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December 2016 Texas Medicaid Provider Procedures Manual

Physical Therapy, Occupational Therapy, and Speech Therapy Services Handbook : 6 Adult Services : 6.2 Authorization Requirements for Outpatient and Home Health —PT, OT, and ST Services : 6.2.2 Written and Verbal Orders

For all therapies, if the submitted request form is not signed and dated by the physician, the request must be accompanied by a verbal or written order.
The written or verbal order must be signed and dated within the 30-day period before the initiation of services. A prescribing physician’s order to evaluate and treat is acceptable for the evaluation or reevaluation, but is not acceptable for the therapy treatment. The therapy treatment order must contain the prescribing provider’s ordered frequency and duration.
The documentation for a verbal order must meet the following criteria:

Texas Medicaid & Healthcare Partnership
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