Medicaid Benefits: Physical Therapy Services

This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.

2018

Location	Benefit Covered	Coverage Code	Copayment Required?	Limits on Services	Prior Approval Required	Reimbursement Methodology
United States	Yes - 40 No - 6 NR - 5	2018 data limited to CN	Yes - 13	Yes - 24	Included in "Limits on Services" for 2018	Not included in 2018 survey
Alabama	No				-	-
Alaska	No				-	-
Arizona	Yes	CN	$3.00 per visit for beneficiaries with Transitional Medical Assistance	15 visits habilitation 15 visits rehabilitation	-	-
Arkansas	Yes	CN	NR	NR	-	-
California	Yes	CN	$1 per outpatient visit	Rehab potential required and to prevent hospitalization	-	-
Colorado	Yes	CN	No	No	-	-
Connecticut	No				-	-
Delaware	Yes	CN	No	in home or office and renewed by physician every 30 days services must be reasonable and necessary	-	-
District of Columbia	Yes	CN	No	Requires PA for service to be reimbursable	-	-
Florida	Yes	CN	No	$1500 max per year for outpatient services, as specified on the outpatient revenue code listing	-	-
Georgia	No				-	-
Hawaii	Yes	CN	No	No	-	-
Idaho	Yes	CN	No	No	-	-
Illinois	NR	NR	NR	NR	-	-
Indiana	Yes	CN	No	Prior authorization required unless ordered by physician prior to hospital discharge. 12 hours/30 days or 30 therapy sessions/month in combination with other therapy providers.	-	-
Iowa	NR	NR	NR	NR	-	-
Kansas	Yes	CN	$1.00 per service date	6 consecutive months of therapy per injury or illness	-	-
Kentucky	Yes	CN	$3	Annual limit of 20 visits	-	-
Louisiana	Yes	CN	No	Services require prior authorization	-	-
Maine	Yes	CN	$.50 to $2/day depending on payment amount, up to $20/month	2 hours/day, limited to acute conditions with rehab potential required	-	-
Maryland	Yes	CN	No	No	-	-
Massachusetts	Yes	CN	No	No	-	-
Michigan	Yes	CN	No	144 units of service per 12 months without PA.	-	-
Minnesota	Yes	CN	NR	No	-	-
Mississippi	Yes	CN	No	NR	-	-
Missouri	No				-	-
Montana	Yes	CN	Income at or below 100% FPL - $4 per visit; above FPL - 10% of payment amount	No	-	-
Nebraska	Yes	CN	$1 per session for PT evaluation	a combined total of 60 therapy sessions per fiscal year (physical therapy, occupational therapy, speech therapy)	-	-
Nevada	NR	NR	NR	NR	-	-
New Hampshire	Yes	CN	No	NR	-	-
New Jersey	Yes	CN	No	No	-	-
New Mexico	Yes	CN	$7 for WDI recipients	No	-	-
New York	NR	NR	NR	NR	-	-
North Carolina	Yes	CN	No	Prior approval is required to verify medical necessity and treatment visits are limited per calendar year.	-	-
North Dakota	Yes	CN	$2 per visit	1 evaluation per year 15 visits per year	-	-
Ohio	Yes	CN	No	30 visits per benefit year without PA.	-	-
Oklahoma	Yes	CN	$4 per visit	one evaluation/re-evaluation visit per calendar year; limited to 15 visits per calendar year in an outpatient hospital	-	-
Oregon	Yes	CN	No	Day limits. All coverage is based upon the prioritized list of health services.	-	-
Pennsylvania	No				-	-
Rhode Island	Yes	CN	No	No	-	-
South Carolina	NR	NR	NR	NR	-	-
South Dakota	Yes	CN	No	NR	-	-
Tennessee	Yes	CN	No	No	-	-
Texas	Yes	CN	No	Requires prior authorization.	-	-
Utah	Yes	CN	$4 per visit	Rehab potential required; 20 visits per year	-	-
Vermont	Yes	CN	No	30 visits per year in combination with occupational therapy and speech/language therapy; physician order required; additional services require prior authorization	-	-
Virginia	Yes	CN	$3 per visit	NR	-	-
Washington	Yes	CN	No	limit of 12 units per year, more with PA	-	-
West Virginia	Yes	CN	No	Service limits for occupational/physical therapy services are 20 visits in a calendar year	-	-
Wisconsin	Yes	CN	$0.50 - $3.00 per service; no copay after the first 30 hours of service or $1,500, whichever occurs first, per calendar year	Prior approval required after 35 visits - evaluations do not count towards the 35 visits; Services limited to 90 minutes per date of service	-	-
Wyoming	Yes	CN	No	Prior authorization is required after the first 20 visits to confirm ongoing medical necessity	-	-

2012

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Prior Approval Required	Reimbursement Methodology
United States	Yes - 39 No - 17		Yes - 14 No - 25
Alabama	No
Alaska	Yes	CN				Fee for service at 85% of physician fee
American Samoa	Yes	See territory-specific FN		Most on-island services provided by LBJ Tropical Medical Center
Arizona	Yes	CN & MN	$2.30/visit	15 outpatient visits/year	Yes	Fee for service
Arkansas	No
California	Yes	CN & MN	$1/visit	Rehab potential required and to prevent hospitalization	Initial treatment and at 6 month intervals	Fee for service
Colorado	Yes	CN		48 units of therapy/year in combination with OT	Additional therapy	Fee for service
Connecticut	No
Delaware	Yes	CN				Fee for service
District of Columbia	Yes	CN & MN			Treatment plan	Fee for service
Florida	Yes	CN & MN		Limited to services pertaining to wheelchair evaluations and fittings, $1,500/year limit in combination with OT and most non-emergency outpatient hosp services		Fee for service
Georgia	No
Guam	No
Hawaii	Yes	CN & MN			Yes	Fee for service
Idaho	Yes	CN	$3.65/visit up to 5% of income/year across all services	25 home or ambulatory visits/year included in limits for other specified practitioners up to a maximum of $1,870 in payments/year in combination with speech pathology services	Treatment plan	Fee for service
Illinois	Yes	CN & MN		20 visits/year	Yes	Fee for service or certified cost
Indiana	Yes	CN		12 hours/30 days or 30 therapy sessions/month in combination with other therapy providers if ordered by physician prior to hospital discharge	Yes, unless ordered by physician prior to hospital discharge	Fee for service
Iowa	Yes	CN & MN	$1/day	Limitations mirror Medicare benefit		Fee for service
Kansas	Yes	CN & MN	$1/visit	Limited to post-trauma/illness only, rehab potential required		Fee for service
Kentucky	No
Louisiana	No
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month	Limited to acute conditions, rehab potential required, 2 hours therapy/day for acute pain		Fee for service
Maryland	Yes	CN & MN				Fee for service
Massachusetts	Yes	CN & MN		20 visits/year		Fee for service
Michigan	No
Minnesota	Yes	A & B - See state-specific FN				Fee for service
Mississippi	No
Missouri	Yes	CN		Adult coverage limited to those who are pregnant, blind or residing in nursing facilities		Fee for service
Montana	Yes	A & B - See state-specific FN	$2/visit	40 hours/year		Fee for service
Nebraska	Yes	CN & MN	$1 or $3/specified services - see state-specific FN	60 visits/year in combination with other therapies, rehab potential required		Fee for service
Nevada	Yes	CN		Rehab potential required	Yes	Fee for service
New Hampshire	Yes	CN & MN		Eighty 15-minute time units/year included in limits with OT and SP providers		Fee for service
New Jersey	No
New Mexico	Yes	CN	A - $0-$7/visit depending on income, B - $7/visit - see state-specific FN	A- limited to short-term treatment up to 60 days per condition	Yes	Fee for service
New York	Yes	CN & MN		20 visits/year - persons with developmental disabilities or acquired brain injuries exempt from limit		Fee for service
North Carolina	No
North Dakota	Yes	CN & MN	$2/visit	1 evaluation/year, 15 therapy visits/year		Fee for service
Northern Mariana Islands	Yes	CN & MN - See territory-specific FN			Yes
Ohio	Yes	CN		30 dates of service/year in non-institutional setting, combined with limit for OT		Fee for service
Oklahoma	No
Oregon	Yes	A - See state-specific FN	A - $3/visit	Services limited to funded conditions on the priority list	Yes	Fee for service, using Medicare Relative Value Units and a state conversion factor
Pennsylvania	No
Puerto Rico	Yes	CN & MN	$1/visit	Physician order required		Service is included in the capitated rate paid to managed care plans
Rhode Island	No
South Carolina	No
South Dakota	Yes	CN				Fee for service for frequently performed services, 40% of charge up to Medicare limits for low volume procedures, supplies paid 90% of charge
Tennessee	Yes	A, B & C - See state-specific FN				See state-specific FN
Texas	Yes	CN & MN		180 days/episode of care		Fee for service
Utah	Yes	A & B - See state-specific FN	B - $3/visit	Adult coverage limited to pregnant women, B - rehab potential required and 16 visits/year included with limit for occupational therapy	Yes	Fee for service
Vermont	Yes	A & B - See state-specific FN		30 visits/year in combination with OT and services for speech, hearing and language disorders	For selected conditions following 30 visits	Fee for service, using Medicare Relative Value Units and a state conversion factor
U.S. Virgin Islands	No
Virginia	No
Washington	Yes	CN		6 visits/year	Yes	Fee for service
West Virginia	Yes	A, B & C				Fee for service
Wisconsin	Yes	CN & MN	$.50-$3/service, depending on payment, up to 30 hours or $1,500/year		Yes	Fee for service
Wyoming	Yes	CN		Post-trauma/illness only, therapy services must be restorative and are limited to 20 visits/year		Fee for service

2010

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Prior Approval Required	Reimbursement Methodology
United States	Yes - 39 No - 17		Yes - 13 No - 26
Alabama	No
Alaska	Yes	CN				Fee for service at 85% of physician fee
American Samoa	Yes	See territory-specific FN
Arizona	Yes	CN & MN	$2.30/visit	15 outpatient visits/year	Yes	Fee for service
Arkansas	No
California	Yes	CN & MN	$1/visit	Rehab potential required and to prevent hospitalization, 2 visits/month up to 6 months	Initial treatment and at 6 month intervals	Fee for service
Colorado	Yes	CN		24 15-minute units/year	Additional therapy	Fee for service
Connecticut	No
Delaware	Yes	CN				Fee for service
District of Columbia	Yes	CN & MN			Treatment plan	Fee for service
Florida	Yes	CN & MN		Limited to services pertaining to wheelchair evaluations and fittings		Fee for service
Georgia	No
Guam	No
Hawaii	Yes	CN & MN			Yes	Fee for service
Idaho	Yes	CN		25 home or ambulatory visits/year included in limits for other specified practitioners	Treatment plan	Fee for service
Illinois	Yes	CN & MN			Services other than to continue therapy provided in previous 30 days on inpatient basis	Fee for service or certified cost
Indiana	Yes	CN		12 hours/30 days or 30 therapy sessions/month in combination with other therapy providers if ordered by physician prior to hospital discharge	Therapy not following hospital discharge	Fee for service
Iowa	Yes	CN & MN	$1/day	$1,590 maximum benefit/year		Fee for service
Kansas	Yes	CN & MN	$1/visit	Limited to post-trauma/illness only, rehab potential required		Fee for service
Kentucky	No
Louisiana	No
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month	Limited to acute conditions, rehab potential required		Fee for service
Maryland	Yes	CN & MN				Fee for service
Massachusetts	Yes	CN & MN			For more than 20 visits/year	Fee for service
Michigan	No
Minnesota	Yes	A & B - See state-specific FN			After 20 treatment modalities and/or 80 15-minute units of treatment	Fee for service
Mississippi	No
Missouri	Yes	CN		Adult coverage limited to those who are pregnant, blind or residing in nursing facilities		Fee for service
Montana	Yes	A & B - See state-specific FN	$2/visit	40 hours/year		Fee for service
Nebraska	Yes	CN & MN	$1 or $3/specified services - see state-specific FN	60 visits/year in combination with other therapies, rehab potential required		Fee for service
Nevada	Yes	CN		Rehab potential required	Yes	Fee for service
New Hampshire	Yes	CN & MN		Eighty 15-minute time units/year included in limits with other therapy providers		Fee for service
New Jersey	No
New Mexico	Yes	CN	A - $0-$7/visit depending on income, B - $7/visit - see state-specific FN	A- limited to short-term treatment up to 60 days per condition	Yes	Fee for service
New York	Yes	CN & MN		Quantity and frequency limitations vary by procedure		Fee for service
North Carolina	No
North Dakota	Yes	CN & MN	$2/visit	15 visits/year		Fee for service
Northern Mariana Islands	Yes	CN & MN - See territory-specific FN			Yes
Ohio	Yes	CN		30 dates of service/year in non-institutional setting, combined with limit for OT		Fee for service
Oklahoma	No
Oregon	Yes	A - See state-specific FN	A - $3/visit	Services limited to funded conditions on the priority list	Yes	Fee for service, using Medicare Relative Value Units and a state conversion factor
Pennsylvania	No
Puerto Rico	Yes	CN & MN	$1/visit	Physician order required		Service is included in the capitated rate paid to managed care plans
Rhode Island	No
South Carolina	No
South Dakota	Yes	CN				Fee for service for frequently performed services, 40% of charge up to Medicare limits for low volume procedures, supplies paid 90% of charge
Tennessee	Yes	A & B - See state-specific FN				See state-specific FN
Texas	Yes	CN & MN		180 days/episode of care		Fee for service
Utah	Yes	A & B - See state-specific FN	B - $3/visit	Adult coverage limited to pregnant women, B - rehab potential required and 10 visits/year included with limits for other specified practitioners	Yes	Fee for service
Vermont	Yes	A & B - See state-specific FN		30 visits/year in combination with OT and services for speech, hearing and language disorders	For selected conditions following 30 visits	Fee for service, using Medicare Relative Value Units and a state conversion factor
U.S. Virgin Islands	No
Virginia	No
Washington	Yes	CN		48 units of service/year	Yes	Fee for service
West Virginia	Yes	A, B & C				Fee for service
Wisconsin	Yes	CN & MN	$.50-$3/service, depending on payment, up to 30 hours or $1,500/year		Yes	Fee for service
Wyoming	Yes	CN		Post-trauma/illness only, therapy services must be restorative and are limited to 20 visits/year		Fee for service

2008

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Prior Approval Required	Reimbursement Methodology
United States	Yes - 37 No - 19		Yes - 11 No - 26
Alabama	No
Alaska	Yes	CN				Fee for service at 85% of physician fee
American Samoa	Yes	See territory-specific FN
Arizona	Yes	CN & MN		Rehab potential required	Yes	Fee for service
Arkansas	No
California	Yes	CN & MN	$1/visit	Rehab potential required and to prevent hospitalization	Treatment plan	Fee for service
Colorado	Yes	CN		24 15-minute units/year	Additional therapy	Fee for service
Connecticut	No
Delaware	Yes	CN				Fee for service
District of Columbia	Yes	CN & MN			Treatment plan	Fee for service
Florida	No
Georgia	No
Guam	No
Hawaii	Yes	CN & MN		Two weeks of treatment	Yes	Fee for service
Idaho	Yes	CN		25 home or ambulatory visits/year included in limits for other specified practitioners	Treatment plan	Fee for service
Illinois	Yes	CN & MN			Services other than to continue therapy provided in previous 30 days on inpatient basis	Fee for service or certified cost
Indiana	Yes	CN		12 hours/30 days or 30 therapy sessions/month in combination with other therapy providers if ordered by physician prior to hospital discharge	Therapy not following hospital discharge	Fee for service
Iowa	Yes	CN & MN	$1/day	Limited to services meeting Medicare standards		Fee for service
Kansas	Yes	CN & MN	$1/visit	Limited to post-trauma/illness only, rehab potential required		Fee for service
Kentucky	No
Louisiana	No
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month	Limited to acute conditions or where assistance with ADLs is demonstrated, rehabilitation potential required		Fee for service
Maryland	Yes	CN & MN				Fee for service
Massachusetts	Yes	CN & MN			For more than 20 visits/year	Fee for service
Michigan	No
Minnesota	Yes	A & B - See state-specific FN			After initial 30 sessions	Fee for service
Mississippi	No
Missouri	Yes	CN		Adult coverage limited to those who are pregnant, blind or residing in nursing facilities		Fee for service
Montana	Yes	A & B - See state-specific FN	$2/visit	40 hours/year		Fee for service
Nebraska	Yes	CN & MN	$1 or $3/specified services - see state-specific FN	60 visits/year in combination with other therapies, rehab potential required		Fee for service
Nevada	Yes	CN		Rehab potential required	Yes	Fee for service
New Hampshire	Yes	CN & MN		Eighty 15-minute time units/year included in limits with other therapy providers		Fee for service
New Jersey	No
New Mexico	Yes	CN	A - $5/visit, B - $7/visit - see state-specific FN		Yes	Fee for service
New York	Yes	CN & MN				Fee for service
North Carolina	No
North Dakota	Yes	CN & MN	$2/visit	15 visits/year		Fee for service
Northern Mariana Islands	Yes	CN & MN - See territory-specific FN			Yes
Ohio	Yes	CN		30 dates of service/year in non-institutional setting, combined with limit for occupational therapy		Fee for service
Oklahoma	No
Oregon	Yes	A - See state-specific FN	A - $3/visit		Yes	Fee for service
Pennsylvania	No
Puerto Rico	Yes	CN & MN		Physician order required and limited to 15 treatments/condition/year		Fee for service
Rhode Island	No
South Carolina	No
South Dakota	Yes	CN				Fee for service for frequently performed services, 40% of charge up to Medicare limits for low volume procedures, supplies paid 90% of charge
Tennessee	Yes	A & B - See state-specific FN
Texas	Yes	CN & MN		180 days of treatment/year for acute or exacerbation of chronic condition	Yes	Fee for service
Utah	Yes	A & B - See state-specific FN	B - $3/visit	B - rehab potential required and16 visits/year included with limits for other specified practitioners	Yes	Fee for service
Vermont	No
U.S. Virgin Islands	No
Virginia	No
Washington	Yes	CN		48 units of service/year	Yes	Fee for service
West Virginia	Yes	A, B & C		A - 20 visits/year in combination with other therapies		Fee for service
Wisconsin	Yes	CN & MN	$.50-$3/service, depending on payment, up to 30 hours or $1,500/year		Yes	Fee for service
Wyoming	Yes	CN		Post-trauma/illness only, therapy services must be restorative and are limited to 20 visits/year across all therapy providers		Fee for service

2006

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Prior Approval Required	Reimbursement Methodology
United States	Yes - 37 No - 19		Yes - 11 No - 26
Alabama	No
Alaska	Yes	CN				Fee for service at 85% of physician fee
American Samoa	Yes	See territory-specific FN
Arizona	Yes	CN & MN		Rehab potential required	Yes	Fee for service
Arkansas	No
California	Yes	CN & MN	$1/visit	Rehab potential required and to prevent hospitalization	Treatment plan	Fee for service
Colorado	Yes	CN		24 15-minute units/year		Fee for service
Connecticut	No
Delaware	Yes	CN				Fee for service
District of Columbia	Yes	CN & MN			Treatment plan	Fee for service
Florida	No
Georgia	No
Guam	No
Hawaii	Yes	CN & MN		Rehab potential required	Yes	Fee for service
Idaho	Yes	CN		25 home or ambulatory visits/year included in limits for other specified practitioners	Treatment plan	Fee for service
Illinois	Yes	CN & MN			Services other than to continue therapy provided in previous 30 days on inpatient basis	Fee for service or certified cost
Indiana	Yes	CN		12 hours/30 days or 30 therapy sessions/month in combination with other therapy providers if ordered by physician prior to hospital discharge	Therapy not following hospital discharge	Fee for service
Iowa	Yes	CN & MN	$1/day	Limited to services meeting Medicare standards		Fee for service
Kansas	Yes	CN & MN	$1/visit	Limited to post-trauma/illness only, rehab potential required		Fee for service
Kentucky	No
Louisiana	No
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month	Limited to acute conditions or where assistance with ADLs is demonstrated, rehabilitation potential required		Fee for service
Maryland	Yes	CN & MN				Fee for service
Massachusetts	Yes	CN & MN			For more than 20 visits/year	Fee for service
Michigan	No
Minnesota	Yes	A & B - See state-specific FN			After initial 30 sessions	Fee for service
Mississippi	No
Missouri	Yes	CN		Adult coverage limited to those who are pregnant, blind or residing in nursing facilities		Fee for service
Montana	Yes	A & B - See state-specific FN	$2/visit	40 hours/year		Fee for service
Nebraska	Yes	CN & MN	$1 or $3/specified services - see state-specific FN	Rehab potential required		Fee for service
Nevada	Yes	CN		Rehab potential required	Yes	Fee for service
New Hampshire	Yes	CN & MN		Eighty 15-minute time units/year included in limits with other specified practitioners		Fee for service
New Jersey	No
New Mexico	Yes	CN	A - $5/visit, B - $7/visit - see state-specific FN		Yes	Fee for service
New York	Yes	CN & MN				Fee for service
North Carolina	No
North Dakota	Yes	CN & MN	$2/visit	15 visits/year		Fee for service
Northern Mariana Islands	Yes	CN & MN - See territory-specific FN			Yes
Ohio	Yes	CN		30 dates of service/year		Fee for service
Oklahoma	No
Oregon	Yes	A - See state-specific FN	A - $3/visit		Yes	Fee for service
Pennsylvania	No
Puerto Rico	Yes	CN & MN		Physician order required and limited to 15 treatments/condition/year		Fee for service
Rhode Island	No
South Carolina	No
South Dakota	Yes	CN				Fee for service for frequently performed services, 40% of charge up to Medicare limits for low volume procedures, supplies paid 90% of charge
Tennessee	Yes	A & B - See state-specific FN
Texas	Yes	CN & MN		180 days of treatment/year for acute or exacerbation of chronic condition	Yes	Fee for service
Utah	Yes	A & B - See state-specific FN	B - $3/visit	B - rehab potential required and16 visits/year included with limits for other specified practitioners	Yes	Fee for service
Vermont	No
U.S. Virgin Islands	No
Virginia	No
Washington	Yes	CN		48 units of service/year	Yes	Fee for service
West Virginia	Yes	CN & MN		20 visits/year in combination with other therapies		Fee for service
Wisconsin	Yes	CN & MN	$.50-$3/service, depending on payment, up to 30 hours or $1,500/year		Yes	Fee for service
Wyoming	Yes	CN		Post-trauma/illness only, therapy services must be restorative and are limited to 20 visits/year across all therapy providers		Fee for service

2004

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Prior Approval Required	Reimbursement Methodology
United States	Yes - 37 No - 19		Yes - 11 No - 26
Alabama	No
Alaska	Yes	CN				Fee for service at 85% of physician fee
American Samoa	Yes	See territory-specific FN
Arizona	Yes	CN & MN		Rehab potential required	Yes	Fee for service
Arkansas	No
California	Yes	CN & MN	$1/visit	Rehab potential required and to prevent hospitalization	Treatment plan	Fee for service
Colorado	Yes	CN		24 15-minute units/year		Fee for service
Connecticut	No
Delaware	Yes	CN				Fee for service
District of Columbia	Yes	CN & MN			Treatment plan	Fee for service
Florida	No
Georgia	No
Guam	No
Hawaii	Yes	CN & MN		Rehab potential required	Yes	Fee for service
Idaho	Yes	CN		25 home or ambulatory visits/year included in limits for other specified practitioners	Treatment plan	Fee for service
Illinois	Yes	CN & MN			Services other than to continue therapy provided in previous 30 days on inpatient basis	Fee for service or certified cost
Indiana	Yes	CN		12 hours/30 days or 30 therapy sessions/month in combination with other therapy providers if ordered by physician prior to hospital discharge	Therapy not following hospital discharge	Fee for service
Iowa	Yes	CN & MN	$1/day	Limited to services meeting Medicare standards		Fee for service
Kansas	Yes	CN & MN	$1/visit	Limited to post-trauma/illness only, rehab potential required		Fee for service
Kentucky	No
Louisiana	No
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month			Fee for service
Maryland	Yes	CN & MN				Fee for service
Massachusetts	Yes	CN & MN			For more than 20 visits/year	Fee for service
Michigan	No
Minnesota	Yes	A & B - See state-specific FN			After initial 30 sessions	Fee for service
Mississippi	No
Missouri	Yes	CN		Services covered in rehab centers only and only to adjust to prosthetics and orthotics after loss of limb or function		Fee for service
Montana	Yes	A & B - See state-specific FN	$2/visit	40 hours/year		Fee for service
Nebraska	Yes	CN & MN	$1 or $3/specified services - see state-specific FN	Rehab potential required		Fee for service
Nevada	Yes	CN		Rehab potential required	Yes	Fee for service
New Hampshire	Yes	CN & MN		Eighty 15-minute time units/year included in limits with other specified practitioners		Fee for service
New Jersey	No
New Mexico	Yes	CN	B - $7/visit - see state-specific FN		Yes	Fee for service
New York	Yes	CN & MN				Fee for service
North Carolina	No
North Dakota	Yes	CN & MN	$2/visit	15 visits/year		Fee for service
Northern Mariana Islands	Yes	CN & MN - See territory-specific FN			Yes
Ohio	Yes	CN		4 visits/month up to 10 visits/month if services also provided on outpatient hospital basis and no more than 20 total/year, services included in limits with other specified practitioners, inpatient hospital services not covered		Fee for service
Oklahoma	No
Oregon	Yes	A - See state-specific FN	A - $3/visit		Yes	Fee for service
Pennsylvania	No
Puerto Rico	Yes	CN & MN		15 treatments/condition/year		Fee for service
Rhode Island	No
South Carolina	No
South Dakota	Yes	CN				Fee for service for frequently performed services, 40% of charge up to Medicare limits for low volume procedures, supplies paid 90% of charge
Tennessee	Yes	A & B - See state-specific FN
Texas	Yes	CN & MN			Yes	Fee for service
Utah	Yes	A & B - See state-specific FN	B - $3/visit	B - rehab potential required and16 visits/year included with limits for other specified practitioners	Yes	Fee for service
Vermont	No
U.S. Virgin Islands	No
Virginia	No
Washington	Yes	CN		48 units of service/year	Yes	Fee for service
West Virginia	Yes	CN & MN		20 visits/year		Fee for service
Wisconsin	Yes	CN & MN	$.50-$3/service, depending on payment, up to 30 hours or $1,500/year		Yes	Fee for service
Wyoming	Yes	CN		Post-trauma/illness only, rehab potential required, 20 visits/year		Fee for service

2003

Location	Benefit Covered	Coverage Code	Copayment Required?	Limit on services days	Prior Approval Required	Reimbursement Methodology
United States	Yes - 37 No - 19		Yes - 10 No - 27
Alabama	No
Alaska	Yes	CN				Fee for service at 85% of physician fee
American Samoa	Yes	See territory-specific FN
Arizona	Yes	CN & MN		Rehab potential required	Yes	Fee for service
Arkansas	No
California	Yes	CN & MN	$1/visit	Rehab potential required and to prevent hospitalization	Treatment plan	Fee for service
Colorado	Yes	CN		24 15-minute units/year		Fee for service
Connecticut	Yes	CN & MN		One unit of service/day		Fee for service
Delaware	No
District of Columbia	Yes	CN & MN			Treatment plan	Fee for service
Florida	No
Georgia	No
Guam	No
Hawaii	Yes	CN & MN		Rehab potential required	Yes	Fee for service
Idaho	Yes	CN		25 home or ambulatory visits/year included in limits for other specified practitioners	Treatment plan	Fee for service
Illinois	Yes	CN & MN			Services other than to continue therapy provided in previous 30 days on inpatient basis	Fee for service or certified cost
Indiana	Yes	CN		12 hours/30 days or 30 therapy sessions/month in combination with other therapy providers if ordered by physician prior to hospital discharge	Therapy not following hospital discharge	Fee for service
Iowa	Yes	CN & MN	$1/day	Limited to services meeting Medicare standards		Fee for service
Kansas	Yes	CN & MN	$1/visit	Limited to post-trauma/illness only, rehab potential required		Fee for service
Kentucky	No
Louisiana	No
Maine	Yes	CN & MN	$.50-$2/day, depending on payment, up to $20/month			Fee for service
Maryland	Yes	CN & MN				Fee for service
Massachusetts	Yes	CN & MN			For more than 20 visits/year	Fee for service
Michigan	No
Minnesota	Yes	A & B - See state-specific FN			After initial 30 sessions	Fee for service
Mississippi	No
Missouri	Yes	CN		Services covered in rehab centers only and only to adjust to prosthetics and orthotics after loss of limb or function		Fee for service
Montana	Yes	CN & MN	$2/visit	70 visits/year, 30 additional possible with prior approval		Fee for service
Nebraska	Yes	CN & MN	$1 or $3/specified services - see state-specific FN	Rehab potential required		Fee for service
Nevada	Yes	CN		Rehab potential required	Yes	Fee for service
New Hampshire	Yes	CN & MN		Eighty 15-minute time units/year included in limits with other specified practitioners		Fee for service
New Jersey	No
New Mexico	Yes	CN	B - $5/visit - see state-specific FN		Yes	Fee for service
New York	Yes	CN & MN				Fee for service
North Carolina	No
North Dakota	Yes	CN & MN				Fee for service
Northern Mariana Islands	Yes	CN & MN - See territory-specific FN			Yes
Ohio	Yes	CN		4 visits/month up to 10 visits/month if services also provided on outpatient hospital basis and no more than 20 total/year, services included in limits with other specified practitioners, inpatient hospital services not covered		Fee for service
Oklahoma	No
Oregon	Yes	CN & MN	$3/visit		Yes	Fee for service
Pennsylvania	No
Puerto Rico	Yes	CN & MN		15 treatments/condition/year		Fee for service
Rhode Island	No
South Carolina	No
South Dakota	Yes	CN				Fee for service for frequently performed services, 40% of charge up to Medicare limits for low volume procedures, supplies paid 90% of charge
Tennessee	Yes	A & B - See state-specific FN
Texas	Yes	CN & MN			Yes	Fee for service
Utah	Yes	A & B - See state specific FN	B - $3/visit	B - rehab potential required and16 visits/year included with limits for other specified practitioners	Yes	Fee for service
Vermont	No
U.S. Virgin Islands	No
Virginia	No
Washington	Yes	CN		48 units of service/year	Yes	Fee for service
West Virginia	Yes	CN & MN		10 visits/year		Fee for service
Wisconsin	Yes	CN & MN	$.50-$3/ service, depending on payment up to 30 hours or $1,500/year		Yes	Fee for service
Wyoming	Yes	CN		Post-trauma/illness only, therapy services must be restorative and are limited to 20 visits/year across all therapy providers		Fee for service

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