Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 26 - COVERED SERVICES
Section 26-21 - Occupational Therapy Services
Universal Citation: WY Code of Rules 26-21
Current through September 21, 2024
(a) Eligible providers. Licensed independent occupational therapists, hospitals, physicians, PRTFs, and developmental centers that employ licensed occupational therapists.
(b) Covered services.
(i) Prescribed rehabilitative occupational
therapy services furnished in response to physical debilitation caused by acute
physical trauma or physical illness;
(ii) Occupational therapy services prescribed
while the client was an inpatient and continuing on an outpatient
basis;
(iii) Occupational therapy
services furnished in a developmental center or PRTF to a client pursuant to:
(A) An individualized education plan (IEP)
developed by the school system or PRTF; or
(B) An individualized family services plan
developed by a developmental center.
(c) Service limitations.
(i) Unless pre-approved, Medicaid
reimbursement for client occupational therapy visits shall be limited to twenty
(20) visits per calendar year.
(ii)
Habilitative services are not covered for clients 21 years of age or
older.
(iii) Except as otherwise
specified in this Chapter, occupational therapy services shall be prescribed by
the attending physician and re-certified by the attending physician every one
hundred eighty (180) days.
Disclaimer: These regulations may not be the most recent version. Wyoming may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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