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December 2016 Texas Medicaid Provider Procedures Manual

Physical Therapy, Occupational Therapy, and Speech Therapy Services Handbook : 5 Children’s Therapy Services Clients birth through 20 years of age : 5.2 Authorization Requirements for PT, OT, and ST Services : 5.2.8 Treatment Note

The following documentation must be kept on file by the treating provider and be available when requested:
All documentation for evaluations, reevaluations, progress summaries, treatment notes, and discharge summaries must show client’s name, date of service, time in and time out of each therapy session.

Texas Medicaid & Healthcare Partnership
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