![]() |
skip navigation - Search | Home | Login | Privacy | Accessibility | |||||||||
|
|
||||||||||
|
||||||||||
| Colorado Medicaid | ||||||||||
|
||||||||||
|
Prior Authorization Requests (PARs) for therapy received from independent physical therapy or occupational therapy providers is required after the initial 24 units of therapy services as indicated in the Medicaid Bulletin from January, 2002, B0200119. Medicaid Bulletins can be viewed at http://www.colorado.gov/cs/Satellite/HCPF/HCPF/1201542321017. Outpatient hospital physical therapy or occupational therapy requires a PAR as outlined in the Medicaid Bulletin from June, 2004, B0400177. Further bulletins outline additional information for PT or OT PARs. A blank example of a PAR form for PT or OT services is included at the following website: http://www.colorado.gov/cs/Satellite/HCPF/HCPF/1201542696550. Some items to remember about PARs for physical therapy or occupational therapy:
In order for the reviewer to adequately assess the need for services, the goals should be reasonable for the client’s condition, measurable, and achievable in a predictable period of time. If the client has received previous therapy, the length of therapy and gains achieved to date as a result of therapy intervention should also be included. Per Medicaid bulletin B0200119, there are no retroactive authorizations. If the client’s medical condition requires more treatments than listed and authorized on the original PAR, a subsequent PAR is required. Each PAR must include all of the required information previously noted. CFMC prepared this
material with input from the Colorado Department of Health
Care Policy and Financing. The contents do not necessarily
reflect CDHCPF policy. |
||||||||||
|
||||||||||
| Copyright © 2007 Colorado Foundation for Medical Care, all rights reserved | ||||||||||