Common use of PHYSICAL THERAPY AND REHABILITATION SERVICES Clause in Contracts

PHYSICAL THERAPY AND REHABILITATION SERVICES. Physical therapy and rehabilitation sessions must be pre-approved. An initial period of up to thirty (30) sessions will be covered if approved in advance by USA Medical Services. Any extensions in increments of up to thirty (30) sessions must be approved in advance or the claim will be denied. Updated evidence of medical necessity and a treatment plan are required in advance to obtain each approval. A ses- sion may include multiple disciplines such as physical therapy, occupational therapy, and speech language pathology, and will be treated as one session if all are scheduled together, or will be treated as separate sessions if scheduled on different days or times.