Observation Stays No Longer Subject to Concurrent Review

Medicaid—Physical, Occupational, and Speech Therapy Benefits for All Ages to Change—Effective September 1, 2017

Thursday, September 7, 2017

Effective for dates of service on or after September 1, 2017, physical therapy (PT), occupational therapy (OT), and speech therapy (ST) benefits for all ages will change for Texas Medicaid.


New Information
Changes to this medical benefit policy include the following:

  • Billing structure changes for PT, OT, and ST services
  • Procedure codes end-dating August 31, 2017
  • Prior authorization changes
  • Required modifiers
  • Claims filing changes
  • Clarification to benefits 

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