Therapy Guidelines

THERAPY GUIDELINES

Physical, Occupational & Speech Therapy Coverage Guidelines  (01/01/20)

Physical, Occupational & Speech Therapy Reminders (9/4/15)

FOR THE FORMS BELOW GO TO: Clinical Prior Authorization Forms

Therapy Extension Form, PTOTST, Pediatric Services (does not include home health agencies)

Therapy Extension Form, PTOTST, Adult Services(does  not include home health agencies)

Therapy Extension Form, PTOTST, Adult and Pediatric Services (home health agencies only)