18 Del. Admin. Code § 1321-6.0
Current through Register Vol. 28, No. 5, November 1, 2024
Section 1321-6.0 - Unreasonable and Discriminatory Compensation Prohibited6.1 No carrier or TPA shall discriminate against or unreasonably deny a physical therapist compensation for a physical therapy service rendered by that physical therapist if the carrier would otherwise compensate a provider who is not licensed as a physical therapist but who is otherwise licensed to perform that same or substantially similar service.6.2 Every carrier or TPA shall utilize nondiscriminatory cost containment and managed care payment strategies to provide payment for physical therapy care or services, regardless of whether the care or services were delivered by a licensed physical therapist or by a provider who is not licensed as a physical therapist but who is otherwise licensed to perform the same or substantially similar service.18 Del. Admin. Code § 1321-6.0
22 DE Reg. 1021 (6/1/2019) (final)