Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.17 - Physical Therapy Services
Section 10.09.17.04 - Covered Services
Universal Citation: MD Code Reg 10.09.17.04
Current through Register Vol. 51, No. 19, September 20, 2024
A. The Physical Therapy Program covers medically necessary physical therapy services ordered in writing by a physician, doctor of dental surgery or of dental medicine, physician assistant, nurse practitioner, nurse midwife, or podiatrist when the services are:
(1) Provided by a licensed
physical therapist or by a licensed physical therapist assistant under a
licensed physical therapist's direct supervision;
(2) Provided in the provider's office, the
patient's home, a domiciliary level facility, or via telehealth in accordance
with COMAR 10.09.49 or other subregulatory guidance issued by the
Department;
(3) Diagnostic,
rehabilitative, or therapeutic, and directly related to the written treatment
order;
(4) Of sufficient complexity
and sophistication, or the condition of the patient is such, that the services
of a physical therapist are required;
(5) Rendered pursuant to a written treatment
order which:
(a) Is signed and dated by the
prescriber,
(b) Specifies the
following:
(i) Part or parts to be treated;
and
(ii) Expected results of
physical therapy treatments;
(c) Is kept on file by the therapist as a
part of the patient's permanent record, subject to review by the Department or
its designee; and
(d) Is not
altered by the therapist unless:
(i)
Medically indicated;
(ii) Signed by
the therapist;
(iii) Necessary
changes are made;
(iv) The
prescriber is notified of the change; and
(v) The change is noted in the patient's
record; and
(6)
Recorded in the patient's permanent record which includes:
(a) The treatment order of the
prescriber;
(b) The initial
evaluation by the therapist and significant past history;
(c) All pertinent diagnoses and
prognoses;
(d) Contraindications,
if any; and
(e) Progress notes
documented in accordance with the requirements listed in COMAR
10.38.03.02-1A(2),
C, and D.
B. The Physical Therapy Program covers an initial evaluation, on a one-time-only basis, per condition, when the requirements of §A, of this regulation, are met.
C. If the prescribing order exceeds 30 days, the therapist shall request a new order from the prescriber for continued therapy.
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