Therapy Services: Provider Reimbursement

The payment for therapy includes the use of therapeutic equipment to provide the modality or therapy. No additional charge may be made to either the Medicaid program or the participant for the use of such equipment. Reimbursement is paid as: (7-1-26) 01. Home Health Agencies. A per visit rate. (7-1-26) 02. Independent Therapists. Fee-for-service. A therapy assistant cannot bill Medicaid directly. (7-1-26) 03. Hospital Services. A rate not to exceed the payment determined as reasonable cost using Medicare standards and principles. (7-1-26) 04. Long-term Care Facilities. Bundled into the facility reimbursement for participants. (7-1-26) 05. School-based Services. As per its subsection. (7-1-26)