The following request is coming from the Virginia DMAS (Department
of Medical Assistance Services). They indicate that they would like
the VPTA to provide feedback by Sept 15th thus we need to hear from
our members ASAP. Please email your comments to rita Wong
(rwong@...) and cc Angie Brooks angelasbrooks@...
so we can formulate a response on behalf of the state.

From DMAS:
Please review this draft regulation revision and give us feedback as
to whether or not you feel your association members would have any
concerns about this revision.

"Physical therapy, occupational therapy, and speech-language
pathology services provided in outpatient settings of acute and
rehabilitation hospitals, rehabilitation agencies, or home health
agencies shall include an evaluation visit for each ordered
rehabilitative service for each patient per fiscal year, regardless
of whether the patient has received services from another provider
in the same year. If services beyond the evaluation visit are
determined by the physician to be required, then the provider shall
request prior authorization from DMAS or its designee for additional
services."

Previously, the outpatient rehabilitation state regulations allowed
five therapy visits before prior authorization was required. The
five visits include the evaluation and four visits. The above
wording would replace the current existing regulations, if approved.

Thank you!
Rita Wong EdD, PT
PT Department Chairperson
Professor of Physical Therapy
Marymount University