Section 26-23 - Occupational Therapy Services (a) Eligible providers. Licensed Independent Occupational Therapists, Hospitals, Physicians, PRTFs, and Developmental Centers that employ licensed occupational therapists.
(b) Covered services. - (i) Prescribed rehabilitative occupational therapy services furnished in response to physical debilitation caused by acute physical trauma or physical illness;
- (ii) Occupational therapy services prescribed while the client was an inpatient and continuing on an outpatient basis;
- (iii) Occupational therapy services furnished in a Developmental Center or PRTF to a client pursuant to:
- (A) An individualized education plan (IEP) developed by the school system or PRTF; or
- (B) An individualized family services plan developed by a Developmental Center.
(c) Service limitations. - (i) Unless pre-approved, Medicaid reimbursement for client occupational therapy visits shall be limited to twenty (20) visits per calendar year.
- (ii) Habilitative Services are not covered for clients 21 years of age or older.
- (iii) Except as otherwise specified in this Chapter, Physical, Occupational, or Speech Therapy Services shall be prescribed by the attending physician and re-certified by the attending physician every one hundred eighty (180) days.
048-26 Wyo. Code R. § 26-23
Amended, Eff. 12/17/2015.