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December 2016 Texas Medicaid Provider Procedures Manual

Physical Therapy, Occupational Therapy, and Speech Therapy Services Handbook : 4 * Therapy Services Overview : 4.5 Frequency and Duration Criteria for PT, OT, and ST Services : 4.5.3 Low Frequency

4.5.3
Therapy provided one time per week or every other week may be considered when the documentation shows one or more of the following:
The client is making progress toward the client’s goals, but the progress has slowed, or documentation shows the client is at risk of deterioration due to the client’s development or medical condition.
Every other week therapy is supported for clients whose medical condition is stable, they are making progress, and it is anticipated the client will not regress with every other week therapy.
Note:

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.