Upcoming Webinars

Site Updates

Disclaimer

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.

Menu
Log in


Log in

Texas Medicaid Coverage of Therapy Services for Adults

Physical therapy (PT), occupational therapy (OT), and speech therapy (SLP) services are benefits of Texas Medicaid for the medically necessary short term treatment of an acute medical condition or an acute exacerbation of a chronic medical condition for clients who are 21 years of age and older.

Adult Physical, Occupational and Speech Therapy Services

  • Requirements for Treatment
  • Adult Acute Therapy Place of Service

Authorization Requirements for Outpatient and Home Health Services

  • Initial Evaluation and Considerations for Prior Authorization for Treatment
  • Prior Authorization Requests
  • Documentation for Initial Therapy Request
  • Required Contents of the Treatment Plan
  • Written and Verbal Orders

Requests for Recertification - Up to an Additional Sixty (60) days for Acute Services

  •  When to Request Recertification
  •  Recertification Documentation
  •  Progress Summary
  •  Requests for Revisions to Existing Prior Authorization or Recertification

PT, OT, and SLP Procedure Codes

    • PT and OT Treatment Procedure Codes
    • Untimed PT and OT Treatment Procedure Codes
    • SLP Treatment Procedure Codes
    • PT, OT, and SLP Evaluation and Re-evaluation Procedure Codes
    • PT, OT, and SLP Reimbursement Guidelines


About Us

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.

Learn More 

Join Us

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.  Members also have access to compliance and billing support.

Join Today 

Find Us


Powered by Wild Apricot Membership Software