THERAPY SERVICES. The following Services are covered when rendered by a Network Provider [upon prior written Referral by a [Member]'s Primary Care Provider [or the Care Manager]]. Subject to the stated limits, We cover the Therapy Services listed below. We cover other types of Therapy Services provided they are performed by a licensed Provider, are Medically Necessary and Appropriate and are not Experimental or Investigational.
THERAPY SERVICES. Benefits will be provided for the following Covered Services only when such Services are ordered by a Physician.
THERAPY SERVICES. If therapy services are provided, they shall be provided in accordance with the plan of care for the patient and by individuals who meet qualification requirements for therapy service delivery such as evidence of current licensure or registration and academic training. Therapy services shall con- sist of:
THERAPY SERVICES. Medicaid therapy services are physical, speech-language (including augmentative and alternative communication systems), occupational and respiratory therapies. The Health Plan shall cover therapy services consistent with the Medicaid Therapy Services Coverage and Limitations Handbook requirements. Therapy services are limited to children/adolescents under age 21. Adults are covered for physical and respiratory therapy services under the outpatient hospital services program. The Agency shall reimburse schools participating in the certified school match program for school-based therapy services rendered to enrollees. The provision of school-based therapy services to an enrollee does not replace, substitute or fulfill a service prescription or doctors’ orders for therapy services covered by the Health Plan. The Health Plan shall:
THERAPY SERVICES. Physical, occupational and/or speech pathology treatment provided by or under the supervision of a qualified therapist as prescribed by your physician. Respiratory therapy, as prescribed by the primary care physician. Rehab services for a mental disorder and intellectual disability, or services of a lesser intensity, as prescribed by the primary care physician.
THERAPY SERVICES a. Medicaid therapy services are physical, speech-language (including augmentative and alternative communication systems), occupational and respiratory therapies. The Health Plan shall cover therapy services consistent with handbook requirements. Medicaid pays only for therapy services that are Medically Necessary for the provision of therapy evaluations and individual therapy treatment. Therapy services are limited to Children/Adolescents under the age of twenty-one (21). Adults are covered for physical and respiratory therapy services under the outpatient Hospital services program. The Agency shall reimburse schools participating in the certified school match program for school-based therapy services rendered to Enrollees. The provision of school-based therapy services to an Enrollee does not replace, substitute or fulfill a service prescription or doctors' orders for therapy services external to the Health Plan. The Health Plan shall:
THERAPY SERVICES. Psychological Services – Psychotherapy has both benefits and risks. Risks may include experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration or loneliness because the process of psychotherapy often requires discussing the unpleasant aspects of your life. However, psychotherapy has been shown to have benefits. Therapy often leads to a significant reduction of feeling distressed, increased skill for managing stress, and resolution to specific problems. There are no guarantees about what will happen. Psychotherapy requires a very active effort on the part of the patient. The first session will involve a comprehensive evaluation of your or your child’s needs. At the next session, a treatment plan will be reviewed with you or your child. You will have the opportunity to discuss the treatment plans. Appointments – Appointments with a Therapist are ordinarily between 45-50 minutes in duration, once per week, although some session may be more or less frequent as needed. The time scheduled is assigned to you and you alone. TCCH request that you provide a 24 hour notice if it is necessary to cancel or reschedule an appointment.
THERAPY SERVICES. Physical, occupational and/or speech pathology treatment provided by or under the supervision of a qualified therapist as prescribed by Resident’s physician. The federal government may require a cap on the amount of funds Medicare will pay for these services in one year. This amount may be changed from time to time. Resident agrees to pay for any services not covered by Medicare or any other third party payor.
THERAPY SERVICES. Benefits are provided for Therapy Services that can be Rehabilitative or Habilitative. When Therapy Services are given as part of Physician Home Visits and Office Services, Inpatient Services, Outpatient Services, or Home Care Services, Coverage for these Therapy Services is limited to the following list. Physical Medicine Therapy Services. The expectation must exist that the therapy will result in a practical improvement in the level of functioning within a reasonable period of time. o Physical Therapy Services including treatment by physical means, hydrotherapy, heat, or similar modalities, physical agents, bio-mechanical and neuro-physiological principles and devices. Such therapy is given to relieve pain, restore function, and to prevent disability following illness, injury, or loss of a body part. Non-Covered Physical Therapy Services include but are not limited to repetitive exercise to improve movement, maintain strength and increase endurance (including assistance with walking for weak or unstable patients), range of motion and passive exercises that are not related to restoration of a specific loss of function, but are for maintaining a range of motion in paralyzed extremities, general exercise programs, diathermy, ultrasound and heat treatments for pulmonary conditions, diapulse, work hardening. o Speech Therapy Services for the correction of a speech impairment. o Occupational Therapy Services for the treatment of a physically disabled person by means of constructive activities designed and adapted to promote the restoration of the person’s ability to satisfactorily accomplish the ordinary tasks of daily living and those tasks required by the person’s particular occupational role. Occupational therapy does not include diversional, recreational, vocational therapies (e.g. hobbies, arts and crafts). Non-Covered Occupational Therapy Services include but are not limited to supplies (looms, ceramic tiles, leather, utensils), therapy to improve or restore functions that could be expected to improve as the patient resumes normal activities again, general exercises to promote overall fitness and flexibility, therapy to improve motivation, suction therapy for newborns (feeding machines), soft tissue mobilization (visceral manipulation or visceral soft tissue manipulation), augmented soft tissue mobilization, myofascial, adaptions to the home such as rampways, door widening, automobile adaptors, kitchen adaptation and other types of similar equipment. o...
THERAPY SERVICES. Medicaid Therapy Services are physical, speech-language (including augmentative and alternative communication systems), occupational and respiratory therapies. The PSN shall cover therapy services consistent with handbook requirements. Therapy services are limited to Children/Adolescents under the age of twenty-one (21). Adults are covered for physical and respiratory therapy services under the Outpatient Hospital Services program. The Agency shall reimburse schools participating in the certified school match program for school-based Therapy Services rendered to Enrollees. The provision of school-based Therapy Services to an Enrollee does not replace, substitute or fulfill a service prescription or doctors' orders for Therapy Services external to the PSN. The PSN shall:
