Common use of Physical Therapy Clause in Contracts

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. 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.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. 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: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.