Practice Alerts

Disclaimer: Practice guidelines provide licensees with general guidance to promote good practice. Law, rules and regulations, not guidelines, specify the requirements for practice and what may constitute professional misconduct.

Alert 17: Payment and Physical Therapy

The State Board and Office of Professions usually do not get involved in billing issues. However, we can provide the following guidance.

A licensed physical therapist (PT) meeting the qualifications within the Physical Therapy Practice Act can legally treat a patient/client without a referral for 10 visits or 30 days. Although the PT may have direct access ability, rules/regulations of an employer or a third-party payer may require a referral for payment.

Treatments provided by the physical therapist assistant, student or person on a limited permit under the supervision of a PT are physical therapy services. However, payment may be ultimately tied to the payer contract. Individual payers may have rules or regulations outlined in a contract or the patient/client’s benefit design that indicate it will only pay for physical therapy services when rendered by a licensed PT.

Last Updated: April 15, 2021