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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.

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Tennessee Medicaid Coverage of Therapy Services

Tennessee Medicaid coverage and prior authorization information for therapy services.  See our Tennessee Medicaid Outpatient Therapy page for more detailed information.  Members can email me with any questions or schedule a call about any Medicaid coverage, billing or compliance issues.  


Children

Adults

Physical Therapy

Tennessee Medicaid coverage physical therapy as medically necessary for children, by a licensed PT, to restore, improve, stabilize or ameliorate impaired functions.

Tennessee Medicaid covers physical therapy as medically necessary for adults, by a licensed PT, to restore, improve, or stabilize impaired functions.

Occupational Therapy

Tennessee Medicaid coverage occupational therapy as medically necessary for children, by a licensed OT, to restore, improve, stabilize or ameliorate impaired functions.

Tennessee Medicaid covers occupational therapy as medically necessary for adults, by a licensed OT, to restore, improve, or stabilize impaired functions.

Speech Therapy

Tennessee Medicaid coverage speech therapy as medically necessary for children, by a licensed SLP, to restore, improve, stabilize or ameliorate impaired functions.

Tennessee Medicaid covers speech therapy as medically necessary or adults, as long as there is continued medical progress, by a Licensed Speech Therapist to restore speech after a loss or impairment.

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.  

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