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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. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. 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. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
Hawaii Medicaid Coverage of Therapy Services Hawaii Medicaid coverage and prior authorization information for therapy services. See our Hawaii Medicaid Outpatient Therapy page for more detailed information. Members can email us with any questions about Medicaid coverage or compliance questions. |
Children |
Adults |
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Physical Therapy |
Hawaii Medicaid allows up to 36 units or 12 visits of PT and/or OT for children as long as these services(s) does not/do not exceed 36 units, or 12 visits for PT and/or OT in a 12-day period. Prior authorization is required after limits are reached. |
Hawaii Medicaid allows up to 36 units or 12 visits of PT and/or OT for adults as long as these services(s) does not/do not exceed 36 units, or 12 visits for PT and/or OT in a 12-day period. Prior authorization is required after limits are reached. |
Occupational Therapy |
Hawaii Medicaid allows up to 36 units or 12 visits of PT and/or OT for children as long as these services(s) does not/do not exceed 36 units, or 12 visits for PT and/or OT in a 12-day period. Prior authorization is required after limits are reached. |
Hawaii Medicaid allows up to 36 units or 12 visits of PT and/or OT for adults as long as these services(s) does not/do not exceed 36 units, or 12 visits for PT and/or OT in a 12-day period. Prior authorization is required after limits are reached. |
Speech Therapy |
Hawaii Medicaid covers speech therapy for children with prior authorization. |
Hawaii Medicaid covers speech therapy for adults with prior authorization. |
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About Us Zachary Edgar JD, LLM is the managing partner for Therapy Comply. Zachary is a healthcare attorney that specializes in federal and state healthcare regulatory issues particularly for physical, occupational, and speech therapy practices. | Join Us Join today as a yearly or monthly member and enjoy full access to the site and a significant discount to our live and recorded webinars. Members also have access to compliance and billing support. |