Section 26-24 - Physical Therapy Services (a) Eligible providers. Licensed Independent Physical Therapists, physicians, hospitals, PRTFs, and Developmental Centers that employ licensed physical therapists.
(b) Covered services. - (i) Prescribed rehabilitative physical therapy services furnished in response to physical debilitation caused by acute physical trauma or physical illness as prescribed by a Physician;
- (ii) Physical therapy services prescribed while the client was an inpatient and continuing on an outpatient basis;
- (iii) Physical therapy services prescribed as a direct result of outpatient surgery required as a result of an injury; and
- (iv) Physical therapy services provided to a client under age twenty-one (21) with chronic disabilities when furnished by a Developmental Center or PRTF pursuant to an:
- (A) Individualized education plan developed by the school system or PRTF; or
- (B) Individualized family services plan developed by a Developmental Center.
(c) Service limitations. - (i) Unless pre-approved, Medicaid reimbursement for client physical therapy visits shall be limited to a total of 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. § 26-24
Amended, Eff. 12/17/2015.