Physical Therapy. Shall be defined as remedial Services for the treatment of an Injury or Illness by means of therapeutic massage and exercise; heat, light and sound waves; electrical stimulation; hydrotherapy; and manual traction.
Physical Therapy. Charges for the first twenty (20) visits to a licensed physical therapist for physical therapy, including neuromuscular rehabilitation. After twenty (20) visits in a Plan Year, Company shall pay fifty percent (50%) of Eligible Charges.
Physical Therapy. Your Plan pays for Physical Therapy Benefits when they are provided on an Inpatient or Outpatient basis. The services must be given by a licensed Physical Therapist practicing within the scope of that license. You must be able to tolerate at least 3 hours of active therapy per day.
Physical Therapy a. Services to address the promotion of sensorimotor function through enhancement of musculoskeletal status, neurobehavioral organization, perceptual and motor development, cardiopulmonary status and effective environmental adaptations.
b. These services include:
i. Screening, evaluation, and assessment of infants and toddlers to identify movement dysfunction;
ii. Obtaining, interpreting, and integrating information appropriate to program planning to prevent, alleviate, or compensate for movement dysfunction and related functional problems;
iii. Providing individual or group services or treatment to prevent, alleviate, or compensate for movement dysfunction and related functional problems; and
iv. Services to address the promotion of sensorimotor function through enhancement of musculoskeletal status, neurobehavioral organization, perceptual and motor development, cardiopulmonary status, and effective environmental adaptation.
c. Physical therapy may be provided through:
i. direct one-to-one intervention with the child and their parent or routine caregiver; or
ii. direct group intervention with children and their parents or routine caregivers.
d. Physical therapy must be provided by a:
i. Licensed PT licensed by the Texas State Board of Physical Therapy Examiners; or
ii. PT Assistant licensed by the Texas State Board of Physical Therapy Examiners, working under the direction of a Licensed PT.
Physical Therapy. For the following Covered Services that are services under a HCBS Waiver, the requirements are as follows:
Physical Therapy. The following requirements apply for the remaining HCBS waiver services:
Physical Therapy. Therapy that provides evaluations and treatment programs using exercise, modalities, and adaptive equipment to restore, re- inforce, or enhance motor performance. It focuses on the quality of movement, reflex development, range of motion, muscle strength, gait, and gross motor development, seeking to decrease ab- normal movement and posture while facilitating normal movement and equilibrium reactions. The therapy, which is conducted by a qualified phys- ical therapist, provides for measure- ment and training in the use of adapt- ive equipment and prosthetic and orthotic appliances. Therapy may be conducted by a qualified physical ther- apist assistant under the clinical su- pervision of a qualified physical thera- pist.
Physical Therapy. 1. Physical Therapy services are covered when performed by a licensed physical therapist practicing within the scope of his license.
2. A licensed physical therapist may perform an initial evaluation or consultation of a screening nature to determine the need for Physical Therapy.
3. Physical Therapy must be prescribed or referred by a Physician, dentist, podiatrist, or chiropractor prior to the receipt of services. However, Physical Therapy may be provided without the prescription or referral of a Physician, dentist, podiatrist or chiropractor when performed under the following circumstances, if listed as a Covered Service:
a. To children with a diagnosed developmental disability pursuant to the Member’s plan of care.
b. As part of a Home Health Care agency pursuant to the Member’s plan of care.
c. To a patient in a nursing home pursuant to the Member’s plan of care.
d. Related to conditioning or to providing education or activities in a wellness setting for the purpose of injury prevention, reduction of stress, or promotion of fitness.
e. To an individual for a previously diagnosed condition or conditions for which Physical Therapy services are appropriate after informing the health care Provider rendering the diagnosis. The diagnosis shall have been made within the previous ninety (90) days. The physical therapist shall provide the health care Provider who rendered such diagnosis with a plan of care for Physical Therapy services within the first fifteen (15) days of Physical Therapy intervention.
Physical Therapy. 5.7.1.5 For the following Covered Services that are services under an HCBS Waiver, the requirements are as follows:
5.7.1.5.1 environmental accessibility adaptations for the home. Contractor shall make its best efforts, and document those efforts, to ensure that the work required to meet the need for the Covered Service is satisfactorily completed by a qualified Provider within ninety (90) days after Contractor becomes aware of the need.
Physical Therapy. Includes treatment by physical means, heat, hydrotherapy or similar modalities, physical agents, bio- mechanical and neuro-physiological principles, and devices to relieve pain, restore maximum function, and prevent disability following disease, injury, or loss of body part, including the treatment of functional loss following hand and/or foot surgery.
