Frequently Asked Questions - Therapy Caps

Home Provider Part B FAQs

All FAQs are current as of the date noted next to the question.

1. What do I need to provide when requesting a therapy cap exception?
  In order to request a therapy cap exception, the justification for continued PT/OT/SPL treatment must include objective evidence or a clinically supportable statement(s) that includes:
  • The patient's condition has the potential to improve or is improving in response to therapy
  • Maximum improvement is yet to be attained
  • There is an expectation that the anticipated movement is attainable in a reasonable and generally predictable period of time

For more information regarding the Therapy Cap Exception Process, please visit our Website by
clicking here.
Rev. (06/20/06)
 


Page Last Updated: Monday, 09-Jun-2008 13:34:12 CDT