicaid offers benefits on a Fee-for-Service (FFS) basis or through managed care plans. Email Us. Under the FFS model, Georgia pays providers directly for each covered service received by a Medicaid beneficiary. Reimbursement policies are designed to assist you when submitting claims to CareSource. Press Tab or Shift+Tab to navigate through menu. Webinar: Medicare Advantage Compliance and Therapy Services, Webinar: Scheduling to Increase Revenue and Reduce Cancellations, Webinar: The Business of Providing PT/OT to Medicare Patients Recorded September 22, 2022, Webinar: Medicare Documentation and Billing Physical and Occupational Therapy September 8, 2022, Webinar: Remote Therapeutic Monitoring July 20, 2022, Webinar: HIPAA Recognized Security Practices, Webinar: Creating a PT/OT Bonus Plan for Your Practice, Webinar: Medicare PT/OT Services and NCCI, Webinar: Defending Your Therapy Practice from Medicare Audits, Webinar: Advising PT/OT Patients about Cannabis: Medical Marijuana and CBD, Webinar: HIPAA Risk Assessments and Mitigation, Webinar: Effective Compliance and Billing Audits for Therapy Practices, Webinar: Financial and Productivity Benchmarking for Outpatient Physical and Hand Therapy, Webinar: Adult Scoliosis Recognition and Physical Therapy Interventions, Webinar: 2022 Billing and Coding Updated for PT/OT, Webinar: CQ-CO Modifiers and Medicare in 2022, Webinar: PT/OT Burnout Resilience & Balance, Webinar: Medicare ABNs and Therapy Services, Webinar: Osteoarthritis Management by Physical Therapists, Webinar: Effective Compliance Plans for Therapy Practices, Webinar: Manual Therapy Principles of the Shoulder, Webinar: HIPAA for Physical and Occupational Therapy, Webinar: Tricare Compliance for PT and OT, Webinar: Documentation of Skilled Therapy, Webinar: Hip Stability and its Effects on Balance and Fall Prevention, Webinar: Managing Conflict Resolution for PTs and OTs, Webinar: Core Stability and its Effects on Balance and Fall Prevention, Webinar: Posture, Aging and Orthopedic Effects on Balance, Webinar: Pills and Spills An Assessment of Medications and Fall Risk in Older Patients, Alabama PT Identification and Notifications, Alabama PT Board Position Statements and Forms, Alabama OT Identification and Notification, Alabama OT Board Position Statements and Forms, Alabama SLP Board Position Statements and Forms, Alabama Covid-19 Resources for Therapy Providers, Alabama Medicaid Coverage of Therapy Services, Alaska Covid-19 Resources for Therapy Providers, Alaska Medicaid Coverage of Therapy Services, Arizona OT Identification and Notifications, Arizona Medicaid Coverage of Therapy Services, Arizona Covid-19 Resources for Therapy Providers, Arkansas Covid-19 Resources for Therapy Providers, Arkansas Medicaid Coverage of Therapy Services, California Covid-19 Resources for Therapy Providers, California Medicaid Coverage of Therapy Services, Colorado Covid-19 Resources for Therapy Providers, Colorado Medicaid Coverage of Therapy Services, Colorado Medicaid Physical and Occupational Therapy, Colorado Medicaid PT and OT Prescription and Referral, Colorado Medicaid PT and OT Documentation Requirements, Colorado Medicaid PT and OT Covered Services, Colorado Medicaid PT and OT Prior Authorization, Connecticut Medicaid Coverage of Therapy Services, Delaware Covid-19 Resources for Therapy Providers, Delaware Medicaid Coverage of Therapy Services, Florida Telehealth Out-of-State Providers, Florida Medicaid Coverage of Therapy Services, Florida Covid-19 Resources For Therapy Providers, Florida PT Board Position Statements and Forms, Florida Occupational Therapy Practice Issues, Florida OT Board Position Statements and Forms, Georgia PT Notifications and Identification, Georgia PT Principles of Conduct for Physical Therapists, Georgia PT Principles of Conduct for Physical Therapy Assistants, Georgia PT Responsibilities and Delegation, Georgia OT Identification and Notification, Georgia Covid-19 Resources for Therapy Providers, Hawaii Covid-19 Resources for Therapy Providers, Hawaii Workers Compensation Fee Schedules, Hawaii Medicaid Coverage of Therapy Services, Idaho Covid-19 Resources for Therapy Providers, Idaho Medicaid Coverage of Therapy Services, Illinois SLP Rigid and Flexible Laryngoscopes, Illinois Covid-19 Resources for Therapy Providers, Illinois Medicaid Coverage of Therapy Services, Illinois Workers Compensation Fee Schedules, Indiana Covid-19 Resources for Therapy Providers, Indiana Medicaid Coverage of Therapy Services, Indiana Workers Compensation Fee Schedules, Iowa Covid-19 Resources for Therapy Providers, Iowa Medicaid Coverage of Therapy Services, Kansas Covid-19 Resources for Therapy Providers, Kansas Medicaid Coverage of Therapy Services, Kansas Workers Compensation Fee Schedules, Kentucky OT Deep Physical Agent Modalities, Kentucky OT Low-Vision and Visual-Therapy Services, Kentucky Covid-19 Resources for Therapy Providers, Kentucky Medicaid Coverage of Therapy Services, Kentucky Workers Compensation Fee Schedules, Louisiana Covid-19 Resources for Therapy Providers, Louisiana Medicaid Coverage of Therapy Services, Louisiana Workers Compensation Fee Schedules, Maine Covid-19 Resources for Therapy Providers, Maine Medicaid Coverage of Therapy Services, Maryland Covid-19 Resources for Therapy Providers, Maryland Medicaid Coverage of Therapy Services, Maryland Workers Compensation Fee Schedules, Massachusetts OT Supervision and Delegation, Massachusetts Covid-19 Resources for Therapy Providers, Massachusetts Medicaid Coverage of Therapy Services, Massachusetts Medicaid Therapy Fee Schedules, Massachusetts Medicaid Outpatient Therapy, Massachusetts Medicaid Provider Enrollment, Massachusetts Workers Compensation Fee Schedules, Michigan Covid-19 Resources for Therapy Providers, Michigan Medicaid Coverage of Therapy Services, Michigan Workers Compensation Fee Schedules, Minnesota Covid-19 Resources for Therapy Providers, Minnesota Medicaid Coverage of Therapy Services, Minnesota Workers Compensation Fee Schedules, Mississippi Covid-19 Resources for Therapy Providers, Mississippi Medicaid Coverage of Therapy Services, Mississippi Medicaid Therapy Fee Schedules, Mississippi Workers Compensation Fee Schedules, Missouri Covid-19 Resources for Therapy Providers, Missouri Medicaid Coverage of Therapy Services, Missouri Workers Compensation Fee Schedules, Montana Covid-19 Resources for Therapy Providers, Montana Medicaid Coverage of Therapy Services, Montana Workers Compensation Fee Schedules, Nebraska Covid-19 Resources for Therapy Providers, Nebraska Medicaid Coverage of Therapy Services, Nebraska Workers Compensation Fee Schedules, Nevada Covid-19 Resources for Therapy Providers, Nevada Medicaid Coverage of Therapy Services, Nevada Workers Compensation Fee Schedules, New Hampshire Covid-19 Resources for Therapy Providers, New Hampshire Medicaid Coverage of Therapy Services, New Hampshire Medicaid Therapy Fee Schedules, New Hampshire Medicaid Outpatient Therapy, New Hampshire Medicaid Provider Enrollment, New Hampshire Workers Compensation Fee Schedules, Use of a Computer to Prepare Patient Records, New Jersey OT Identification and Notification, New Jersey Covid-19 Resources for Therapy Providers, New Jersey Medicaid Coverage of Therapy Services, New Jersey Medicaid Therapy Fee Schedules, New Jersey Workers Compensation Fee Schedules, New Mexico Covid-19 Resources for Therapy Providers, New Mexico Medicaid Coverage of Therapy Services, New Mexico Workers Compensation Fee Schedules, New York Covid-19 Resources for Therapy Providers, New York Medicaid Coverage of Therapy Services, New York Workers Compensation Fee Schedules, North Carolina PT Continuing Education Activities, North Carolina PT General Scope of Practice, North Carolina PT Additional PT Practices, North Carolina PT Additional PTA Practices, North Carolina PT Supervision and Delegation, North Carolina PT Supervision and Documentation, North Carolina PT Identification and Notification, North Carolina PT Licensure by Endorsement, North Carolina OT Identification and Notification, North Carolina Covid-19 Resources for Therapy Providers, North Carolina Medicaid Coverage of Therapy Services, North Carolina Medicaid Outpatient Therapy, North Carolina Medicaid Provider Enrollment, North Carolina Pediatric Therapy Services, North Carolina Workers Compensation Fee Schedules, North Dakota Covid-19 Resources for Therapy Providers, North Dakota Medicaid Coverage of Therapy Services, North Dakota Medicaid Provider Enrollment, North Dakota Workers Compensation Fee Schedules, Ohio OT Temporary License Military Spouse, Ohio Covid-19 Resources for Therapy Providers, Ohio Medicaid Coverage of Therapy Services, Oklahoma PT Board Position Statements and Forms, Oklahoma Covid-19 Resources for Therapy Providers, Oklahoma OT Board Position Statements and Forms, Oklahoma Medicaid Coverage of Therapy Services, Oklahoma Workers Compensation Fee Schedules, Oregon Covid-19 Resources for Therapy Providers, Oregon Medicaid Coverage of Therapy Services, Oregon Workers Compensation Fee Schedules, Pennsylvania PT Transdermal Administration of Drugs, Pennsylvania PT Direct Access Certificates, Pennsylvania PT Supervision and Delegation, Pennsylvania PT Identification and Notification, Pennsylvania Covid-19 Resources for Therapy Resources, Pennsylvania Medicaid Coverage of Therapy Services, Pennsylvania Medicaid Provider Enrollment, Pennsylvania Workers Compensation Fee Schedules, Rhode Island Covid-19 Resources for Therapy Providers, Rhode Island Medicaid Coverage of Therapy Services, Rhode Island Medicaid Provider Enrollment, Rhode Island Workers Compensation Fee Schedules, South Carolina Covid-19 Resources for Therapy Providers, South Carolina Medicaid Coverage of Therapy Services, South Carolina Medicaid Outpatient Therapy, South Carolina Medicaid Provider Enrollment, South Carolina Pediatric Therapy Services, South Carolina Workers Compensation Fee Schedules, South Dakota Covid-19 Resources for Therapy Resources, South Dakota Medicaid Coverage of Therapy Services, South Dakota Medicaid Provider Enrollment, South Dakota Workers Compensation Fee Schedules, Tennessee Covid-19 Resources for Therapy Providers, Tennessee Medicaid Coverage of Therapy Services, Tennessee Workers Compensation Fee Schedules, Texas PT Board Position Statements and Forms, Texas OT Identification and Notifications, Texas Medicaid Coverage of Therapy Services, Texas Medicaid Outpatient Therapy for Children, Texas Medicaid Coverage of PT, OT, and SLP Therapy Service for Adults, Texas Medicaid Therapy Frequency and Duration Criteria, Texas Medicaid Co-Treatment and Group Therapy, Texas Medicaid Definitions for Outpatient Therapy, Texas Covid-19 Resources for Therapy Providers, Utah Covid-19 Resources for Therapy Providers, Utah Medicaid Coverage of Therapy Services, Vermont Covid-19 Resources for Therapy Providers, Vermont Medicaid Coverage of Therapy Services, Vermont Workers Compensation Fee Schedules, Virginia OT Out-of-State Licensee Voluntary Practice, Virginia Covid-19 Resources for Therapy Providers, Virginia Medicaid Coverage of Therapy Services, Virginia Workers Compensation Fee Schedules, Washington OT Identification and Notification, Washington OT Exemption for Short-Term Practice, Washington OT Inactive and Retired Status, Washington Covid-19 Resources for Therapy Providers, Washington Medicaid Coverage of Therapy Services, Washington Medicaid Therapy Fee Schedules, Washington Workers Compensation Fee Schedules, West Virginia Covid-19 Resources for Therapy Providers, West Virginia Medicaid Coverage of Therapy Services, West Virginia Medicaid Therapy Fee Schedules, West Virginia Medicaid Outpatient Therapy, West Virginia Medicaid Provider Enrollment, West Virginia Workers Compensation Fee Schedules, Wisconsin Covid-19 Resources for Therapy Provider, Wisconsin Medicaid Coverage of Therapy Services, Wisconsin Workers Compensation Fee Schedules, Wyoming Physical Therapy Procedures and Modalities, Wyoming Covid-19 Resources for Therapy Providers, Wyoming Medicaid Coverage of Therapy Services, Wyoming Workers Compensation Fee Schedules, Merit-Based Incentive Payment System (MIPS), Measure 126: Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy, Measure 127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention, Measure 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan, Measure 130: Documentation of Current Medications in the Medical Record, Measure 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan, Measure 181: Elder Maltreatment Screen and Follow-Up Plan, Measure 182: Functional Outcome Assessment, Measure 217: Functional Status Change for Patients with Knee Impairments, Measure 218: Functional Status Change for Patients with Hip Impairments, Measure 219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments, Measure 220: Functional Status Change for Patients with Low Back Impairments, Measure 221: Functional Status Change for Patients with Shoulder Impairments, Measure 222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments, Measure 223: Functional Status Change for Patients with General Orthopedic Impairments, Measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention, Measure 281: Dementia Cognitive Assessment, Measure 282: Dementia: Functional Status Assessment, Measure 288: Dementia: Education and Support of Caregivers for Patients with Dementia, Measure 318: Falls Screening for Future Fall Risk, Measure 478: Functional Status Change for Patients with Neck Impairments, Measure 131: Pain Assessment and Follow-Up, Medicare Enrollment of Occupational Therapists, Medicare Enrollment of Physical Therapists, Medicare Coverage of Specific Modalities and Procedures, National Coverage Determinations for Therapy Services, Medicare Therapy Limitations and Noncovered Services, Medicare Documentation for Therapy Services, Levels of Appeals and Time Limits for Filing, Medicare Therapy Bill Type and Revenue Codes, Medicare Skilled Nursing Facilities Therapy Services, Medicare Home Health Conditions for Coverage, Security Rule - Administrative Safeguards, When Patient Authorization is Not Required, Early Intervention Referrals and Screening, Common Physical and Occupational Therapy Codes, NCCI Medically Unlikely Edits Therapy Services, NCCI Practitioner Edits Therapy Services Q3 2022, NCCI Practitioner Edits Therapy Services Q4 2022, NCCI Practitioner Edits Therapy Services Q1 2023, NCCI Hospital Edits Therapy Services Q3 2022, NCCI Hospital Edits Therapy Services Q4 2022, NCCI Hospital Edits Therapy Services Q1 2023, End of Covid-19 Emergency Period - Medicare Therapy Waivers, Medicare Certification and Recertification Plan of Care FAQs, Multiple Procedure Payment Reduction (MPPR), Medicare Total Time Rule v. AMA 8-Minute Rule, Medicare Documentation Requirements for Therapy Services, Medicare Documentation Requirements for Therapy Practices, New Section: Medicare Therapy Limitations and Noncovered Services, Medicare Telehealth Services During Covid-19 Emergency Period, New Section: Outpatient Rehabilitation Facilities.

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