Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 26 - COVERED SERVICES
Section 26-22 - Physical Therapy Services
Universal Citation: WY Code of Rules 26-22
Current through September 21, 2024
(a) Eligible providers Licensed independent physical therapists, physicians, hospitals, PRTFs, and developmental centers that employ licensed physical therapists.
(b) Covered services.
(i) Prescribed rehabilitative physical
therapy services furnished in response to physical debilitation caused by acute
physical trauma or physical illness as prescribed by a physician;
(ii) Physical therapy services prescribed
while the client was an inpatient and continuing on an outpatient
basis;
(iii) Physical therapy
services prescribed as a direct result of outpatient surgery required as a
result of an injury; and
(iv)
Physical therapy services provided to a client under age twenty-one (21) with
chronic disabilities when furnished by a developmental center or PRTF pursuant
to an:
(A) Individualized education plan
developed by the school system or PRTF; or
(B) Individualized family services plan
developed by a developmental center.
(c) Service limitations.
(i) Unless pre-approved, Medicaid
reimbursement for client physical therapy visits shall be limited to a total of
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, physical 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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