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. Send a Message. Appropriate Use and Safety Edits: Attachment A(PDF), Pharmacy Prior Authorization and Medical Necessity Criteria (PDF). <> Open the pdf and scroll down to the Provider R-32 you need and print. 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. c. aJY $,0V #hE2!FF!&`B+4fC&%@ c cTh 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. According to Georgia Medicaid guidelines, EPSDT services should only be billed as frequently as allowed in the Georgia Medicaid Manual, any services above and beyond this frequency will be recommended for denial. PDF 74.88 KB - January 05, 2022 Division/Office. Payments for claims may be subject to limitations and/or qualifications. Policies in the Peach State Health PlanClinical Policy Manual may have either a Peach State Health Planor a Centene heading. Speech_Audio_COVID_Rate_Ext FS to 1-31-22.pdf. endstream endobj startxref An official website of the State of Georgia. Local, state, and federal government websites often end in .gov. Members: 800-498-2071 Find clinical tools and information about working with CareSource. 558.5. Principal Appropriate Utilization Group, LLC 881 Piedmont Avenue Atlanta, GA 30309 (404) 728-1974; FAX (404) 728-1975 [email protected] How do I know if I am in the right place? Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. As Georgia's Behavioral Health Authority, DBHDD provides services through a network of community providers. Reimbursement policies are designed to assist you when submitting claims to CareSource. 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. Speech Therapy and Audiology Fee Schedule - Jan. 5, 2022 - PDF. 2200 Research Blvd., Rockville, MD 20850 Acthar Gel) (PDF), Ribavirin (Copegus, Moderiba, Rebetol, Ribasphere) (PDF), Rifabutin (Mycobutin), Rifabutin/Omeprazole/Amoxicillin (Talicia) (PDF), Risperidone Long-Acting Injection (Risperdal Consta) (PDF), Rituximab (Rituxan), Rituxan/Hyaluronidase (Rituxan Hycela) (PDF), Sapropterin Dihydrochloride (Kuvan) (PDF), Sodium-Glucose Co-Transporter 2 (SGLT2) Inhibitors (PDF), Sucroferric Oxyhydroxide (Velphoro) (PDF), Tezacaftor/Ivacaftor; Ivacaftor (Symdeko) (PDF), Timothy grass pollen allergen extract (Grastek) (PDF), Tobramycin (Bethkis, Kitabis Pak, TOBI, TOBI Podhaler) (PDF), Tofacitinib (Xeljanz, Xeljanz Poor girl.XR) (PDF), Topical Diclofenac (Solaraze, Flector) (PDF), Trastuzumab/Biosimilars, Trastuzumab-Hyaluronidase (PDF), Treprostinil (Orenitram, Remodulin, Tyvaso) (PDF), Triamcinolone ER Injection (Zilretta) (PDF), triptorelin pamoate (Trelstar, Triptodur) (PDF), Valproate Sodium for Intravenous Injection (Depacon) (PDF), vincristine sulfate liposome injection (Marqibo) (PDF), Voretigene neparvovec-rzyl (Luxturna) (PDF), Age Limit for Tazarotene (Tazorac, Arazlo) (PDF), Benzodiazepine Use in Pediatric Seizure Disorders (PDF), Buprenorphine-Naloxone (Bunavail, Cassipa, Suboxone, Zubsolv) (PDF), Dasabuvir Ombitasvir Paritaprevir Ritonavir (Viekira XR, Viekira Pak)(PDF), Dasabuvir/Ombitasvir/Paritaprevir/Ritonavir (Viekira XR, Viekira Pak) (PDF), Epinephrine Injection Device - Quantity Limit Override (PDF), Factor IX Complex Human (Bebulin, Profilnine) (PDF), Factor VIII/von Willebrand Factor Complex (Human - Alphanate, Humate-P, Wilate) (PDF), Human Growth Hormone (Somapacitan, Somatropin) (PDF), euprolide acetate (Eligard, Lupaneta Pack, Lupron Depot, Lupron Depot-Ped) (PDF), Levofloxacin (Levaquin) in Pediatric Community Acquired Pneumonia(PDF), Methoxy polyethylene glycol-epoetin beta (Mircera) (PDF), Olanzapine Long-Acting Injection (Zyprexa Relprevv) (PDF), Pediatric Benzodiazepine Use in Chemotherapy Induced Nausea and Vomiting CINV(PDF), Psychotropic Medication Continuity of Care (COC)(PDF), Request for Medically Necessary Drug Not on the PDL (PDF), Sofosbuvir/Velpatasvir/Voxilaprevir (Vosevi) (PDF), Topical Steroid Use For Eosinophilic Esophagitis (PDF), Topical Tretinoin in Adult Acne Vulgaris (PDF), Hydroxyprogesterone Caproate (Makena) (PDF), Lost, Stolen, Spilled or Broken Medications(PDF), Maximum Allowable Cost (MAC) Requirement(PDF), Cost to Charge Adjustments on Clean ClaimReviews (PDF), Distinct Procedure Modifiers Policy (PDF), E&M Bundling with Labs and Radiology (PDF), E&M Services Billed with Treatment Room Revenue Codes (PDF), Hospital Visit Codes Billed with Labs (PDF), Leveling of Care: Evaluation and Management Overcoding (PDF), Leveling of Emergency Room Services (PDF), Modifier to Procedure Code Validation (PDF), Multiple Diagnostic Cardiovascular Procedure Payment Reduction (MDCR) (PDF), Multiple Procedure Reduction: Ophthalmology (PDF), Non-obstectrical Pelvic and Transvaginal Ultrasounds (PDF), Not Medically Necessary Inpatient Service (PDF), Polymerase Chain Reaction Respiratory Viral Panel Testing (PDF), Problem Oriented Visits with Preventative Services (PDF), Problem Oriented Visits with Surgical Procedures (PDF), Unbundling Adjustments on Clean Claim Reviews (PDF), Leveling Professional Fees for Emergency Room Services (PDF), Multiple Procedure Payment Reduction: Therapeutic Services (PDF), Reporting the Global Maternity Package (PDF), Problem Oriented Visits with Preventative Services(PDF), Fluticasone/Vilanterol (Breo Ellipta) (PDF). For out-of-state enrolled hospitals, payments are made at the statewide average percentage of charges paid to Georgia hospitals that are reimbursed at 85.6% of costs and are not subject to cost settlement. Enrollment Forms Providers and their office staff are encouraged to use self-service channels to verify member eligibility. Reimbursement Policies | Georgia - Medicaid | CareSource Non-Member: 800-638-8255, Site Help | AZ Topic Index | Privacy Statement | Terms of Use 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. All rights reserved. 0 %PDF-1.7 % In response to the Centers for Medicare & Medicaid Services (CMS) approval of Medicaid Section 1135 Waivers for COVID-19, the State of Georgia Department of Community Health will expedite new enrollment applications until further notice. These rates are inclusive of 13.37% Growth, Joint Commission & AHCA quality incentives and audited 2018 GL/PL Insurance Costs. The Lifeline supports people who call for themselves or someone they care about. Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars. 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. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. . Monday to Friday, 08:00 a.m. - 05:00 p.m. All in Eastern Time Zone. 4 0 obj Peach State Health Plan utilizes InterQualcriteria for those medical technologies, procedures or pharmaceutical treatments for which a Peach State Health Planclinical policy does not exist. 1997- American Speech-Language-Hearing Association. 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. Behavioral Health Services | Georgia Medicaid Physical, Occupational, and Speech Therapy Services (PDF) CP.MP.49: June 30, 2021: . stream 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 If you have any questions regarding these policies, please contact Member Services and ask to be directed to the Medical Management department. Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, Ground Ambulance (Public/Private) Providers, Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC), Medicaid Sign-Up Portal (Georgia Gateway). 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 . Press Enter or Space to expand a menu item, and Tab to navigate through the items. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Georgia Medicaid Coverage of Therapy Services. Members have full access to the material and can also email us regarding any billing or compliance issue, please considerjoining todayif you need assistance. An official website of the State of Georgia. %PDF-1.7 This change is estimated to increase E&D Waiver expenditures for SFY 2022 as follows: The Georgia General Assembly passed legislation to increase Elderly and Disabled Waiver rates by 10% effective July 1, 2021. 3 0 obj Copyright CareSource 2023. In general, Georgia set provider payments under fee-for-service. Certified Home Health Agency Rates 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. They are used to help identify whether health care services are correctly coded for reimbursement. 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. Get Contracted by following the link below. In turn, the plan pays providers for all of the Medicaid services a beneficiary may require that are included in the plans contract with the state. CPT is a registered trademark of the American Medical Association. NHP Rate Sheet Archive | Georgia Department of Community Health Provider Fee Payment | Georgia Department of Community Health The information that has been accurate previously can be particularly dependent on changes in time or circumstances. Speech Therapy and Audiology Fee Schedule - Jan. 5, 2022 - PDF Georgia Medicaid Coverage of Therapy Services The Initial Reimbursement rates for FYE June 30, 2021, are located below. All policies found in the Peach State Health PlanPayment Policy Manual apply with respect to Peach State Health Planmembers. >->}2Ou+@BRdCH4\dWMZ5S8p~]uQDi/@_We:67 8j|UCo*g~~PmN jtM+C ;y}wnUx CPT copyright American Medical Association. PDF. endstream endobj 459 0 obj <>stream Twitter page for Georgia Medicaid; Linkedin page for Georgia Medicaid; YouTube page for Georgia Medicaid; How can we help? nursing services, nutrition services, occupational therapy, orthotic and prosthetic training, physical therapy and speech-language pathology. SFY 2023 Hospital Provider Fee Memorandum - Posted 06/15/22. 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. SFY 2022 State Funds Federal Funds Total Funds Rate 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. Online Form. endobj 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 Additionally, laws and regulations and insurance and payer policies are subject to change. "@$E"Y[d$dvox`sX#@Q 1$Nw A All policies found in the Peach State Health Plan Clinical Policy Manual apply to Peach State Health Plan members. Each state determines reimbursement rates and coverage of services. . 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. Georgia Medicaid These proprietary policies are not a guarantee of payment. An official website of the State of Georgia. Effective January 24, 2021 a significant enhancement to our physician reimbursement policies that promote correct coding. hb```a``@(Ro.00G7K{TP`^W(H@ UVfO@K4c?o!b@AYf @ M# Therapy Comply does not claim copyright over US Federal and State materials. American Speech-Language-Hearing Association These proprietary policies are not a guarantee of payment. All Contacts. The Children's Intervention Services (CIS) Program provides coverage for restorative and rehabilitative services including audiology, health and behavior assessments, nursing services, nutrition services, occupational therapy, orthotic and prosthetic training, physical therapy and speech-language pathology. DCH also administers Medicaid-reimbursed behavioral health services for children and eligible adults in Georgia through four (4) Care Management Organizations (CMOs). Join us and watch your business grow. 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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