New Preapproval Requirements for Occupational and Physical Therapy Effective May 13, 2012

4/13/2012 12:50:59 PM

We would like to inform you of changes to our PacificSource Community Solutions (Medicaid) preapproval requirements.

In accordance with the Physical and Occupational Therapy Services Rulebook (OAR:  410-131-0120); The following Occupational and Physical Therapy services will not require preapproval for dates of service on or after May 13th, 2012:

• Up to two initial evaluations in any 12-month period.
• Up to four re-evaluation services in any 12-month period.

Please note: Occupational and Physical Therapy treatments not listed above will require preapproval.

For questions regarding this policy update, please contact your PacificSource Provider Service Representative toll-free at (888) 863-3637 or email providerservicerep@pacificsource.com.


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