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Indiana Medicaid Occupational Therapy Services
For IHCP reimbursement, occupational therapy services must be ordered by a physician or (effective February 1, 2017) by one of the following providers:
Occupational therapy services must be performed by a licensed occupational therapist or a licensed occupational therapy assistant under the direct, on-site supervision of a licensed occupational therapist. A licensed occupational therapist must perform an evaluation for IHCP reimbursement to be made.
Evaluations and Reevaluations
The IHCP limits evaluations and reevaluations to three (3) hours of service per evaluation. The
Services Not Covered
IHCP does not cover the following occupational therapy services:
The IHCP does not reimburse separately for occupational therapy services provided by a nursing facility or a large private or small ICF/IID. These services are included in the facility’s established per diem rate and do not require PA.